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

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

scholarly journals MANUAL VACUUM ASPIRATION (MVA)

2016 ◽  
Vol 23 (11) ◽  
pp. 1349-1353
Author(s):  
Muhammad Usman Anjum ◽  
Surriya Yasmin ◽  
Qamoos Razzaq
Keyword(s):  
Access To Health Care ◽  
Pregnancy Loss ◽  
Health Care Facilities ◽  
Vacuum Aspiration ◽  
Incomplete Abortion ◽  
Trimester Pregnancy ◽  
Products Of Conception ◽  
Number Of Patients ◽  
Manual Vacuum Aspiration ◽  
Anembryonic Pregnancy

Objectives: To determine the safety and effectiveness of manual vacuumaspiration (MVA) in treating first trimester pregnancy loss. Place & duration of study: Departmentof Gynecology, Shahina Jamil Teaching Hospital, Abbottabad, Pakistan, from September2013 to December 2014. Study design: Descriptive cross-sectional study. Materials andmethods: All the patients who were less than 12 weeks of gestation and diagnosed with missedabortion, incomplete abortion, having retained products of conception after normal deliveryand anembryonic pregnancy were included in the study. Diagnosis was made on the basis ofhistory, physical examination and ultrasonography. Urine pregnancy test and β-HCG were donein selected patients. Last menstrual period and USG were used to determine the gestationalage. Manual vacuum aspiration was carried out under Para cervical block using “Ipas EasyGrip” cannula with a 60ml syringe attached to it to create a negative pressure. Completenessof the procedure was determined and products of conception were sent for histopathologicalexamination. Results: There were 165 patients enrolled in this study. All study subjects weremarried. Mean age of the patients was 27.60± 4.86 years. Fifty patients had a previous historyof abortion. Mean parity was 2.98± 2.22 and mean gestational age was 8.23±1.6 weeks.The maximum number of patients, 80%, belonged to age group of 20-30 years. There were37 patients who were presented with first pregnancy. The number of multigravida and grandmultigravida patients were equal, 64 cases in each group. The main reason for undergoingMVA in our study subjects was missed and incomplete abortion followed by retained productsof conception and anembryonic pregnancy. Conclusion: MVA is a preferred mode of treatingfirst trimester pregnancy loss as it is a simple, safe and cost-effective procedure. MVA should beused preferentially in rural areas where there is a limited access to health care facilities, powerout-breaks are common and advanced medical equipment is not available.

Roles and strategies of international humanitarian organisations in handling the Liberia Ebola outbreak

2019 ◽  
Author(s):  
Jia Bainga Kangbai ◽  
Ahmed Alameldeen
Keyword(s):  
Emergency Preparedness ◽  
Ebola Virus ◽  
Virus Disease ◽  
World Health Organisation ◽  
West African ◽  
World Health ◽  
Healthcare Personnel ◽  
African Countries ◽  
History Of ◽  
Public Health Emergency Preparedness

Abstract Background In Early August 2014, the World Health Organisation declared an Ebola Virus Disease (EVD) outbreak in the region of West Africa. The West African EVD outbreak was the largest, most severe, and complex in the nearly four-decade history of this disease. The management of EVD cases in Liberia was similar to the other affected West African countries. Methods We reviewed the method and strategies used by some of the international humanitarian organisations in handling the 2013-2016 Ebola outbreak in Liberia. This report is a collection of personal field experiences in Liberia as well as personal interviews of healthcare personnel working for some of these international organisations working on the Ebola emergency in Liberia. Findings Medecins Sans Frontieres (MSF) was the first humanitarian NGO to deploy medical staff to the field in Liberia during the 2013-2016 EVD outbreak. MSF staffs were already operating in Liberia even before the declaration of the outbreak in August 2014.Conclusions The slow response by the international humanitarian organisations to lend their support in bringing the EVD outbreak to and exhibited the fear the international community have for deadly infectious diseases more than armed conflicts.Recommendations We recommend regularly training in public health emergency preparedness for third world countries that are highly susceptible to health emergencies such as Ebola outbreak to help prepared them ahead of such outbreak.

scholarly journals A Study of Complications following Self-administration with Medical Abortion Pills

2015 ◽  
Vol 10 (1) ◽  
pp. 20-24 ◽  
Author(s):  
A Giri ◽  
VR Srivastav ◽  
A Suwal ◽  
B Sharma
Keyword(s):  
Medical Abortion ◽  
Safe Procedure ◽  
Self Administration ◽  
Self Medication ◽  
Missed Abortion ◽  
Over The Counter ◽  
Medical College ◽  
Incomplete Abortion ◽  
Abortion Complications ◽  
History Of

Aims: The objective of this study was to find out the complications following self-administration with medical abortion pills.Methods: A prospective descriptive study was conducted in Department of Obstetrics and Gynecology,Nepal Medical College over a period of two years from January 2013 to December 2014 among 48 women who were admitted with abortion complications and also gave history of self-administration of abortion pills.Results: During the study period, 48 women with history of self-medication with abortion pills were admitted with various abortion complications. There were 60% of women who had consumed abortion pills within approved nine weeks gestation while 19% had consumed after nine weeks and 21% after twelve weeks. Majority (60%) were admitted with incomplete abortion, 4% with missed abortion, 13% with continued live pregnancy, 6.5% with septic abortion and 6.5% with ectopic pregnancy. Anemia was present in 79% of patient. More than one third of the patient had severe anemia and blood transfusion was needed in 52%. Surgical evacuation was required in 71% of patient; medical abortion with repeat doses of mifepristone and misoprostol was done in was done 13% and 6.5% needed laparotomy for ectopic pregnancy.Conclusions: Though medical abortion is considered to be highly effective and safe procedure, unsupervised selfadministration of medical abortion pills was associated with serious maternal morbidities. There should be some policy torestrict over the counter sale of this medicine.

scholarly journals Non Descent Vaginal Hysterectomy: A Rational Surgical Approach

KYAMC Journal ◽  
2017 ◽  
Vol 6 (2) ◽  
pp. 637-641
Author(s):  
Arifa Akter Zahan ◽  
Kh Shahnewaz ◽  
Ummay Salma
Keyword(s):  
Blood Loss ◽  
Hospital Stay ◽  
Vaginal Hysterectomy ◽  
Average Duration ◽  
Uterine Prolapse ◽  
Rational Approach ◽  
Medical College ◽  
Gynecological Disorders ◽  
Estimated Blood Loss ◽  
Duration Of Surgery

Aims: To evaluate the rational approach of non-descent vaginal hysterectomy in advancing gynaecology practice.Study Design: Retrospective study and period from 1st July 2013 to 31st June 2014. Setting Kumudini Women's Medical College & Hospital, Mirzapur, Tangail.Patients: All selective patients requiring hysterectomy for benign gynecological disorders who did not have any uterine prolapse were recruited for this study. In bigger size uterus morcellation techniques like bisection, debulking, myomectomy, slicing, or combination of these were used to remove the uterus.Main outcome measures: Data regarding indication, age, parity, uterine size, estimated blood loss, length of operation, complication and hospital stay were recorded.Results: A total of 50 cases were selected for non-descent vaginal hysterectomy all of them successfully underwent non-descent vaginal hysterectomy. Commonest age group was (41-45 years) i.e. 46%. All patients were parous. Uterus size was less then 8 wks 21 cases, 8wks to 12 wks in 27 cases, more then 12 wks 02 cases. Commonest indication was DUB of uterus (44%). Mean duration of surgery was 50.5 minutes. Mean blood loss was 100ml. Blood transfusion was required in four cases. Average duration of hospital stay was 3.1 days. Complications were minimal which included UTI and Vault infection.Conclusions: NDVH is safe feasible and patient friendly. We suggest that our modern gynecologist will be more expertise and familiar to this procedure in near future.KYAMC Journal Vol. 6, No.-2, Jan 2016, Page 637-641

scholarly journals A comparative study between manual vacuum aspiration and electronic suction for surgical treatment of abortion

2021 ◽  
Vol 10 (9) ◽  
pp. 3342
Author(s):  
Gira C. Dabhi ◽  
Twinkle S. Patel ◽  
Nimisha J. Chaudhary ◽  
Janki M. Pandya
Keyword(s):  
Hospital Stay ◽  
Success Rate ◽  
Pain Perception ◽  
Tertiary Care ◽  
Uterine Perforation ◽  
Care Hospital ◽  
Trimester Abortion ◽  
Vacuum Aspiration ◽  
Post Operative Pain ◽  
Manual Vacuum Aspiration

Background: Present study is done to study the safety, efficacy and complications of using manual vacuum aspiration (MVA) for surgical management of first trimester abortion in comparison to electronic suction.Methods: It is a retrospective observational study conducted in department of obstetrics and gynecology at tertiary care hospital. Out of 100 cases taken, 50 abortions were terminated by MVA and 50 were terminated by electric suction/vacuum aspiration (EVA).Results: In this study, majority of the patients were primigravida (60%). Most of the patients had period of gestation between 7 to 9 weeks (40%) followed by up to 6 weeks (33%) in both groups. Time taken for the procedure was less in MVA (5-9 min.) than electronic suction (7-11 min.). In terms of complications, blood loss ≥100 ml was more with EVA (18%) compared to MVA (6%). Uterine perforation was seen with EVA (4%) and none with MVA. As far as success rate is concerned, EVA got 98% while MVA got 90%. Post-operative hospital stay was less with MVA (≤12 hours) than EVA (up to 24 hours). Post-operative pain perception was less with MVA (18% severe pain) while with EVA, 36% with severe pain.Conclusions: Both the evacuation techniques are almost equally effective and safe, still duration; post-operative pain and hospital stay are less with MVA. Success rate is better with EVA.

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