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.

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 comparison of manual vacuum aspiration with medical method of abortion in termination of pregnancy up to 9 weeks of gestational age

2017 ◽  
Vol 6 (9) ◽  
pp. 3813
Author(s):  
Pramod Garhwal ◽  
Lata Rajoria ◽  
Manju Sharma
Keyword(s):  
Success Rate ◽  
Gestational Age ◽  
Vaginal Bleeding ◽  
Termination Of Pregnancy ◽  
P Value ◽  
Vacuum Aspiration ◽  
Manual Vacuum Aspiration ◽  
Surgical Evacuation ◽  
Group A ◽  
Group B

Background: Objective of present study was to compare efficacy and complications of medical method versus manual vacuum aspiration in early pregnancy termination and to determine whether medical method of termination of pregnancy represent a reasonable alternative to surgical method (MVA) in terms of complete evacuation of products of conception and their side effects.Methods: A comparative study was carried out on 184 pregnancies in women who were willing for termination of pregnancy up to 9 weeks (63 days) of gestational age, in Group A: women who opted for medical method for termination, Group B: women who opted for manual vacuum aspiration for termination.Results: Mean age of Group A was 27.63±3.60 years and Group B was 26.87±3.83 years. Majority 169 (92%) of women were Hindu. 165 (90%) of the patients lived in urban area and 176 (96%) were married women. Majority 130 (71%) of them were para 2 and more. Average age of gestation at which termination was performed was 46.79±6.29 days in Group A and 49.13±6.67 days in Group B. Average duration of vaginal bleeding among Group A was found to be 8.9±3.5 days (p value<0.05) and in Group B was 6.837+2.928 days which was significantly longer in Group A. 72 (78.3%) patients considered vaginal bleeding to be heavier than their normal period in Group A where as in Group B 8 (8.7%)perceived it to be heavier (p value <0.001). Incidence of pain, nausea, vomiting, diarrhea and incomplete abortion (78.26%, 32.60%, 16.3%, 19.56% and 4.43%) in group A and (52%, 7.6% ,4.3%, nil and 2.17%) in group B which were found to be higher in Group A as compare to Group B. Patient satisfaction was 95.65% in medical method and 84.78% in MVA group. Success rate was 95.65% for medical and 97.82% for MVA group.Conclusions: Duration and amount of bleeding per vaginum is more in medical method as compare to surgical method. Side effects like pain, nausea, vomiting and diarrhea were more in medical group, but majority of these symptoms were self-limiting. There was high satisfaction rate (95.65%) among medical abortion group because less surgical and anaesthetic complication, offer them more privacy and treatment is taken at home. The effectiveness of medical method of abortion in present study was 95.65% and success rate in MVA was 97.82%. Medical method of abortion for first trimester termination of pregnancy upto 9 weeks of gestation can be better alternative method to surgical evacuation. Medical method of abortion proves to be more effective, safe and economical method that avoid complication associated with surgical evacuation like uterine perforation, cervical laceration and anaesthtic complication. The only disadvantage with medical method of abortion is lack of predictability and variable success rate.

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

Outcome Of Manual Vacuum Aspiration Vs Surgical Evacuation

2019 ◽  
Vol 09 (04) ◽  
pp. 303-307
Author(s):  
Fozia Akmal ◽  
Sadia Suboohi ◽  
Saba Pario ◽  
Sugra Abbasi ◽  
Shahanaz Hassan Siddiqui
Keyword(s):  
Patient Satisfaction ◽  
Operating Time ◽  
P Value ◽  
Uterine Perforation ◽  
Excessive Bleeding ◽  
Vacuum Aspiration ◽  
Manual Vacuum Aspiration ◽  
Surgical Evacuation ◽  
Group A ◽  
Group B

Objective: To compare the safety, efficacy and complications of manual vacuum aspiration (MVA ) versus surgical evacuation in low resource set up. Study Design and Setting: This crossectional study conducted at Department of Obstetrics & Gynaecology at Kulsoom Bai Valika Social Security SITE Hospital Karachi from January to June 2017. Methodology: A total of one hundred patients with less than 12 weeks of gestation and diagnosis of missed miscarriage, incomplete miscarriage, blighted ovum or with retained products of conception (RPOCs) were recruited and randomly allocated to MVA without anesthesia (Group A) and surgical evacuation under general Anesthesia in Operation theatre (Group B).Both groups were compared in terms of demographic and obstetric data, clinical course (need of anaesthesia, operating time, approximate blood loss and stay in hospital) ,complications(excessive bleeding, uterine perforation, need for re-evacuation/ failed procedure, sepsis and maternal death ) and patient satisfaction. Results: Mean age of patients was 28.68 in Group A and 26.90 in Group B ( P value-0.136). Average gestational age in weeks at which procedure was performed in Group A found to be 8.32 and 9.546 for Group B ( P value-0.007 ). Parity was comparable in both groups (P value-0.746). Most of the patients were literate. Mean operating time and amount of blood loss comparison among groups had no statistical difference. Average hospital stay was significantly short in MVA Group ( P value-0.001). No maternal death or uterine perforation observed in both the groups,6% and 8% of patients had excessive bleeding in Group A & Group B respectively, one patient underwent re-evacuation in MVA group and one had sepsis after surgical evacuation. Post procedure satisfaction was comparable in both the groups. Conclusion: Manual Vacuum Aspiration is comparable to surgical evacuation in terms of safety, efficacy, complications, patient satisfaction and superior in shorter hospital stay, no need of anesthesia and access to operation theater

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.

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