Effectiveness of Manual Vacuum Aspiration in Missed Miscarriage of Less Than 12 Weeks Gestation

Abstract

Objective:To determine the effectiveness of manual vaccum aspiration in missed miscarriage of less than 12 weeks gestation.Place and duration of study: Department of Obstetric and gynecology, Fatima Memorial Hospital, Lahore for a period of 6 months from March 2012 to August 2012 and 87 patients with missed miscarriage were included in the study. In all patients evacuation was done by Manual Vacuum Aspiration (MVA). The data of each patient and outcome of procedure was recorded in a performa. Results:In this study MVA was 96.5% effective to evacuate the uterus up to 12 weeks gestation while in 3.5% cases procedure failed and further procedure was required to evacuate the uterus. Highest frequency of effectiveness was found in age group of between 15 and 30 years. Primiparous women had highest frequency of effective evacuation. MVA was 100% effective at gestational age between 8 and 10 weeks. Increased BMI was associated with incomplete evacuation. Conclusion:The present study shows that MVA is effective method to treat missed miscarriage of less than 12 weeks of gestation. In this study we concluded that there is an association between young patient age, low parity, early gestational age, low BMI and effectiveness of MVA.