Aim: To compare the complete abortion rate between manual vacuum aspiration and vaginal misoprostol for the management of First-Trimester Incomplete Miscarriage in term of complete abortion Study design: Randomized Controlled Trial. Study duration: April 2022 to October 2022. Setting: Department of Obstetrics & Gynecology Bahawal Victoria Hospital Bahawalpur. Methods: A total of 120 patients with First-Trimester Incomplete Miscarriage were chosen and equally divided into the MVA group and the MM group. The effectiveness of achieving a complete abortion was compared between the two groups. Results: Total 120 patients were selected. In MVA group, mean age and mean gestational was 31.47±5.82 years and 6.92±3.39 weeks while in MM group was 30.87±6.86 years and 5.78±3.47 weeks. Complete abortion was noted in 53(88.33%) patients of MVA group while in 44(73.33%) patients of MM group. Significantly (P=0.036) higher Efficacy (Complete abortion) rate was noted in MVA group. Practical Implication: It is a very good option in hospitals with low resources and in developing countries like Pakistan. Conclusion: In this study, we found MVA had higher complete abortion rate as compared to misoprostol intra vaginally. So, MVA is better treatment option than misoprostol intra vaginally as it has no systemic effects and it is a very good option in hospitals with low resources and in developing countries like Pakistan. Key words: Miscarriage, MVA, vaginal misoprostol, incomplete abortion, Gynecology, Pakistan
Objectives: To compare the intraoperative hemorrhage between blunt and sharp expansion of uterine incision at lower segment caesarean delivery. Study Design: Randomized controlled trial. Study Duration: 03-02-2022 to 02-08-2022 (6 months) Setting: Department of Obstetrics and Gynecology, D.G Khan Hospital D. G Khan Material and methods: Total 74 patients undergoing C-section, age range 20-40 years, with singleton pregnancy and patients with >37 weeks gestation. (on ultrasound) were included. Intraoperative blood loss was compared between blunt and sharp group. Results: Mean age was 32.31 ± 6.246 years, in Blunt and Sharp group, mean age was 35.70 ± 4.122 years and 28.92 ± 6.202 years. In Blunt group, mean blood loss was 201.62 ± 60.794 ml while in sharp group was 782.03 ± 153.819 ml. Difference of mean blood loss between Blunt and Sharp group was significant (P= 0.000). Conclusion: Results of present study reflects that there is significant difference of intraoperative mean blood loss between blunt and sharp groups. Most of the patients were between 31-40 years of age. After stratification of age, gestational age, parity and type of C-section, it was found that there is significantly low mean blood loss in blunt group as compared to sharp group. Keywords: Blood loss, C-section, Blunt, intraoperative haemorrhage,
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