New Evidence Available
Updated Recommendation
A new evidence synthesis was published:2022, Abortion care guideline
View latest version (2022)Bibliographic information
GuidelineHealth worker roles in providing safe abortion care and post-abortion contraception
Year of Publication2015
Issuing InstitutionWorld Health Organization
Recommendation
Retired
Management of uncomplicated incomplete abortion/miscarriage in the first trimester with vacuum aspiration. Health worker. Auxiliary nurses (AN) and auxiliary nurse midwives (ANM) Recommended in specific circumstances
Context specific recommendation
Only in specific contexts
Notes and Remarks
- 1.We recommend this option in contexts where established health systems mechanisms involve ANMs/ANs in providing basic emergency obstetric care, and where referral and monitoring systems are strong
- 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.Uncomplicated incomplete abortion can result after an induced or spontaneous abortion (i.e. miscarriage). The management is identical and the above recommendations apply to both situations.
- 4.The evacuation of retained products is also a signal function of basic emergency obstetric care and training and implementation can be integrated with emergency obstetric care (EmOC) services."