Manual vacuum aspiration: a safe and cost-effective substitute for dilatation and curettage on the surgical management of First-Trimester Abortion
1 Department of Obstetrics and Gynecology (Al-Azhar University, Cairo, Egypt),
2 Department of Diagnostic Imaging (Salman Bin Abdulaziz University Al-Kharj-KSA)
Abstract: Objective: To compare the efficacy and safety of manual vacuum aspiration (MVA) with dilatation and curettage in the management of first trimester abortion. Study Design: A prospective randomized study was conducted between January 2010 to December 2012, at the Obstetrics and Gynecology department, Salman Bin Abdulaziz University Hospital. Four hundred women presenting with spontaneous miscarriage with gestational age <12 weeks were included in the study, these patients underwent either MVA group (n=200) or D&C group (n=200). Primary outcome measures were efficacy and secondary outcome measures were duration of hospital stay, operating time and cost. Results: Overall, (MVA) was 97 % effective in terminating pregnancy through 12 weeks of gestation. The mean duration of procedure was significantly higher (p<0.001) in D&C (14.3±3.8 minutes) as compared to (6.3±1.6 minutes) in MVA. The duration of hospital stay was significantly lower (p<0.001) in MVA group (3.5±0.9 hours) as compared to (19.2±3.1 hours) in D&C group. Similarly the cost of procedure was also significantly lower (p<0.001) in MVA group (.8±6.5) compared to ($ 146.1±13.7) in D&C group.Conclusion: MVA is as effective as conventional dilatation and curettage for treatment of early pregnancy failure while it causes less time consuming, requires a shorter hospital stay and thus costs less. It does not require general anesthesia and complication rate is less than dilatation and curettage.
[Mohamed Abd Elzaher and Mohamed Bedew. Manual vacuum aspiration: a safe and cost-effective substitute for dilatation and curettage on the surgical management of First-Trimester Abortion. J Am Sci 2013;9(6):581-585]. (ISSN: 1545-1003). http://www.jofamericanscience.org. 73
Keywords: Manual vacuum aspiration First-Trimester Abortion Full Text 73