Karnataka - Bellary   

VIMS adopts two safe abortion methods

By Our Staff Correspondent

BELLARY, JAN. 27. The Vijayanagar Institute of Medical Sciences (VIMS), Bellary, with technical and financial assistance from Pathfinder International, Bostan, U.S., has adopted two safe methods of abortion.

The institute is among the three colleges in the State to implement the Improved Access to Safe Abortion Care Services (IASACS) Project of Pathfinder. It is the first to adopt Medical Methods of Abortions (MMA) and Manual Vacuum Aspiration (MVA). These methods are being conducted as per the guidelines of the World Health Organisation (WHO) and the Union Government.

Addressing presspersons here today, S.R. Hegde, Director of VIMS and Chairman of the core group, and Rekha Masilamani, Project Coordinator, said unsafe abortions were due to consumption of papaya, custard, high estrogen content pills, insertion of sticks into the uterus leading to an higher rate of infections, injuries to the uterus, and perforation conducted by untrained personnel. Poor utilisation of safe methods and infection control measures, and poor quality of services were said to be the reasons for the increasing unsafe abortions.

They said the two new methods proved to be better than the existing procedure of uterine evacuation. In the D and C method, which was also called "sharp curettage', metal surgical instruments were used to empty the uterus. This method was recommended up to three months of pregnancy.

The use of D and C method might need an operation theatre, and staff trained in surgical techniques and general anaesthesia. Complications such as bleeding, and uterine perforation and peritonitis were still a major problem here. They said Electrical Vacuum Aspiration (EVA), another existing method, used an electric pump and a rigid cannula for uterine evacuation in the first trimester. In this method, the rigid uterine cannula could cause injury and bleeding.

In the MVA method, a handheld vacuum syringe and flexible plastic cannulae were used. It was safe, effective, and low-cost method of uterine evacuation. The MVA was similar to the better-known technique of menstrual regulation but more advanced and adoptable.

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