{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,2]],"date-time":"2026-06-02T17:19:57Z","timestamp":1780420797276,"version":"3.54.1"},"reference-count":18,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2023,5,17]],"date-time":"2023-05-17T00:00:00Z","timestamp":1684281600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Intl J Gynecology &amp; Obste"],"published-print":{"date-parts":[[2023,10]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Introduction<\/jats:title><jats:p>Manual vacuum aspiration (MVA) is a safe and effective alternative option for the management of first\u2010trimester miscarriage, termination of pregnancy, or retained pregnancy tissue. Ireland's first MVA clinic was set up in the Rotunda Hospital in April 2020.<\/jats:p><\/jats:sec><jats:sec><jats:title>Objective<\/jats:title><jats:p>To identify the number of women who have undergone MVA since establishing our service, to assess the efficacy and safety of MVA in that service, and to develop local Irish studies that further support the safety of MVA, adding to the international body of evidence.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>With the approval and assistance of the Clinical Audit Committee, we obtained a log of all patients who underwent MVA in the first 18\u2009months of the service. We performed a retrospective electronic chart review using Maternal and Newborn Clinical Management System. We collected the data and preformed a descriptive analysis.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>In total, 86 women underwent MVA, 85 (98.8%) of which were successfully completed. There were no immediate procedural complications, inter\u2010hospital transfers, or emergency electric vacuum aspiration (EVA) required. We obtained an incomplete evacuation rate of 4.7% (<jats:italic>n<\/jats:italic>\u2009=\u20094).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>We have demonstrated that the MVA service in the Rotunda Hospital is a safe, effective management option with advantages for both the patient and the healthcare system. We recommend consideration for provision of funding and resources to enable expansion of this service nationally in order to give women greater autonomy of choice in the management of early pregnancy complications and termination of pregnancy.<\/jats:p><\/jats:sec>","DOI":"10.1002\/ijgo.14836","type":"journal-article","created":{"date-parts":[[2023,5,18]],"date-time":"2023-05-18T04:34:26Z","timestamp":1684384466000},"page":"302-306","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Audit of Ireland's first manual vacuum aspiration service"],"prefix":"10.1002","volume":"163","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8890-6939","authenticated-orcid":false,"given":"A.","family":"Corcoran","sequence":"first","affiliation":[{"name":"Department of Obstetrics &amp; Gynaecology Rotunda Hospital  Dublin Ireland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"D.","family":"Hayes\u2010Ryan","sequence":"additional","affiliation":[{"name":"Department of Obstetrics &amp; Gynaecology Cork University Maternity Hospital  Cork Ireland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"V.","family":"O'Dwyer","sequence":"additional","affiliation":[{"name":"Department of Obstetrics &amp; Gynaecology Rotunda Hospital  Dublin Ireland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"S.","family":"Cooley","sequence":"additional","affiliation":[{"name":"Department of Obstetrics &amp; Gynaecology Rotunda Hospital  Dublin Ireland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M.","family":"Ramphul","sequence":"additional","affiliation":[{"name":"Department of Obstetrics &amp; Gynaecology Rotunda Hospital  Dublin Ireland"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2023,5,17]]},"reference":[{"key":"e_1_2_10_2_1","unstructured":"Institute of Obstetrics and Gynaecology Royal College of Physicians of Ireland.Clinical Practice Guideline \u2010 Management of Early Pregnancy Miscarriage.2012."},{"key":"e_1_2_10_3_1","unstructured":"Institute of Obstetricians and Gynaecologists Royal College of Physicians of Ireland.Interim Clinical Guidance on Termination of Pregnancy Under 12\u2009Weeks.2018."},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1471-0528.2009.02223.x"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.1034\/j.1600-0412.2001.080006563.x"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1471-0528.2007.01572.x"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/0020-7292(94)90252-6"},{"key":"e_1_2_10_8_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.AOG.0000109147.23082.25"},{"key":"e_1_2_10_9_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12884-020-03362-4"},{"key":"e_1_2_10_10_1","doi-asserted-by":"publisher","DOI":"10.5455\/2320-1770.ijrcog20130618"},{"key":"e_1_2_10_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejogrb.2021.09.008"},{"key":"e_1_2_10_12_1","volume-title":"Abortion Care Guideline","year":"2022"},{"key":"e_1_2_10_13_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-0412.2011.01258.x"},{"key":"e_1_2_10_14_1","doi-asserted-by":"publisher","DOI":"10.1001\/archfami.7.6.559"},{"key":"e_1_2_10_15_1","volume-title":"Maternal Health and Safe Motherhood Programme","author":"World Health Organization","year":"1994"},{"key":"e_1_2_10_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejogrb.2003.09.042"},{"key":"e_1_2_10_17_1","unstructured":"National Maternity Strategy \u2013 Creating a Better Future Together 2016\u20102026 [Internet]. Govie 2022 [cited 8 June 2022]. Available from:https:\/\/www.gov.ie\/en\/publication\/0ac5a8\u2010national\u2010maternity\u2010strategy\u2010creating\u2010a\u2010better\u2010future\u2010together\u20102016\u20102\/"},{"key":"e_1_2_10_18_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(20)31789-X"},{"key":"e_1_2_10_19_1","unstructured":"FSRH.Clinical Guideline: Intrauterine Contraception (April 2015 amended September 2019) \u2010 Faculty of Sexual and Reproductive Healthcare [Internet].Fsrh.org. 2022 [cited 8 June 2022]. Available from:https:\/\/www.fsrh.org\/standards\u2010and\u2010guidance\/documents\/ceuguidanceintrauterinecontraception\/"}],"container-title":["International Journal of Gynecology &amp; Obstetrics"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ijgo.14836","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,2,19]],"date-time":"2025-02-19T11:03:44Z","timestamp":1739963024000},"score":1,"resource":{"primary":{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/10.1002\/ijgo.14836"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,5,17]]},"references-count":18,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2023,10]]}},"alternative-id":["10.1002\/ijgo.14836"],"URL":"https:\/\/doi.org\/10.1002\/ijgo.14836","archive":["Portico"],"relation":{},"ISSN":["0020-7292","1879-3479"],"issn-type":[{"value":"0020-7292","type":"print"},{"value":"1879-3479","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,5,17]]},"assertion":[{"value":"2023-01-15","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-04-16","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-05-17","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}