Document Detail

Comparison of manual vacuum aspiration, and dilatation and curettage in the treatment of early pregnancy failure.
MedLine Citation:
PMID:  23272429     Owner:  NLM     Status:  In-Process    
OBJECTIVES: To compare the efficacy, safety and cost effectiveness of Manual Vacuum Aspiration (MVA) with dilatation and curettage (DNC) in the management of early pregnancy failure.
METHODS: One hundred patients of spontaneous abortion, incomplete or missed, with gestational age <12 weeks were included in the study. Using a Random Number Table, these patients were assigned to undergo either DNC or MVA.
RESULTS: The distribution of age, parity and gestational age was similar in both groups. The mean duration of procedure was significantly higher (p<0.0001) in DNC (8.98 +/- 2.64 minutes) as compared to 5.88 +/- 2.43 minutes in MVA. The duration of hospital stay was significantly lower (p<0.0001) in MVA group (3.48 +/- 1.2 hours) as compared to 7.42 +/- 1.93 minutes in DNC group. Similarly the cost of procedure was also significantly lower (p=0.0001) in MVA group (PKR 1410 +/- 243.4) compared to PKR 3460 +/- 908.24 in DNC group.
CONCLUSION: MVA is as effective as conventional dilatation and curettage for treatment of early pregnancy failure while it causes less blood loss, is less time consuming, requires a shorter hospital stay and thus costs less. It does not require general anaesthesia and complication rate is less than dilatation and curettage.
Fariha Farooq; Lubna Javed; Ambreen Mumtaz; Nosheen Naveed
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of Ayub Medical College, Abbottabad : JAMC     Volume:  23     ISSN:  1025-9589     ISO Abbreviation:  J Ayub Med Coll Abbottabad     Publication Date:    2011 Jul-Sep
Date Detail:
Created Date:  2012-12-31     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8910750     Medline TA:  J Ayub Med Coll Abbottabad     Country:  Pakistan    
Other Details:
Languages:  eng     Pagination:  28-31     Citation Subset:  IM    
Departmnient of Obstetrics and Gynaecology, Akhtar Saeed Medical and Dental College, Lahore, Pakistan.
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