ABSTRACT

Objective: The aim of this study is to compare the beneficial effects of Manual vacuum aspiration (MVA) with dilatation and curettage (DNC) in the management of early pregnancy failures. Study Design: Randomized control trial Place and Duration: Study was conducted at Hayatabad Medical Complex Peshawar for duration of one year from 1st December 2019 to 30th November 2020. Methods: Total one hundred and forty patients were presented in this study. Patients details demographics were recorded age, BMI were recorded after taking written consent. Patients were arranged to divide into two groups I and II. Group I had 70 patients underwent for DNC and group II with 70 patients undergone for MVA. Patients with pregnancy failure of weeks < 16 were enrolled. Effectiveness and frequency of complication were measured among both groups. Complete data was analyzed by SPSS 22.0 version. Results: Mean age of the patients in group I was 30.53+2.7 years with mean BMI 26.25+7.9 kg/m2 while in group II mean age was 29.47+6.5 years with mean BMI 25.52+7.9 kg/m2. Mean duration of the procedure was higher in DNC group I 11.05+2.05 minutes and in group II MVA was 5.09+4.7 minutes. Hospital stay was lower in group II 4.35+2.3 hours as compared to group I 9.85+3.1 hours. Mean VAS score was significantly greater in DNC group 7.32+2.17 as compared to MVA group 4.18+1.16. Frequency of complications observed higher in group I than that of group II. But Efficacy was relatively higher in group II. Conclusion: In this research, we concluded that the MVA method for early pregnancy failures was successful, safe and reliable as compared todilatation and curettage (DNC). Keywords: MVA, Early pregnancy failures, Dilatation and curettage, Complications