Dr Nadia Arif, Classified Gynecologist, PAF Hospital Masroor, Mauripur, Karachi
E-mail: gyne_drnadia@yahoo.com

ABSTRACT

Objectives: To compare the efficacy of manual vacuum aspiration vs. suction and curettage in patients undergoing early loss of pregnancy.
Study Design:  Randomized controlled trial.
Place and Duration of Study: This study was conducted from January 2014 to June 2015 at the Department of Obstetrics and Gynecology, PAF Hospital Masroor, Karachi.
Methodology: One hundred and fifty patients of early pregnancy loss, or miscarriage before 20 weeks of gestation were randomly distributed into two groups. These included patients of missed and incomplete abortion. Patients in Group-1 were offered manual vacuum aspiration and those in Group-2 received suction and curettage as interventional modality. Operative time, hemorrhage, uterine perforation, cervical trauma, retained products of conception, infection, and duration of hospital stay were compared for statistical significance.
Results: Patients subjected to manual vacuum aspiration experienced less peri-operative hemorrhage and their procedural time and hospital stay were short. However, no significant difference was found between the two procedures when procedure-associated co-morbidities were compared.
Conclusion: Manual vacuum aspiration is a safe, quick and cost-effective alternative to suction and curettage in managing early pregnancy loss. However its efficacy is comparable to suction and curettage as far as potential procedure-related risks like uterine perforation, retained products of conception, infection and cervical trauma are taken into account.
Key words: Spontaneous abortion, Missed abortion, Miscarriage.

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