Manual vacuum aspiration (MVA) in the management of first trimester pregnancy loss

Gazvani, Rafet; Honey, Emma; MacLennan, F. M.; Templeton, Alexander Allan

doi:10.1016/s0301-2115(03)00320-8

Cited by 18 publications

(22 citation statements)

References 12 publications

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“…As shown in the study, EVA took less time than MVA. Besides this, physicians perceived that EVA was easier to perform, which might account for the reports that EVA was more commonly used than MVA in the USA and other industrialised countries 19,21,33 . Such perception might reflect previous experience because most physicians previously had more extensive experience with the electric suction device and thus might have felt more comfortable using it.…”

Section: Discussionmentioning

confidence: 99%

Manual versus electric vacuum aspiration for first‐trimester abortion: a systematic review

Wen¹,

Cai

Deng

et al. 2007

BJOG

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Background As an alternative to electric vacuum aspirations (EVA), there is an increasing interest in using manual vacuum aspiration (MVA).Objective To compare the safety, efficacy and acceptability of MVA with those of EVA for first-trimester abortion.Search strategy We searched MEDLINE, EMBASE, Cochrane Library and Chinese Biomedical Database in all language, together with reference lists of retrieved papers.Selection criteria Randomised controlled trials comparing MVA with EVA for first-trimester abortion were included. The outcomes are complete abortion rate, uterine perforation rate, blood loss, pain perception and acceptability.Data collection and analysis Two reviewers independently extracted the data. Results from the trials were combined to calculate relative risks (RRs) or risk differences for dichotomous outcomes and weighted mean differences (WMDs) for continuous outcomes, together with 95% CIs.Main results Ten trials were included, involving 1660 women. Generally, the methodological quality was poor. There were no statistically significant differences, comparing MVA with EVA, in complete abortion rate (RR 1.00; 95% CI 0.99-1.02) and participants' satisfaction (RR 1.02; 95% CI 0.87-1.20). In participants with less than 50 days of gestational age, less blood loss (WMD -1.84; 95% CI -2.45 to -1.23) and less severe pain perception (RR 0.04; 95% CI 0.01-0.12) were reported during the MVA procedure, whereas the operation time was shorter (WMD 0.32; 95% CI 0.02-0.63) in the EVA procedure.Author's conclusions There is some evidence that MVA is as effective and acceptable as EVA and might be safer than EVA.Keywords Abortion, electric vacuum aspirations, manual vacuum aspiration, meta-analysis, randomised controlled trial, systematic review.Please cite this paper as: Wen J, Cai Q, Deng F, Li Y. Manual versus electric vacuum aspiration for first-trimester abortion: a systematic review. BJOG 2008;115:5-13.

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Section: Discussionmentioning

confidence: 99%

Manual versus electric vacuum aspiration for first‐trimester abortion: a systematic review

Wen¹,

Cai

Deng

et al. 2007

BJOG

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“…59 61 62 In recent years, surgery has also been carried out using manual vacuum aspiration under systemic analgesia (including patient controlled analgesia) in operating theatres. 63 This procedure can also be carried out in the outpatient setting, under local anaesthetic. 64 The benefits of outpatient procedures are increased safety due to reduced anaesthetic risks, minimal social disruption, and reduced costs.…”

Section: Surgical Treatmentmentioning

confidence: 99%

Diagnosis and management of first trimester miscarriage

Jurkovic

Overton²,

Bender-Atik

2013

BMJ

155

118

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“…A meta‐analysis study showed that the pain symptom was significantly less in the vacuum aspiration than the SC groups 14 . Furthermore, most of the women undergoing first‐trimester abortion with MVA using a paracervical block experienced less pain during the procedure and could tolerate the treatment well 9,15,21 …”

Section: Discussionmentioning

confidence: 99%

Comparison of efficacy of modified electric vacuum aspiration with sharp curettage for the treatment of incomplete abortion: Randomized controlled trial

Kittiwatanakul

Weerakiet

2012

J of Obstet and Gynaecol

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Manual vacuum aspiration (MVA) in the management of first trimester pregnancy loss

Cited by 18 publications

References 12 publications

Manual versus electric vacuum aspiration for first‐trimester abortion: a systematic review

Manual versus electric vacuum aspiration for first‐trimester abortion: a systematic review

Diagnosis and management of first trimester miscarriage

Comparison of efficacy of modified electric vacuum aspiration with sharp curettage for the treatment of incomplete abortion: Randomized controlled trial

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