New Evidence Available
Updated Recommendation
A new evidence synthesis was published:2022, Abortion care guideline
View latest version (2022)Bibliographic Info
GuidelineHealth worker roles in providing safe abortion care and post-abortion contraception
Year of Publication2015
Issuing InstitutionWorld Health Organization
Recommendation
Status
Retired
Context specific recommendation
Only in specific contexts
Management of abortion and post-abortion care for pregnancies in the first trimester. Vacuum aspiration for induced abortion. Health worker: Auxiliary nurses (AN) and auxiliary nurse midwives (ANM). Recommended in specific circumstances
Notes and Remarks
- 1.We recommend this option in contexts where established mechanisms to include ANMs/ANs in providing basic emergency obstetric care or postabortion care already exist
- 2.While MVA is more commonly used and more likely in primary care settings, the skills required for EVA are similar, thus the recommendations above apply to the provision of either form of vacuum aspiration.
- 3.There may be more procedural difficulties in pregnancies of over nine weeks duration. In experienced hands the procedure can be used in pregnancies up to 14 weeks; however, for all health worker types, more training and experience is needed for the use of MVA at 12–14 weeks pregnancy duration as compared to the use of MVA at < 12 weeks.
- 4.The vacuum aspiration procedure can be performed in a primary care facility and on an outpatient basis"