Early Pregnancy Loss: Manual Vacuum Aspiration (MVA) Vs. Conventional Evacuation and Curettage

Abstract

Objective: The purpose of this study is to assess the effectiveness of manual vacuum aspiration vs standard evacuation and curettage in the case of early pregnancy loss: HMC hospital, Peshawar, gynecologic and obstetrics department

Study Design: A Single-center study

Duration and place of study: From January 1st, 2017, to January 30th, 2020, the study was carried out in the gynecological and obstetrics unit B of the HMC hospital, Peshawar.

Patient Methodology: One thousand and sixty-three (603) patients were studied. According to the inclusion criteria, all patients who experienced an early miscarriage (18-42 years old) were recruited for the research. The lottery approach was used to split the patients into two groups. Those in Group A who had been treated by MVA Group B were individuals who had traditional surgical evacuation and curettage. Age and BMI were obtained after obtaining written consent from the patient. The patient's entire blood picture, blood group, hepatitis serology, and coagulation profile were analyzed as part of a baseline assessment. Ultrasound and the starting day of the last menstrual cycle were used to determine gestational age. Two hours before the surgery, misoprostol 400mcg was used to ripen the cervical lining. Aseptic procedures were followed during the process. Ultrasound was used to verify that both methods had successfully evacuated the uterus.

Results Group A had a mean age of 27 years, while Group B had a mean age of 29 years, both with a standard deviation of 7.55 years in Group A. Approximately 40% of the patients in Group A were mono para, and 60% of the patients in Group B were multipara. Forty-two percent of patients in Group B were first-time paras, whereas 58 percent of patients in Group B were second-time paras. In Group A, 40% of the patients were first-time mothers, whereas 60% were multiple mothers. There were 42 percent primi gravida and 58 percent multi gravida in Group B. Aspiration using manual vacuum and conventional evacuation and curettage were equally successful for 92% and 82% percent of patients, respectively.

Keywords: Early Pregnancy Loss, M .V. A, Conventional Evacuation And Curettage