Safety &amp; efficacy of manual vacuum aspiration compared to dilatation &amp; curettage in the management of early pregnancy failure

Islam, Rabiul; Biswas, Sankar Prosad; Halder, Dolly; Fatima, Kaniz

doi:10.3329/bmjk.v49i1-2.31820

Cited by 5 publications

(5 citation statements)

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“…As per World Health Organization (WHO) recommendations, shifting from sharp dilation and curettage (D&C) to the use of aspiration techniques, notably manual vacuum aspiration (MVA) and medical treatment with misoprostol for PAC, improves health outcomes and expands the availability of services through task shifting 8 . In addition to improving safety, the shift away from D&C reduces the length of in-patient hospital stays, reduces the time required for recovery, and is more cost-effective overall 9 , 10…”

Section: Introductionmentioning

confidence: 99%

Postabortion Care in Humanitarian Emergencies: Improving Treatment and Reducing Recurrence

Gallagher

Morris

Aldogani

et al. 2019

Glob Health Sci Pract

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Despite the challenging environment of humanitarian emergencies, with focused programmatic attention, demand for quality postabortion care can be created and services delivered while voluntary contraceptive uptake for PAC clients can simultaneously increase substantially, even in settings where the use of contraception after abortion is often stigmatized. Greater representation of long-acting methods, as a proportion of the methods PAC clients chose, occurred in all 3 countries’ method mix, but at different rates.

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Section: Introductionmentioning

confidence: 99%

Postabortion Care in Humanitarian Emergencies: Improving Treatment and Reducing Recurrence

Gallagher

Morris

Aldogani

et al. 2019

Glob Health Sci Pract

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“…D and C is considerably more painful for women and less safe than vacuum aspiration. 24,25 Islam et al in their study on the management of early pregnancy failure in Bangladesh, found that MVA is safe, effective, cheaper, and complication is also less than D and C. 26 Cochrane systematic review by Tuncalp et al also found MVA is faster, less painful, and associated with less blood loss and fewer complications than D and C in the management of incomplete miscarriage. 27 Clinical practice handbook for safe abortion by WHO (2014) reemphasizes that within the framework of national laws, providers should promote and protect: women's and adolescents' health and their human rights; informed and voluntary decision-making; and autonomy in decisionmaking.…”

Section: Discussionmentioning

confidence: 99%

Abortion care-seeking and reproductive rights violation in health facilities: evidence from six states of India

Pradhan

Shekhar

Alagarajan

et al. 2021

Int J Reprod Contracept Obstet Gynecol

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Background: Unsafe abortion continues to draw the researcher's attention due to its close association with maternal morbidity and mortality. Empirical evidence on the role of health facilities in providing safe abortion care addressing the reproductive rights of Indian women is limited.Methods: Using data from the 2015 ‘unintended pregnancy and abortion in India’ study, the present paper aimed to understand the violation of the reproductive rights of abortion care seekers in health facilities (n=4001) in six states of India. The health facilities were sampled using a stratified random sampling strategy. Univariate and bivariate analysis was carried out using SPSS (V 25) on cleaned and weighted data.Results: A sizeable percentage of public and private health facilities across states found seeking the consent of the husband or family members before abortion provision, compel women to adopt contraception and turn away abortion seekers, commonly citing non-medical reasons. The provision of post-abortion complications services is usually not 24/7, even at the primary health centre level, hindering access to an urgent health care need.Conclusions: There is a need to improve access to facility-based abortion services, especially in underserved rural areas, by ensuring that all public-sector facilities have adequate equipment and supplies, including MMA drugs and trained providers. Sensitization of health care providers about the importance of ethical issues and women’s reproductive rights is urgently required to ensure safe, legal, and accessible abortion care.

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“…The mean gestational age being 8.55 ± 1.6 weeks and 8.51 ± 1.7 week for MVA and D&C groups respectively. Islam et al (2016) in Bangladesh in [16] described findings as the maximum number of gestational age ranged from 9 to 11 weeks, median gestational age being 9.3 weeks and 9.5 weeks for each procedure. Our study is also compatible with the findings of Fatima et al (2020) in Pakistan, in [20] reported the mean gestational age was 8.46+ 1.88 and 8.32+ 1.56 week for women treated by D & C and MVA respectively.…”

Section: Discussionmentioning

confidence: 99%

“…Incomplete uterine evacuation was seen in 4.2% (3/72) patients in MVA group whereas it was seen in 1.4% (1/71) patients in D&E group. Islam et al (2016) in [16] from Bangladesh did not show much difference as far as their effectiveness was concern (97% in MVA and 99% in curettage group). Several studies done elsewhere show the same result for MVA.…”

Section: Discussionmentioning

confidence: 99%

“…Three patients in the MVA group and one patient in D&C group had re-evacuation of the uterus due to retained product of conception which was confirmed by ultrasonography. Islam et al (2016) in [16] report that, Two patients are in each group who had perforation. Six patients in the MVA group and two patients in curettage group had re-evacuation of the uterus due to retained product of conception, that complications were minor and managed conservatively.…”

Section: Discussionmentioning

confidence: 99%

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MANUAL VACUUM ASPIRATION VERSUS DILTATION AND CURETTGE TERMINATION OF FIRST TRIMESTER ABORTION AMONG WOMEN ADMITTED AL-SADAQA TEATCHING HOSPITAL, ADEN JAN1st DECEMBER 31st 2020

Al-Daweel,

Al-Kaaky

2024

Electron. J. Univ. Aden Basic Appl. Sci.

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Early pregnancy failure is a medical complication and major health problem across the globe. The aim of this study is to compare manual vacuum aspiration (MVA) and dilatation and curettage (D&C) for first trimester abortion, in terms of the efficiency of eliminating retain product of conceptus, frequency of complications, duration of the procedure, and duration of patients' hospitalization. This is a prospective comparative descriptive study performed at Al-Sadaqa Teaching Hospital. Over a period from 1st Jan 2020 to 31st December 2020, a total of 143 women, these patients either MVA group (n=72) or D&C group (n=71). Presented with spontaneous abortion and gestational age less than 12 weeks, patent cervix, and no signs of septic abortion, hemoglobin ≥9 g/dl and no bleeding disorder. Data was collected on prescribed questionnaire. The total number of abortion 637 in compare to 259 (40.7%) patient with first trimester abortion, 143 patients was included in this study, MVA group (n =72) and D&C group (n=71). The distribution in respect to the age, parity & gestational age was similar in both groups. The mean duration of procedure was significantly higher (P<0.05) in D&C group compared to MVA group. The duration of hospital stay was significantly lower (P<0.05) in MVA group compared to D&C group. MVA group showed the least incidence of complications regarding the amount of blood loss, and cervical laceration. Complete evacuation was achieved in 95.8% in MVA vs. 98.6% in D&C group with no statically significant (P=0.304). MVA is as effective as popular dilatation and curettage for treatment of early pregnancy failure while it need less time consuming, requires a shorter hospital stay and subsequently costs less. It does not require general anesthesia and complication rate is less than dilatation and curettage. So it can be easily accessible to the woman of both rural and urban societies belonging to any socioeconomic strata especially where high tech equipment and power supply are not available.

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Safety & efficacy of manual vacuum aspiration compared to dilatation & curettage in the management of early pregnancy failure

Abstract: Background: Early pregnancy failure is a major health problem across the globe. This is particularly important for the woman of Bangladesh.

Cited by 5 publications

References 4 publications

Postabortion Care in Humanitarian Emergencies: Improving Treatment and Reducing Recurrence

Postabortion Care in Humanitarian Emergencies: Improving Treatment and Reducing Recurrence

Abortion care-seeking and reproductive rights violation in health facilities: evidence from six states of India

MANUAL VACUUM ASPIRATION VERSUS DILTATION AND CURETTGE TERMINATION OF FIRST TRIMESTER ABORTION AMONG WOMEN ADMITTED AL-SADAQA TEATCHING HOSPITAL, ADEN JAN1st DECEMBER 31st 2020

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