Efficacy of Manual Vacuum Aspiration Vs Conventional Evacuation and Curettage

Abstract

OBJECTIVES: To evaluate the safety and efficacy of Manual Vacuum Aspiration (MVA) compared to Conventional Evacuation and Curettage (E & C) in managing first-trimester miscarriage. METHODOLOGY: A total of 160 patients were enrolled in this comparative study. Patients were categorized into two groups (Group A undergoing MVA) and (Group B undergoing E&C). Each group had 80 cases randomly selected. Stable patients with miscarriages ­< 12 wks of gestation and no comorbid were included in the study. Data was recorded on pre-designed proforma, and analysis was done by SPSS Software. RESULTS: Efficacy of MVA was 97.5% and 92.5% in E&C, with a 7.5% vs 30% complication rate in MVA and E&C Group, respectively. The mean duration of the procedure was 9 minutes in the MVA group versus 18.8 minutes in the E&C group. The hospital stay was 14.2 hours vs 20.3 hours in MVA and E&C Group. 16.25% vs 46.25% of women in MVA vs E&C Group reported post-op pain. 93.75% of women were satisfied with MVA, whereas only 50% of women were satisfied with E&C. 81.25% 91.25% required Anesthesia/Analgesia in MVA and E&C Group, respectively. CONCLUSION: MVA is a more effective and rapidly performing outpatient procedure with a lower complication rate. In this study efficacy of MVA is 97.5% compared to the E&C group, i.e., 92%. Its safety, cost-effectiveness and efficacy advocate its extended use as an alternative to the conventional surgical method of miscarriage

Manual Vacuum Aspiration vs Vaginal Misoprostol for the Management of First-Trimester Incomplete Miscarriage in term of complete abortion

“…It is important to follow established clinical guidelines and protocols for managing first-trimester miscarriage and to provide appropriate care, support, and counseling to patients during this challenging time 222,23,24 . They found complete abortion in 88% patients and 65% patients respectively in MVA group and misoprostol group.In study of Kishwar N et al, 17 higher (97.5%) efficacy rate was observed in MVA group.…”

Comparison between Balloon Inflation and Uterovaginal packing after Vaginal Delivery in Term of Control of Primary PPH

“…Rehman F et al 13 compared control of PPH between Balloon Inflation and Uterovaginal Packing group. In balloon inflation methods control of PPH was found 55% patients, while in uterovaginal packing method had control of PPH in 85% patients.In a study conducted by Kishwar N et al 14 on 140 patients, The efficacy of both methods was observed to be 90% and 87.1%, respectively.…”