Introduction of a manual vacuum aspiration service: a model of service within a NHS Sexual Health Service.

Background: We assessed the applicability, acceptability and cost implications of introducing the manual vacuum aspiration (MVA) technique with local anaesthesia for fully conscious first-trimester termination of pregnancy within our service and for our population.

Setting: The outpatient setting of a Pregnancy Advisory Service within a NHS Sexual Health Service.

Methods: Self-administered misoprostol and diclofenac, extra-amniotic local anaesthetic gel and paracervical mepivicaine prior to MVA.