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

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.

scholarly journals Manual Vacuum Aspiration (M.V.A) Versus Conventional Evacuation and Curettage in Early Pregnancy Loss

2021 ◽  
Vol 15 (8) ◽  
pp. 2213-2215
Author(s):  
Uzma Shaheen ◽  
Sumaira Yasmin ◽  
Nazia Liaqat ◽  
Sonia Rafique
Keyword(s):  
Early Pregnancy ◽  
Gestational Age ◽  
Pregnancy Loss ◽  
Cervical Ripening ◽  
Early Pregnancy Loss ◽  
Vacuum Aspiration ◽  
Manual Vacuum Aspiration ◽  
Group A ◽  
Randomized Control ◽  
Group B

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.

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

2007 ◽  
Vol 16 (10) ◽  
pp. 1429-1436 ◽  
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

scholarly journals Safety & efficacy of manual vacuum aspiration compared to dilatation & curettage in the management of early pregnancy failure

2017 ◽  
Vol 49 (1-2) ◽  
pp. 18-22 ◽  
Author(s):  
Rabiul Islam ◽  
Sankar Prosad Biswas ◽  
Dolly Halder ◽  
Kaniz Fatima
Keyword(s):  
Hospital Stay ◽  
Early Pregnancy ◽  
Gestational Age ◽  
High Tech ◽  
Major Health Problem ◽  
Pregnancy Failure ◽  
Medical College ◽  
Vacuum Aspiration ◽  
Early Pregnancy Failure ◽  
Manual Vacuum Aspiration

Background: Early pregnancy failure is a major health problem across the globe. This is particularly important for the woman of Bangladesh.Objective: The aim of our study was to evaluate the safety and efficacy of manual vacuum aspiration (MVA) compared to dilatation and curettage (D&C) in the management of first trimester abortion.Methods: This was a prospective randomised study done in Obstetrics & Gynaecology department of Jessore medical college & Khulna medical college. Over a period of one year from January 2014 to December 2014, a total of four hundred women presented with spontaneous miscarriage with gestational age < 12 weeks patients with no sign of septic abortion and no history of pregancy with fibroid uterus were included in the study.Results: These patients underwent random selection either MVA group (n = 200) or D&C group (n=200). Cases were compared with respect to age, parity, gestational age, risk, blood loss, time taken & complications. The distribution of age, parity & gestational age was similar in both groups. The mean duration of procedure was significantly higher (P<.0001) in D&C group compared to MVA group. The duration of hospital stay was significantly lower (P<.0001) in MVA group compared to D&C group. Similarly the cost of the procedure was significantly lower (P<.0001) in MVA group compared to D&C group.Conclusion: MVA is safe, effective, cheaper, less time consuming and requires shorter hospital stay. It does not require general anaesthesia and complication is also less than dilation and curettage. So it can be easily accessible to the woman of both rural and urban societies belonging to any socioeconomic strata specially where high tech equipments and power supply are not available.Bang Med J (Khulna) 2016; 49 : 18-22

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