ABSTRACT

Background: Early pregnancy loss known as abortion or miscarriage is a common problem of females and is the main root cause for majority of pregnancy losses in world.

Aim: To find the frequency of success rate of manual vacuum aspiration (MVA) among females presenting with missed abortion during first trimester of pregnancy.

Study Design: Descriptive, cross-sectional.

Methodology: The current project was conducted at department of Obstetrics and Gynaecology, Jinnah Hospital, Lahore from 15-06-2018 to 15-12-2018. Study comprised of 174 females cases with early pregnancy loss. The females were 15 to 45 years old with singleton pregnancy (on scan) having first trimester (12 weeks) missed abortion and they were evacuated through MVA. The collected data was analyzed by using SPSS version 20. Mean with standard deviation was calculated for age, parity and gestational age. Post-stratification chi-square test was used and probability level ≤ 5% was measured as significant.

Results: In our study, MVA success rate was 97.1%. Females with 9-12 weeks of gestational age were successfully evacuated by MVA than <9 weeks of gestational age. On parity basis, primiparous group showed more satisfactory results followed by nulliparous. Similarly, MVA was also successful in both females group (51%) with and without (49%) C-section history.

Conclusion: Manual vacuum aspiration (MVA) is a safe and effective method to treat the patients with missed abortion in first trimester. In this study, it has shown higher efficacy and excellent success rate.

Keywords: Pregnancy, Abortion, Trimester and Manual Vacuum Aspiration.