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
References
Barot S. Unsafe abortion: the missing link in global efforts to improve maternal health. Guttmacher Policy Review. 2011;14(2):25–28.
Okonofua F. Abortion and maternal mortality in the developing world. J Obstet Gynaecol Can. 2006;28(11):974–979.
Haddad LB, Nour NM. Unsafe abortion: unnecessary maternal mortality. Rev Obstet Gynecol. 2009;2(2):122–126.
Nasrin T. Manual vacuum aspiration: a safe and cost-effective substitute of Electric vacuum aspiration for the surgical management of early pregnancy loss. JPMA 61:149; 2011
Hemminki E. Treatment of miscarriage: current practice and rationale. Obstet Gynecol 1998;91:247–53.
Nanda K, Lopez LM. Expectant care versus surgical treatment for miscarriage. Clinical Sciences, FHI, Research Triangle Park, North Carolina, USA. 2012 March 14.
. Robson SC1, Kelly T, Howel D, Deverill M, Hewison J, Lie ML, Stamp E, Armstrong N, May CR. Randomised preference trial of medical versus surgical termination of pregnancy less than 14 weeks' gestation (TOPS). Health Technol Assess. 2009 Nov;13
Milingos DS, Mathur M, Smith NC, Ashok PW. Manual vacuum aspiration: a safe alternative for the surgical management of early pregnancy loss. BJOG: An International Journal of Obstetrics & Gynaecology. 2009;116(9):1268–1271
Arif N, Zafar B, Ahmed RQ, Shehzad F. Comparison of Feasibility, Efficacy and Patient Acceptability of Manual Vacuum Aspiration Vs Sublingual Misoprostol in Early Pregnancy Loss. Pak Armed Forces Med J 2022; 72(3): 854-857. DOI:https://doi.org/ 10.51253/pafmj.v72i3.4144
Khalil S, Shaheen N. Misoprostol vs Out Patient Manual Vacuum Aspiration (MVA) for termination of pregnancy: A Quasi Experimental study J Islam Int Med Coll 2019; 14(1): 3-7.
Khaniya B, Yadav R. Comparison of use of misoprostol versus manual vacuum aspiration in the treatment of incomplete abortion. NMJ 2019;2 (2): 239-42. DOI 10.3126/nmj.v2i2.25855
Tahir A, Aamir F. To compare the efficacy of manual vacuum aspiration vs misoprostol in first trimester incomplete miscarriage Pak J Surg 2018; 34(3): 250-254
Woldetsadik, M.A., Sendekie, T.Y., White, M.T. et al. Client preferences and acceptability for medical abortion and MVA as early pregnancy termination method in Northwest Ethiopia. Reprod Health 8, 19 (2011). https://doi.org/10.1186/1742-4755-8-19
Downloads
Published
How to Cite
Issue
Section
