THE USE OF MANUAL VACCUM ASPIRATION FOR TREATMENT OF FIRST TRIMESTER ABORTION

Naheed Rahim, Anjum Ara

Department of Obstetrics and Gynecology, Naseer Teaching Hospital, Peshawar - Pakistan

Abstract

Objective: To asses the safety, efficacy and acceptability of manual vaccum aspiration (MVA) in first trimester abortions.

Material and Methods: This study was conducted in the Department of Obstetrics and Gynecology Naseer Teaching Hospital, Peshawar, between June and December 2011. Sixty patients of incomplete or missed abortions, with gestational age less than 12 weeks were included in this study. Main outcome measures were efficacy and safety of the procedure. Secondary outcome measure was acceptability of the method.

Results: Majority of the patients had complete uterine evacuation (96%), with no major complications. Higher satisfaction rate was observed, as 83% participants expressed desire to choose MVA again.

Conclusion: MVA is a highly effective and acceptable procedure. It has virtually eliminated some of the risks associated with conventional D&C and electrical vaccum aspiration, such as uterine perforation and infection.

Keywords: Incomplete, abortion, missed, uterine evacuation.

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