Salma Achakzai, Khanda Gul, Safia Bibi, Fozia Muhammad Bukhsh.
Comparison of Manual Vacuum Aspiration with Dilatation and Curettage for Missed Miscarriage.
J Surg Pak Jan ;25(1):39-43.

Objective: To compare the safety and effectiveness of manual vacuum aspiration (MVA) with dilatation and curettage (D&C) for the management of missed miscarriage. Study design: Comparative study. Place & Duration of study: Department of Obstetrics and Gynecology Unit 4, Bolan Medical Complex Hospital Quetta, from September 2018 to March 2019. Methodology: Patients were randomly divided in two groups by using lottery method. In group I females underwent MVA and in group II D&C. Operative time and uterine perforation if occurred were noted. Post procedure patients were monitored for blood loss and hospital stay. All information was recorded in a pre-designed form. The data were analyzed by using SPSS version 21. Results: A total of 100 patients were included in this study. In MVA group, mean age of patients was 29.47+-6.95 year and in D&C group 28.90+-6.41 year. Mean operative time was 7.63+-1.69 min with MVA and 11.47+-2.62 min with D&C. In MVA group, no perforation observed while in D&C group 2 (6.7%) patients had uterine perforation. The mean blood loss was 26.23+-3.09ml with MVA and 32.93+-5.11ml with D&C. The mean hospital stay was 4.73+-1.17 hours with MVA and 8.37+-1.73 hours with D&C. The difference was significant (P<0.05). Conclusion: MVA had better outcome in patients with missed miscarriage as compared to D&C.

PakMediNet -Pakistan's largest Database of Pakistani Medical Journals - http://www.pakmedinet.com