Re: Efficacy, feasibility and patient acceptability of ultrasound-guided manual vacuum aspiration for treating early pregnancy loss

Objective: The aim of this study is to compare the efficacy of manual vacuum aspiration and conventional evacuation and curettage in early pregnancy loss Study Design: Randomized control trial Place and Duration: Study was conducted at department of obstetrics and gynecology Lady Reading Hospital Peshawar from 1st January 2019 to 31st August 2020. Methods Patients were early pregnancy loss (12 weeks or lesser gestational age) were enrolled. Patients were divided into two groups by lottery method. Group A were the patients who had conventional evacuation and curettage treatment. Group B were patient in which MVA was used. Patients’ demographics were recorded after taking written consent. Gestational age was calculated from first day of last menstrual cycle and by ultrasound. Cervical ripening was done by (misoprostol 400mcg) two hours before procedure. Procedure was carried out under aseptic measures. Complete uterine evacuation by either procedure was assessed by ultrasound after procedure and complications were noted. Data was analyzed by SPSS 24.0. Results: mean age in Group A was 29 years with SD ± 8.65 while mean age in Group B mean age was 30 years with SD ±7.62. Group B (Manual Vacuum Aspiration) was effective in 96% patients while Group A(Conventional Evacuation and Curettage) was effective in 89% patients. Complications were fewer in MVA as compared to conventional evacuation and curettage Keywords: MVA, Evacuation and curettage , Early pregnancy loss.

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Patient Acceptability of Manual Versus Electric Vacuum Aspiration for Early Pregnancy Loss

Journal of Women s Health ◽

10.1089/jwh.2007.0362 ◽

2007 ◽

Vol 16 (10) ◽

pp. 1429-1436 ◽

Cited By ~ 19

Author(s):

Scott Edwards ◽

Richard Tureck ◽

Margaret Fredrick ◽

Xiangke Huang ◽

Jun Zhang ◽

...

Keyword(s):

Early Pregnancy ◽

Pregnancy Loss ◽

Early Pregnancy Loss ◽

Patient Acceptability ◽

Vacuum Aspiration ◽

Electric Vacuum

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COMPARATIVE STUDY OF MANUAL VACUUM ASPIRATION AND DILATATION & EVACUATION IN TERMS OF THEIRS ACCEPTABILITY AND COMPLICATIONS FOR THE SURGICAL MANAGEMENT OF EARLY PREGNANCY LOSS

International Journal of Medical and Biomedical Studies ◽

10.32553/ijmbs.v4i6.1256 ◽

2020 ◽

Vol 4 (6) ◽

Author(s):

B S Meena ◽

Narendra Kumar

Keyword(s):

Success Rate ◽

Surgical Management ◽

Early Pregnancy ◽

Pregnancy Loss ◽

Early Pregnancy Loss ◽

Missed Abortion ◽

Medical College ◽

Vacuum Aspiration ◽

Manual Vacuum Aspiration ◽

Incomplete Miscarriage

Background: To compare efficacy and complication of manual vacuum aspiration and dilatation and evacuation as the method for early pregnancy loss surgical management. Methods: This study was conducted in the Department of Obstetrics and Gynaecology, SMS Medical College & Associated group of Hospitals, Jaipur during this study, 200 pregnant women with below 12 weeks gestational age having a confirmed diagnosis of incomplete miscarriage and missed abortion were included. All selected cases divided into MVA group and D&E group randomly. Results: MVA group 98% cases were successful and failure was in 2% which required re-procedure. In D&E group 94% cases were successful and failure was in 6% cases which required re-procedure. Success rate was founded more in MVA group than D&E group. Conclusion: On comparison of the two, in our study MVA was seen to be having an edge over D&E, regarding complication and success rate. Keywords: MVA, D&E, Complication, Success rate.

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