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Manual vacuum aspiration versus dilatation and curettage for early abortion
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: (1186 مشاهده) |
Background: The management options for early pregnancy loss are different. There is very little local data available on the risks and benefits of MVA and D&C in the management of early pregnancy failure. The aim of the study was to compare manual vacuum aspiration (MVA) with dilatation and curettage (D&C) in the first trimester spontaneous abortion.
Methods: This study was conducted with antenatal patients with the gestational age of ≤ 12 weeks, who were diagnosed to have experienced inevitable, missed or incomplete abortion. Eligible patients were randomly divided into two groups (MVA group and D&C group) of 100 patients each. In the MVA group, vacuum was created in 60 ml double valve MVA syringe. In the D&C group, the cervix was dilated and evacuated the products of conception with ovum forceps. After evacuation, all the walls were curetted with sharp metal curette to complete the procedure.
Results: The duration of the procedure and hospitalization was significantly lower for the MVA group compared to the D&C group (p< 0.001). The procedure related to uterine perforation/ cervical injury was significantly higher in D&C group compared with that of the MVA group (12% vs 3%) (P=0.016). In the D&C group, the moderate/ sever blood loss was significantly higher than that of the MVA group (70% vas 44%) (P < 0.001). There was a statistically significant difference in pain level post procedure between the two groups (P < 0.001). The cases of incomplete evacuation for both groups were similar, 3% in MVA and D&C groups.
Conclusions: We concluded that MVA is safe, effective, less time consuming, and requires shorter hospital stay. Complications such as uterine perforation, bleeding, cervical injury, and pain during the procedure are much less with MVA as compared to D&C. |
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نوع مطالعه: پژوهشي |
موضوع مقاله:
Obstetrics and Gynecology
دریافت: 1401/1/12 | پذیرش: 1401/3/12 | انتشار: 1401/3/30
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