Efficacy of Manual Vacuum Aspiration Vs Conventional Evacuation and Curettage
DOI:
https://doi.org/10.37762/jgmds.9-3.302Keywords:
Manual Vacuum Aspiration (MVA), Evacuation and Curettage (E&C), First trimester miscarriage, Retained products of conception (RPOCs), Surgical methods of Miscarriage (SMM), Para Cervical Block(PCB)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
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Copyright (c) 2022 Nasreen Kishwar, Sadia Ali, Rabeea Sadaf, Rukhsana Karim, Tayyaba Azeem; Zahida Parveen
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