7.Comparison of the Outcome of Manual Vacuum Aspiration and Evacuation of Retained Products of Conception in First Trimester Miscarriages
Saba Nadeem, Shakila Yasmin, Sadia Shakeel, Qaisra Qureshi, Rabia Qasim and
Amna Anum
ABSTRACT
Objective: To compare the outcome of manual vacuum aspiration and evacuation of retained products of conception in 1st trimester miscarriages.
Study Design: Randomized Controlled Trial study.
Place and Duration of Study: This study was conducted at the Department of Obstetrics & Gynecology, Bahawal Victoria Hospital, Bahawalpur from March 2019 to September 2019.
Materials and Methods: A total of 216 patients between the age of 18-40 were included in the study with 1st trimester miscarriages. Patients with signs of septic abortion, ectopic pregnancy, CRF, CLD and any bleeding disorders were excluded. Group A patients underwent evacuation manually by manual vacuum aspiration (MVA) while group B patients underwent evacuation of retained products of pregnancy (ERPC). Outcome variables like blood loss, hospital stay, perforation and incomplete evacuation were noted.
Results: The mean age of women in group A was 29.59 ± 4.76 years and in group B was 28.08 ± 5.83 years. Gestational age was from <12 weeks with mean gestational age of 7.83 ± 2.41 weeks. In this study, mean blood loss was seen in MVA as 58.70 ± 13.26 ml and 73.99 ± 9.96 ml in ERPC with p-value of 0.0001. Also hospital stay was seen in MVA as 30.94 ± 4.65 hours and 46.26 ± 4.76 hours in ERPC with p-value of 0.0001. Incomplete evacuation was found in ERPC group as 00 (0.0%) and in MVA group as 02 (1.85%) with p-value of 0.155. The uterine perforation was seen in 12 (11.11%) patients of ERPC group and 4 (3.70%) patients of MVA group with p-value of 0.038.
Conclusion: Conclusion of the study was that manual vacuum aspiration (MVA) is a safe procedure for first trimester miscarriages as compared to evacuation of retained products of conception.
Key Words: 1st trimester miscarriages, manual vacuum aspiration, blood loss.
Citation of article: Nadeem S, Yasmin S, Shakeel S, Qureshi Q, Qasim R, Anum A. Comparison of the Outcome of Manual Vacuum Aspiration and Evacuation of Retained Products of Conception in First Trimester Miscarriages. Med Forum 2022;33(9):25-28.