Comparative Efficacy of Manual Vacuum Aspiration and Medical Termination in First Trimester Miscarriage
DOI:
https://doi.org/10.51273/esc23.2519124Keywords:
Manual vacuum aspiration, medical termination, efficacyAbstract
Objective: To compare the efficacy of medical termination versus manual vacuum aspiration in firsttrimester miscarriage.
Method: This was a quasi-experimental study done at Department of Obstetrics and Gynaecology Services, Institute of Medical Sciences Lahore from January to September 2018. Women who chose medical termination were offered 600 micrograms of misoprostol given sublingually and dose repeated after 3 hours. Patients were chosen manual vacuum aspiration and were explained the method, informed consent was taken, and MVA was performed after cervical ripening. A designed proforma was filled in terms of pain score, amount of blood loss, and general symptoms like fever and diarrhoea.
Results: Of all women who were enrolled in the study were 408. Out of the medical termination was chosen by 228(56%) and manual vacuum aspiration was selected by 180(44%). For those patients who chose medical termination, the majority of them had fear of intervention i.e., almost 77% followed by a fear of infection after surgical intervention (62%). Patient with medical termination experienced more pain and increase blood loss as compared to MVA(p<0.05).
Conclusion: MVA is a safe and effective method for early pregnancy termination as compared to medical termination
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