Manual vacuum aspiration and elecrical vacuum aspiration-A comparative study for first trimester MTP

Abstract

The World Health Organization (WHO) estimates that 46 million pregnancies end in abortion each year, and nearly 20 million of those are thought to be unsafe (WHO, 2003). An estimated 67,000 women die each year from unsafe abortions, and hundreds of thousands more women suffer serious injuries and disabilities (WHO, 2003). About 13% of maternal deaths are due to unsafe abortions. 1 Unsafe abortions are a serious public health problem in India. In fact, unsafe abortion is one of the leading causes of maternal mortality in India. The number of abortions is steadily rising each year. The number of deaths due to unsafe abortions has also been steadily increasing.Out of all the recognized procedures of first trimester MTP, Electrical Vacuum Aspiration (EVA) has been used since years. Vacuum aspiration has become standard surgical procedure for safe early pregnancy termination. Most of these operations are performed in operating theatre using suction curettage and an electric vacuum. Manual vacuum aspiration (MVA) is an alternative that is well suited for use as a clinical procedure, Paper AbstractObjectives: The present study compares MVA and EVA as the method for 1st trimester MTP in terms of effi7acy, blood loss, duration, acceptability and complications. Method: The present study was conducted in the Department of Gynecology and Obstetrics, Eden Hospital, Medical College, Kolkata. Medical College, Kolkata is also a Government of India recognized center for MVA training programme. A total number of 200 patients were studied; out of which 100 patients underwent MVA and remaining 100 EVA. Cases were compared with respect to age, parity, blood loss, time taken and complications. Results : In the present study MVA was effective in 98% and EVA in 97% cases as 2% and 3% respectively of the 2 groups required reevacuation for incompleteness. Thus the two procedures did not show much difference as far as their effectiveness was concerned. Conclusion : MVA has a safety and efficacy profile similar to that of EVA. Also, MVA is a simple, safe, effective procedure, portable and low cost technique. Hence, MVA is a promising method compared to EVA which can be practiced widely in rural areas where the access to medical facilities are limited, high tech equipments are not available, power supply erratic and maintenance of instruments not up to the mark. The judicious use of MVA comes with a promise to make early abortions safe and easily accessible to women of both rural and urban societies belonging to any socioeconomic strata.

A comparative study of manual vaccum aspiration (MVA) and electric vaccum aspiration (EVA) for pregnancy termination of upto 10 weeks gestation

“…This difference can be attributed to the skills of the clinician and the period of gestation not corresponding to LMP. Uterine perforation was not noted in either MVA or EVA groups in our study as similar to Kamel Helen et al 11 study. This indicates the safety of both procedures for first trimester abortion.…”

A comparative study between manual vacuum aspiration and electrical vacuum aspiration for the first trimester medical termination of pregnancy

“…Kamel et al 5 2011 reported that majority of cases in their study were in the age group of 20-30 years. Westfall et al, 6 also reported that majority of the MTP seekers were from 20 to 29 years age group (63.6%).…”

“…Multiparous women constituted maximum number of patients in both study groups. Kamel et al 5 in 2011 reported that majority i.e., 90.5% cases were multiparous. All the cases were married women admitted for first trimester MTP.…”

Manual Vacuum Aspiration (Mva); Safety and Effectiveness in the Treatment of First Trimester Pregnancy Loss

“…2 These unsafe abortions pose a significant public health threat specifically in developing countries and are also one of the chief causes of maternal mortality in these countries. 3 The total number of cases of missed and incomplete abortions is believed to be 890,000 per year in Pakistan with annual incidence of 29/1000 women between the age of 15-49 years. 1 Different treatment modalities are available for uterine evacuation after early pregnancy loss, chiefly medical and surgical ones.…”

“…EVA is used for many years and uses electrically generated vacuum. 3 In MVA, on the other hand, vacuum is created manually and doesn't require electricity. It is a simple and safe procedure that can be done under local anesthesia on an outpatient basis.…”