- MVA technology
- Medical abortion
- Contraceptive implants
- Intra-Uterine Devices (IUDs)
- Emergency contraception
WomanCare Global 1640 Roanoke Blvd.
Salem, VA 24153, USA
What is Ipas Aspirator?
The Ipas line of aspirators (also known as manual vacuum aspirators) are easy to operate, hand-held vacuums that use suction to remove uterine contents through the cervix using a cannula (sold separately). The vacuum aspiration technique is recommended by WHO to manage incomplete, missed or induced abortion.
The Ipas aspirator is:
- Effective (98%)
- Affordable, limited investment required
- Easy to learn and to use
- Discreet, portable, quiet
- Ideal for performing procedures in the outpatient setting, even with no electricity or with space constraints
- Made with latex-free plastic
It may be used for early pregnancy loss (miscarriage) management, induced abortion, post abortion care (if incomplete or missed), or to obtain samples for endometrial biopsy. The rate of infection is lower than any other surgical abortion procedure at 0.5%.Manual vacuum aspiration: a safe and effective surgical management of early pregnancy loss Manual Compared With Electric Vacuum Aspiration for Treatment of Molar Pregnancy Endometrial Sampling Technologies for the Office or Clinic
Questions & Answers
Only trained clinicians should use the Ipas Manual Vacuum Aspirator. Please contact us to find out more about training and credentialing opportunities.
The total procedure can be done in 10 steps. Please see this chart for pictographic steps: https://ipas.azureedge.net/files/PERFMVAE17-PerformingMVAPoster.pdf
DKT WomanCare sells single-use variants of our products to comply with national regulations. Please ask your distributor whether your product is single-use or not.
Color-coded adapters allow Flexible Karman Cannula and 3 mm Cannula to be used with the Ipas MVA Plus(R) or Double Valve Aspirators. Please refer to the product technical sheet for more information.
Please refer to our Technical Resources under “Clean and Disassemble Instruments” or see this sheet from Ipas: https://ipas.azureedge.net/files/PROPLUSE18-ProcessingIpasMVAPlusAspiratorsEasyGripCannulae.pdf
Check that instrument is properly assembled and charged
Inspect O-ring for proper positioning - if damaged or loose, replace O-ring.
Too much lubrication.
Ensure no foreign bodies are present.
Check cylinder is firmly seated on valve.
Charge and test again.
If vacuum is still not retained, use another aspirator.
Check if :
Aspirator is full.
Cannula is withdrawn past the cervical os opening.
Cannula is clogged.
Aspirator is incorrectly assembled.
After the 25th use
The cylinder is cracked or brittle.
Mineral deposits inhibit plunger movement.
The Valve is cracked, bent or broken.
Buttons are broken.
Plunger arms do not lock.
Aspirator no longer holds a vacuum.
What is a medical abortion?
Medical abortion is an abortion caused by taking a series of pills (a combination of Mifepristone and Misoprostol or Misoprostol alone) that lead to a termination of pregnancy.
- Very effective: 95% (*)
- Can be used the outpatient setting if desired
- Allow woman privacy and discretion: symptoms are similar to a spontaneous miscarriage or heavy menstrual period
How Medical Abortion works:
The pills relax the cervix and cause contractions within the uterus. Different from emergency contraception pills, the medicine used in medical abortion pills can be used months after the first missed period.
Endorsements of Medical Abortion
- Indicated for safe abortion.
- Listed as essential medications according to the World Health Organization
What is Levoplant?
How to insert Levoplant?
How to remove Levoplant?
Levoplant is indicated for contraception up to three years after insertion.
Mechanism of action
Two small rods (each about the size of a matchstick) are inserted under the skin of the woman’s upper, inner arm by a trained provider. The rods slowly release levonorgestrel, a synthetic progestin. Levonorgestrel is the same ingredient used in oral contraceptive pills, emergency contraceptive pills, and intrauterine systems; it is one of the best-understood and longest-studied ingredients used for contraception.
Levonorgestrel works by:
1.- Inhibiting ovulation
2.- Inhibiting implantation of the fertilized egg, and
3.- Thickening the cervical mucus so sperm cannot pass
Levoplant is a WHO-prequalified contraceptive implant effective at preventing pregnancy for up to 3 years.
It has been registered by the following health authorities:
Nigeria’s National Agency for Food and Drug Administration and Control (NAFDAC)
Ghana’s Food and Drugs Authority
Kenya’s Poisons and Pharmacy Board
Questions & Answers
Sino-implant (II) is a safe, highly effective, long-acting, reversible hormonal contraceptive implant made up of 2 rods that are inserted into a woman’s upper arm. The rods contain a hormone called levonorgestrel, which is slowly and continuously released over time. Shanghai Dahua Pharmaceutical Co., Ltd., (Dahua) has been manufacturing Sino-implant (II) since 1996. The product has been registered by more than 20 drug regulatory authorities, and more than 11 million units have been distributed worldwide.
Dahua augmented the Sino-implant (II) product specifications and test methods and changed the levonorgestrel supplier in pursuit of World Health Organiza- tion (WHO) prequalification. This product is now sold under the global brand Levoplant.
WHO prequalified Sino-implant (II)/Levoplant on June 30, 2017, after reviewing the product dossier, including new clinical trial data, and inspecting Dahua’s manufacturing facility to ensure it complies with WHO Good Manufacturing Practices. Levoplant is prequalified for 3 years of use.
WHO prequalification recognizes that Levoplant meets international quality standards for manufacturing and clinical performance. WHO evaluated data from a rigorously conducted clinical trial that compared Levoplant to Jadelle and found the product to be safe and highly effective during 3 years of use. The United Nations Population Fund had approved Levoplant for purchase by its country programs through the WHO Expert Review Panel process in November 2016. WHO prequalification will now allow additional donors and procurers to purchase the product for country programs.
Levoplant is labeled for 3 years of use and has a shelf life of 4 years.
Levoplant is one of the most effective family planning methods available. Each year, fewer than 1 pregnancy per 100 users is expected.
Building on existing national approvals for Sino-implant (II), registration of Levoplant at the country level is ongoing. For information about the regulatory status in a particular country, please contact: firstname.lastname@example.org
In FP2020 countries, the product is available for US$6.90 per unit. This pricing structure applies to approved procurers, donors and governments.
Almost all women of childbearing age can use Levoplant: women of any age (with or without children), women in the immediate postpartum period, breastfeeding mothers, HIV-positive women, women who smoke and women who have had a miscarriage or an abortion. Levoplant is ideal for women with limited access to health services because it does not require regular resupply from a provider.
Levoplant works by inhibiting or altering ovulation and thickening the cervical mucus, making it difficult for sperm to unite with an egg. Fertility returns immediately after removal of the implants.
Both insertion and removal are minor surgical procedures that take a few minutes and can be done in a health provider’s office. The implants are inserted into the inner side of either upper arm and are removed by making a small incision and using forceps to gently pull out the rods. To minimize the risk of breakage, Dahua’s recom- mendations for removal of Sino-implant (II)/Levoplant differ slightly from the recom- mendations for removing another 2-rod implant, Jadelle .
Quality assurance: Dahua is designated by the National Health and Family Planning
Commission of the People’s Republic of China (NHFPC) and the China Food and
Drug Administration (CFDA) as an approved manufacturer of contraceptive prod-
ucts. Dahua continually evaluates the quality of the final product by testing each lot
prior to distribution. Since 2008, an independent quality evaluation has been
conducted annually by FHI 360. The findings show Dahua demonstrates the ability to
produce a contraceptive implant that meets international quality standards
Earlier clinical trials: Chinese clinical data from the early 1990s from 4 randomized trials among over 15,000 women support 4-year duration of use of Sino-implant (II), with annual pregnancy rates below 1 percent.2 With funding from the Bill & Melinda Gates Foundation and the U.S. Agency for International Development, FHI 360 and partners have since completed prospective cohort studies in Bangladesh, Kenya, Madagascar and Pakistan, following over 2,000 Sino-implant (II) users for 12 months. The results show Sino-implant (II) is a safe, highly effective method. In Bangladesh and Madagascar, no post-insertion pregnancies were reported; in Kenya and Pakistan, the combined annual pregnancy rate was below 1 percent.
What is an emergency contraception?
Post pills are concentrated doses of levonorgestrel, the same hormone in daily contraceptive pills. Emergency Contraceptive pills can be taken before or after unprotected sex to guard against pregnancy.
- Lydia Postpil is not an abortion pill - rather, it is simply an option for women to use “just in case.”
Post pills are a good option for women who do not have sex frequently, for when a contraceptive failure is known or suspected to fail (like when a condom breaks, or when a woman missed taking her regular pill), or when a woman is forced into having sex (rape).
Prevention of pregnancy following unprotected intercourse. It can be used by women of all reproductive ages including adolescents.
Mechanism of Action
Lydia Postpil mainly acts by preventing the release of an egg (ovulation) or by stopping the egg and sperm from meeting (fertilization). Postpill may inhibit implantation by altering the endometrium but is not effective once the process of implantation has begun.
Endorsements of Emergency Contraception