A Comparative Study of Outcome of First Trimester Medical Termination of Pregnancy by Manual Vacuum Aspiration and Electric Vaccum Aspiration

Abstract

AimTo compare safety and efcacy between the electric vacuum aspiration and manual vacuum aspiration in rst trimester MTP.Objectives 1>To compare the time duration between the two procedures. 2>To compare the blood loss between the two procedures. Material and methodComparative study was conducted in the department of Obstetrics and Gynecology, AGARTALAGOVERNMENT MEDICALCOLLEGE AND GBPH from Oct 2018 - Sept. 2020(1½years), among reproductive aged women attending Obstetrics and Gynaecology OPD who are interested to undergo surgical method of termination of pregnancy with period of gestation <12 weeks; total 156 patients were subjected for study. ResultAmong the 156 women were enrolled in the study, 78 women had undergone MVAand 78 women EVA; maximum number of cases were in the age group of 26 - 30 years, followed by that of 21 – 25 years, least number of cases were in the age group ≤ 20 years. There. In MVA, average blood loss during the procedure is less by 4 ml as compared to EVAin 5 to 10 weeks gestation but beyond 10 weeks the blood loss is less in EVAas compared to MVAby 10 ml. Maximum number of cases was between 8 to 10 weeks period of gestation. In the MVAgroup, 47% of cases had Grade II pain & in the EVAgroup, 60% cases had Grade IV pain. So, the pain appreciated by patients in MVAprocedure is very less (of Grade II) as compared to EVA (of Grade IV). Mean average time taken in MVA procedure is less by 2.5 minutes as compared to EVA Procedure in < 10 weeks gestation. It is statistically 'Highly Signicant' (p < 0.001).but in >10 wks gestation MVAhas to be charged multiple times and more time consuming compared to EVA. Conclusion-A safe and effective procedure of termination of termination of pregnancy is the need of the hour. Both MVA and EVA are established safe and effective surgical method of rst trimester MTP. MVAis inexpensive; its simplicity of use and the proof that MVAhas a safety and efcacy prole similar to other contemporary methods of MTPcould encourage the physician to adopt MVAas a preferred method of choice as a safe effective and user friendly procedure for rural set up of developing country like ours.