Tayyab Arif Butt, Adeel Iqbal, Misha Saeed, Iram Yousuf, Aamor Murtaza.
Outcomes of Manual Vacuum Aspiration Vs Dilatation and Curettage in First Trimester Miscarriages.
Pak J Med Health Sci Jan ;12(2):611-3.

Aim: To compare the efficacy of Manual Vacuum Aspiration (MVA) with dilatation and curettage (DNC) in first trimester miscarriage cases. Methods: We conducted this trial in DHQ hospital Faisalabad Aug-2017 to Feb-2018 . A total number of 90 female patients having miscarriage during first trimester were included. Patients were assigned randomly into MVA and D& C groups. Data regarding efficacy of both procedures i.e., hospital stay and procedural success rate was measured in all patients. Results: Mean age of study patients was 30.47 +-5.23 years. Mean gestational age at the time of abortion was 8.65 +-1.30 weeks. Mean parity of study females was 1.96 +-0.82. Hospital stay was significantly prolonged in D&C group 16.75 +-2.31 hours versus 5.86 +-1.45 hours in MVA group (p-value <0.0001). Abortion was successful in 43 (95.6%) patients in MVA group versus 41 (91.1%) in D&C group (p-value 0.39). Conclusion: MVA is safe, effective, and requires shorter hospital stay. And the success rate is comparable to that of D&C.

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