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

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

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Comparative Study between Manual Vacuum Aspiration and Electric Vacuum Aspiration for Termination of Pregnancy in First Trimester

Practical Obstetrics and Gynecology ◽

10.5005/jp/books/10661_12 ◽

2006 ◽

pp. 171-171

Author(s):

Jyoti Sinha ◽

Monideepa Das

Keyword(s):

Comparative Study ◽

First Trimester ◽

Termination Of Pregnancy ◽

Vacuum Aspiration ◽

Manual Vacuum Aspiration ◽

Electric Vacuum

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

Kathmandu University Medical Journal ◽

10.3126/kumj.v11i3.12505 ◽

2015 ◽

Vol 11 (3) ◽

pp. 206-209 ◽

Cited By ~ 1

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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A comparative study between manual vacuum aspiration and electrical vacuum aspiration for the first trimester medical termination of pregnancy

International Journal of Reproduction Contraception Obstetrics and Gynecology ◽

10.5455/2320-1770.ijrcog20140327 ◽

2014 ◽

pp. 139-143

Author(s):

Sunil Samal ◽

Setu Rathod ◽

Maya Padhi

Keyword(s):

Comparative Study ◽

First Trimester ◽

Termination Of Pregnancy ◽

Medical Termination Of Pregnancy ◽

Vacuum Aspiration ◽

Medical Termination ◽

Manual Vacuum Aspiration

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Gemeprost for second-trimester termination of pregnancy

Drug and Therapeutics Bulletin ◽

10.1136/dtb.27.26.103 ◽

1989 ◽

Vol 27 (26) ◽

pp. 103-103

Keyword(s):

First Trimester ◽

Termination Of Pregnancy ◽

Prostaglandin E ◽

Second Trimester ◽

Vacuum Aspiration ◽

First Trimester Pregnancy ◽

Trimester Pregnancy ◽

Vaginal Pessary ◽

Medical Termination ◽

Endogenous Prostaglandins

During labour endogenous prostaglandins are involved in the process of softening the cervix. Gemeprost, an analogue of prostaglandin E1, is used as a vaginal pessary (Cervagem - May & Baker) to soften and dilate the cervix before vacuum aspiration of first-trimester pregnancy.1 It can now also be used for medical termination of pregnancy in the mid-trimester.

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