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

Intrauterine adhesions after manual vacuum aspiration for early pregnancy failure

2006 ◽  
Vol 85 (6) ◽  
pp. 1823.e1-1823.e3 ◽  
Author(s):  
V DALTON ◽  
N SAUNDERS ◽  
L HARRIS ◽  
J WILLIAMS ◽  
D LEBOVIC
Keyword(s):  
Early Pregnancy ◽  
Intrauterine Adhesions ◽  
Pregnancy Failure ◽  
Vacuum Aspiration ◽  
Early Pregnancy Failure ◽  
Manual Vacuum Aspiration

A Randomized Trial of Misoprostol Compared with Manual Vacuum Aspiration for Early Pregnancy Failure

1970 ◽  
Vol 5 (2) ◽  
pp. 8-13 ◽  
Author(s):  
Rajendra P Ganguly ◽  
Sima Mukhopadhyay ◽  
Sougata K Burman ◽  
Kajal K Patra ◽  
Tulika Jha ◽  
...  
Keyword(s):  
Randomized Trial ◽  
Early Pregnancy ◽  
Pregnancy Failure ◽  
Vacuum Aspiration ◽  
Early Pregnancy Failure ◽  
Manual Vacuum Aspiration

DOI: http://dx.doi.org/10.3126/njog.v5i2.5070 NJOG 2010 Nov-Dec; 5(2): 8-13

scholarly journals THE STUDY OF EFFICACY OF SUBLINGUAL MISOPROSTOL IN TERMINATION OF EARLY PREGNANCY

2021 ◽  
Vol 5 (2) ◽  
Author(s):  
Arti Kumari ◽  
Usha Kumari ◽  
Anupama Sinha
Keyword(s):  
Side Effects ◽  
Spontaneous Abortion ◽  
Early Pregnancy ◽  
Gestational Age ◽  
High Efficacy ◽  
Missed Abortion ◽  
Pregnancy Failure ◽  
Products Of Conception ◽  
Early Pregnancy Failure ◽  
Sublingual Misoprostol

Introduction: Nearly 20% of all confirmed pregnancies end in spontaneous abortion. Misoprostol’s use in early pregnancy failure is varied and dose and route are not well established. AIM: To study the efficacy of sublingual misoprostol in causing expulsion of products of conception in early pregnancy failure. Methods: Women with an ultrasound diagnosis of early pregnancy failure, less than 12 weeks gestation were included in the study. Tablet Misoprostol 600 mcg was given six hourly sublingually for 3 doses. All observations were noted and analyzed. Results: Mean gestational age was 7.946+1.2 weeks. Mean induction abortion interval was 18.241+1.2 hours. Women with gestational age six to eight weeks had least mean induction-abortion interval time of 17.38+2.86. Mean dose required was 1560mcg. Efficacy of protocol was 92.85% in achieving complete abortion. Conclusion: The regime had 92.85% efficacy, acceptability (90%) and few side effects. Thus by using a lower dose and appropriate interval between two doses (six hours), the side effects were lessened with high efficacy. Keywords: Efficacy, Missed Abortion, Misoprostol.

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.

Sonographic findings after misoprostol or vacuum aspiration for early pregnancy failure

Contraception ◽  
2006 ◽  
Vol 74 (2) ◽  
pp. 182 ◽  
Author(s):  
M.F. Reeves ◽  
P.A. Lohr ◽  
B. Harwood ◽  
M.D. Creinin
Keyword(s):  
Early Pregnancy ◽  
Pregnancy Failure ◽  
Vacuum Aspiration ◽  
Early Pregnancy Failure

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 A Clinical Study on Management of Incomplete Abortion by Manual Vacuum Aspiration (MVA)

2012 ◽  
Vol 2 (1) ◽  
pp. 24-28
Author(s):  
Sheuly Begum ◽  
Maliha Rashid ◽  
Arifa Akter Jahan
Keyword(s):  
Hospital Stay ◽  
Average Duration ◽  
World Health Organisation ◽  
World Health ◽  
Public Health Issue ◽  
Medical College ◽  
Vacuum Aspiration ◽  
Incomplete Abortion ◽  
Manual Vacuum Aspiration ◽  
History Of

Background: Abortion is an important social and public health issue. In Bangladesh   complication from unsafe abortion is one of the leading causes of maternal mortality. It is a  serious health problem. World Health Organisation estimates that 14% of maternal deaths which occur every year in the countries of South Asia including Bangladesh are due to        abortion. Study shows manual vacuum aspiration procedure is safe and effective in incomplete abortion. Very few clinical trials were carried out in Bangladesh to assess the safety and effectivity of manual vacuum aspiration in managing incomplete abortion.Objective: To find out the outcome of manual vacuum aspiration in the management of patients of incomplete abortion.Materials and Methods: This observational descriptive study was conducted in the department of Obstetrics & Gynaecology, Dhaka Medical College & Hospital from June to December, 2004. One hundred cases of diagnosed incomplete abortion up to 12 weeks of gestation were managed by manual vacuum aspiration during this period. A data recording sheet was designed for this purpose. Haemodynamically stable patients with no history of induced abortion and fever were enrolled. Results: Procedure time of manual vacuum aspiration was short, average duration was 7 minutes. Bleeding was minimum (20-30 mL) in 67% cases and weighted mean was 29.80 mL. Eighty three percent patients were stable during the procedure and only 3% needed blood transfusion. Nonnarcotic analgesics were used in 59% cases and 33% needed only proper counselling. Average duration of hospital stay was 2 hours. Effectiveness of the procedure was about 98% with very low post procedure complication rate (2%). Conclusion: MVA procedure is a safe and effective technique of uterine evacuation in incomplete abortion. It is quick, less expensive, effective and less painful. Hospital stay and chance of perforation of uterus is less. So this procedure should be considered by health care system in Bangladesh for improving treatment of incomplete abortion to reduce both maternal morbidity and mortality. DOI: http://dx.doi.org/10.3329/jemc.v2i1.11918 J Enam Med Col 2012; 2(1): 24-28

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