Dilatation and curettage versus manual vacuum aspiration for first trimester clandestine abortions

Nkwabong, Elie; Fomulu, Joseph Nelson

doi:10.18203/2320-1770.ijrcog20150079

Cited by 2 publications

(2 citation statements)

References 10 publications

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“…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: 96%

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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: Discussionmentioning

confidence: 96%

“…The difference was statistically significant. Comparable to Elie NK wabong, Joseph Nelson Fomulu, 2015 [1,3] . The average duration of the study procedure in D&C was7.892.08 minutes whereas it was only 5.931.11 minutes in MVA.…”

Section: Discussionmentioning

confidence: 99%

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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Outcome Of Manual Vacuum Aspiration Vs Surgical Evacuation

Akmal¹,

Suboohi²,

Pario³

et al. 2019

J. Bahria Uni. Med. Dent. Coll.

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Objective: To compare the safety, efficacy and complications of manual vacuum aspiration (MVA ) versus surgical evacuation in low resource set up. Study Design and Setting: This crossectional study conducted at Department of Obstetrics & Gynaecology at Kulsoom Bai Valika Social Security SITE Hospital Karachi from January to June 2017. Methodology: A total of one hundred patients with less than 12 weeks of gestation and diagnosis of missed miscarriage, incomplete miscarriage, blighted ovum or with retained products of conception (RPOCs) were recruited and randomly allocated to MVA without anesthesia (Group A) and surgical evacuation under general Anesthesia in Operation theatre (Group B).Both groups were compared in terms of demographic and obstetric data, clinical course (need of anaesthesia, operating time, approximate blood loss and stay in hospital) ,complications(excessive bleeding, uterine perforation, need for re-evacuation/ failed procedure, sepsis and maternal death ) and patient satisfaction. Results: Mean age of patients was 28.68 in Group A and 26.90 in Group B ( P value-0.136). Average gestational age in weeks at which procedure was performed in Group A found to be 8.32 and 9.546 for Group B ( P value-0.007 ). Parity was comparable in both groups (P value-0.746). Most of the patients were literate. Mean operating time and amount of blood loss comparison among groups had no statistical difference. Average hospital stay was significantly short in MVA Group ( P value-0.001). No maternal death or uterine perforation observed in both the groups,6% and 8% of patients had excessive bleeding in Group A & Group B respectively, one patient underwent re-evacuation in MVA group and one had sepsis after surgical evacuation. Post procedure satisfaction was comparable in both the groups. Conclusion: Manual Vacuum Aspiration is comparable to surgical evacuation in terms of safety, efficacy, complications, patient satisfaction and superior in shorter hospital stay, no need of anesthesia and access to operation theater

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Dilatation and curettage versus manual vacuum aspiration for first trimester clandestine abortions

Cited by 2 publications

References 10 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

Outcome Of Manual Vacuum Aspiration Vs Surgical Evacuation

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