scholarly journals Dilatation and curettage versus manual vacuum aspiration for first trimester clandestine abortions

2015 ◽  
pp. 716-720
Author(s):  
Elie Nkwabong ◽  
Joseph Fomulu
Keyword(s):  
First Trimester ◽  
Vacuum Aspiration ◽  
Dilatation And Curettage ◽  
Manual Vacuum Aspiration

Manual Vacuum Aspiration and Dilatation & Curettage in First Trimester Miscarriages; Comparison of Efficacy

2021 ◽  
Vol 15 (9) ◽  
pp. 2826-2829
Author(s):  
Nadia Pervaiz ◽  
Javeria Saleem ◽  
Tuheed Bibi ◽  
Shama Naz ◽  
Salma Rabbani ◽  
...  
Keyword(s):  
First Trimester ◽  
Obstetrics And Gynecology ◽  
Random Allocation ◽  
Retained Products Of Conception ◽  
Vacuum Aspiration ◽  
Dilatation And Curettage ◽  
Products Of Conception ◽  
Manual Vacuum Aspiration ◽  
Group B ◽  
Retained Products

Objective: To compare the efficacy of manual vacuum aspiration with dilatation and curettage in first trimester miscarriages. Study Design: Randomized control trial. Place and Duration of Study: Department of Obstetrics and Gynecology Unit “A”, Lady Reading Hospital, Peshawar. Patients were received through OPD and Emergency during the six months i.e from 1st Jan, 2015 till 30th June, 2015. Methodology: Women admitted in the department of Obstetrics and Gynecology Unit “A”, Lady Reading Hospital, Peshawar, who meet the inclusion and exclusion criteria, were included in the study by consecutive non probability sampling with random allocation by dividing them into two groups through lottery method. Patients in group A were treated by dilatation and curettage while the patients in group B were evacuated by manual vacuum aspiration. After the randomly allocated method of evacuation, the efficacy of the procedure was determined in terms of need for the evacuation by presence of retained products of conception on ultrasound done by specialist. Results: No substantial difference was found between patients subjected to D&C and to those subjected to MVA. Conclusion: MVA is as effective as D&C for the treatment of miscarriage. Keywords: Miscarriage, Abortion, Dilatation & Curettage, Manual Vacuum Aspiration, Retained products of conception.

scholarly journals Misoprostol Versus Manual Vacuum Aspiration in Treatment of Missed Miscarriage in First Trimester

2021 ◽  
Vol 89 (6) ◽  
pp. 1195-1200
Author(s):  
OMLSAED M. ALMAHABRISH, M.B.B.Ch.; MOHAMED S. ABDELHAFEZ, Ph.D. ◽  
MOHAMED E. TAMAN, Ph.D.; NASSER M.S. ALLAKANY, Ph.D.
Keyword(s):  
First Trimester ◽  
Vacuum Aspiration ◽  
Manual Vacuum Aspiration

scholarly journals Comparison of Medical Abortion with Manual Vacuum Aspiration in Termination of Pregnancy up to Nine Weeks

2020 ◽  
Vol 18 (1) ◽  
pp. 116-119
Author(s):  
Kanti Prabha Giri ◽  
Ganesh Dangal
Keyword(s):  
Vaginal Bleeding ◽  
Medical Abortion ◽  
First Trimester ◽  
Termination Of Pregnancy ◽  
Chi Square ◽  
Vacuum Aspiration ◽  
First Trimester Pregnancy ◽  
Manual Vacuum Aspiration ◽  
Comprehensive Abortion Care

Background: Nepal government has legalized abortion and approved both medical abortion and manual vacuum aspiration for first trimester pregnancy. However, there is inadequate evidence in our setup to comment on the acceptability and complications of medical abortion and manual vacuum aspiration for termination of pregnancy up to nine weeks of gestation. The objective of this study is to compare the reasons for termination of pregnancy, effectiveness and complications between medical abortion and manual vacuum aspiration in termination of pregnancy up to nine weeks.Methods: A comparative study was conducted among women requesting termination of pregnancy up to nine weeks of gestation in Comprehensive Abortion Care unit of Paropakar Maternity and Women’s Hospital. Women were kept in medical abortion and manual vacuum aspiration groups after they chose the method. They were advised for follow up in two weeks. Reasons for termination, effectiveness and complications of medical abortion and manual vacuum aspiration were compared using Chi square test.Results: In a total of 160 women, the most common reason for termination of pregnancy was completion of the family. In manual vacuum aspiration group 43 (58.9%) women had minimal per vaginal bleeding while 30 (40.54%) women in medical abortion group had per vaginal bleeding for 6-10 days (p <0.001). Rate of complete abortion in medical abortion group was 85.14% (n=63) and in manual vacuum aspiration group was 93.15% (n=68). Conclusions: The complications following medical abortion were higher than manual vacuum aspiration in termination of pregnancy up to nine weeks. Rate of completeness of abortion following manual vacuum aspiration is superior over medical abortion.Keywords: Manual vacuum aspiration; Medical abortion; Termination of pregnancy

Incomplete miscarriage during the first trimester: a comparison of indoor versus outdoor procedure

2020 ◽  
Vol 24 (3) ◽  
pp. 235-239
Author(s):  
Faiza Iqbal ◽  
Sadia Azmat ◽  
Rabia Jamshaid ◽  
Zunaira Arshad ◽  
Anum Saqib
Keyword(s):  
Controlled Trial ◽  
First Trimester ◽  
P Value ◽  
Vacuum Aspiration ◽  
Manual Vacuum Aspiration ◽  
Group A ◽  
First Trimester Of Pregnancy ◽  
The Mean ◽  
Group B ◽  
Incomplete Miscarriage

Introduction: Miscarriage is defined as the natural death of a fetus inside the uterus. To remove complete conception material after a miscarriage, vacuum aspiration or dilatation & curettage are methods to remove uterine contents. Controversies exist regarding both procedures. So we conducted this study to confirm the more successful method. Objective: To compare the effectiveness of manual vacuum aspiration versus traditional evacuation and curettage (E & C) among females presenting with incomplete miscarriage during the first trimester of pregnancy Materials and Methods: This randomized controlled trial was done at the Department of Obstetrics & Gynecology, Shalamar Hospital, Lahore for 6 months. Then the selected females were divided randomly into 2 equal groups. In group A, females had manual vacuum procedure while in group B, females had evacuation & curettage under general anesthesia. After 12 hours of the procedure, ultrasonography was done to confirm complete evacuation. Results: The mean age of the patients was 29.87 ± 6.71 years, the mean gestational age was 8.06 ± 2.82 weeks. The effectiveness was noted in 248 (91.85%) patients. Statistically, manual vacuum showed significantly more effective as compared to evacuation & curettage procedure in the management of incomplete miscarriage i.e. p-value = 0.008. Conclusion: It has been proved that manual vacuum aspiration is more effective than traditional evacuation & curettage in the management of incomplete miscarriage.

Similarities in women’s perceptions and acceptability of manual vacuum aspiration and electric vacuum aspiration for first trimester abortion

Contraception ◽  
2003 ◽  
Vol 67 (3) ◽  
pp. 207-212 ◽  
Author(s):  
Sheryl Thorburn Bird ◽  
S.Marie Harvey ◽  
Linda J. Beckman ◽  
Mark D. Nichols ◽  
Kathy Rogers ◽  
...  
Keyword(s):  
First Trimester ◽  
Trimester Abortion ◽  
Vacuum Aspiration ◽  
Manual Vacuum Aspiration ◽  
Women’S Perceptions ◽  
Electric Vacuum

scholarly journals Medical Abortion Versus Manual Vacuum Aspiration in a Hilly District Hospital of Eastern Nepal: A Comparative Study

2015 ◽  
Vol 11 (3) ◽  
pp. 206-209 ◽  
Author(s):  
OB Panta ◽  
D Bhattarai ◽  
N Parajuli
Keyword(s):  
District Hospital ◽  
Medical Abortion ◽  
First Trimester ◽  
Rural Setting ◽  
World Health ◽  
Medical Attention ◽  
Vacuum Aspiration ◽  
Contraception Use ◽  
District Hospitals ◽  
Manual Vacuum Aspiration

Backgroud Nepal government has approved medical abortion and manual vacuum aspiration for early first trimester pregnancy. Both the procedures have been approved by World Health Organization for use in early first trimester. Objectives The study aims to compare efficacy and safety of medical abortion with surgical abortion in a district hospital of rural eastern Nepal. Method An observational study conducted in district hospital, dhankuta from July 2010 to January 2011. Clients for abortion services were counseled about methods of abortion and were allowed to make decision on their own and classified as medical abortion group (N=48) (receiving 200milligram Mifepristone followed by 800 microgram misoprostol sublingually or vaginally on day two)and manual vacuum aspiration group (N=36). The two groups were compared for rate of complete abortion and other complications and contraception use after procedure. Results Rate of complete abortion was similar in both groups, 95.8% among medical abortion and 97.2% in manual vacuum aspiration. Moderate to severe expulsion bleeding was reported in 91.6% of cases after Medical Abortion but none required medical attention for hemorrhage. Condom was the most preferred contraceptive in medical abortion group and depo provera in manual vacuum aspiration group. Conclusion Medical method of abortion using mifepristone and misoprostol is equally safe and effective as manual vacuum aspiration in rural setting district hospitals of Nepal. DOI: http://dx.doi.org/10.3126/kumj.v11i3.12505 Kathmandu Univ Med J 2013; 43(3):206-209

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