Comparison of efficacy of modified electric vacuum aspiration with sharp curettage for the treatment of incomplete abortion: Randomized controlled trial

Kittiwatanakul, Wichai; Weerakiet, Sawaek

doi:10.1111/j.1447-0756.2011.01762.x

Cited by 5 publications

(6 citation statements)

References 20 publications

(69 reference statements)

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“…The presence of retained products and the need for repeat procedure was observed in 2.5% of MVA cases versus 10% in D&C group. Result was comparable to Yin 2005, Suwan A et al, 2009 [2] . Uterine perforation and cervical laceration were not found in both groups.…”

Section: Discussionsupporting

confidence: 82%

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Comparative study between manual vacuum aspiration and dilatation and curettage in the surgical management of early incomplete abortion in RMMCH, Tamilnadu: A randomized controlled trial

2018

Int. J. Clin. Obstet. Gynaecol.

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The aim of this study is to compare manual vacuum aspiration and dilatation and curettage in the surgical management of early weeks incomplete abortion in terms of efficiency of complete removal of the partially expelled products of conception, incidence and frequency of procedure induced complications, duration of procedure and duration of hospital stay. Methods: A Randomized controlled trial carried out at Department of Obstetrics and Gynaecology, RMMCH, over a period of 18 months from (January 2017 -June 2018) after getting the approval of Ethical committee. Antenatal women of <12 weeks gestation with history of incomplete abortion were taken for the study and were randomly separated into two groups. Women in group A underwent Manual vacuum aspiration and women in group B underwent dilatation and curettage after getting informed and written consent regarding the purpose of the study and details of the procedure. The diagnosis of incomplete abortion was based on history, clinical examination and sonographic findings at the time of admission. In the present work, safety and efficacy, rate of occurrence of complications, duration of procedures, duration of hospital stay, requirement of repeat procedure and anaesthesia / uterotonics / blood transfusion were compared between the two groups. A total of 160 patients were enrolled with 80 in each group. The entire statistical procedure was carried out using statical packages of Social Sciences (spcs-21). Results: Manual vacuum aspiration is a more effective and rapid office procedure and was associated with less blood loss, shorter duration of hospitalization when compared to dilatation and curettage. There were no cases of uterine perforation and cervical laceration in both groups.

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Section: Discussionsupporting

confidence: 82%

“…The syringe can be freely rotated 360 degreeseasy maneuverability. Both the procedures were found to be effective [1,2,5,7,8,11,15] . MVA was effective in 97.5% of cases versus D&C was effective in 90% cases.…”

Section: Discussionmentioning

confidence: 97%

Comparative study between manual vacuum aspiration and dilatation and curettage in the surgical management of early incomplete abortion in RMMCH, Tamilnadu: A randomized controlled trial

2018

Int. J. Clin. Obstet. Gynaecol.

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“…Nevertheless, MVA appears to be underutilised . This may be due to a lack of awareness and confidence as the majority of earlier studies evaluating the efficacy of the procedure came from developing countries where electricity and surgical suites were not widely available . Moreover, in many cases where MVA was performed, ultrasound guidance (USG) was not routinely used during the procedure.…”

Section: Introductionmentioning

confidence: 99%

Efficacy, feasibility and patient acceptability of ultrasound‐guided manual vacuum aspiration for treating early pregnancy loss

Chung

Mak

et al. 2018

Aust NZ J Obst Gynaeco

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“…A total of 114 RCTs were included in the review . The PRISMA flow chart in Figure S1 shows study selection.…”

Section: Resultsmentioning

confidence: 99%

Outcomes in prevention and management of miscarriage trials: a systematic review

Smith

Dhillon-Smith

O’Toole

et al. 2018

BJOG

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Background There is a substantial body of research evaluating ways to prevent and manage miscarriage, but all studies do not report on the same outcomes. Objective To review systematically, outcomes reported in existing miscarriage trials. Search strategy MEDLINE, Embase, CINAHL, and Cochrane were searched from inception until January 2017. Selection criteria Randomised controlled trials (RCTs) reporting prevention or management of miscarriage. Miscarriage was defined as a pregnancy loss in the first trimester. Data collection and analysis Data about the study characteristics, primary, and secondary outcomes were extracted. Main results We retrieved 1553 titles and abstracts, from which 208 RCTs were included. For prevention of miscarriage, the most commonly reported primary outcome was live birth and the top four reported outcomes were pregnancy loss/stillbirth (n = 112), gestation of birth (n = 68), birth dimensions (n = 65), and live birth (n = 49). For these four outcomes, 58 specific measures were used for evaluation. For management of miscarriage, the most commonly reported primary outcome was efficacy of treatment. The top four reported outcomes were bleeding (n = 186), efficacy of miscarriage treatment (n = 105), infection (n = 97), and quality of life (n = 90). For these outcomes, 130 specific measures were used for evaluation. Conclusions Our review found considerable variation in the reporting of primary and secondary outcomes along with the measures used to assess them. There is a need for standardised patient‐centred clinical outcomes through the development of a core outcome set; the work from this systematic review will form the foundation of the core outcome set for miscarriage. Tweetable abstract There is disparity in the reporting of outcomes and the measures used to assess them in miscarriage trials.

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Comparison of efficacy of modified electric vacuum aspiration with sharp curettage for the treatment of incomplete abortion: Randomized controlled trial

Abstract: The efficacy of mEVA was the same as that of SC in successful management of incomplete abortion, but pain was experienced more often in the SC group.

Cited by 5 publications

References 20 publications

Comparative study between manual vacuum aspiration and dilatation and curettage in the surgical management of early incomplete abortion in RMMCH, Tamilnadu: A randomized controlled trial

Comparative study between manual vacuum aspiration and dilatation and curettage in the surgical management of early incomplete abortion in RMMCH, Tamilnadu: A randomized controlled trial

Efficacy, feasibility and patient acceptability of ultrasound‐guided manual vacuum aspiration for treating early pregnancy loss

Outcomes in prevention and management of miscarriage trials: a systematic review

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