Manual Vacuum Aspiration and Dilatation & Curettage in First Trimester Miscarriages; Comparison of Efficacy

Abstract

Objective: To compare the efficacy of manual vacuum aspiration with dilatation and curettage in first trimester miscarriages. Study Design: Randomized control trial. Place and Duration of Study: Department of Obstetrics and Gynecology Unit “A”, Lady Reading Hospital, Peshawar. Patients were received through OPD and Emergency during the six months i.e from 1st Jan, 2015 till 30th June, 2015. Methodology: Women admitted in the department of Obstetrics and Gynecology Unit “A”, Lady Reading Hospital, Peshawar, who meet the inclusion and exclusion criteria, were included in the study by consecutive non probability sampling with random allocation by dividing them into two groups through lottery method. Patients in group A were treated by dilatation and curettage while the patients in group B were evacuated by manual vacuum aspiration. After the randomly allocated method of evacuation, the efficacy of the procedure was determined in terms of need for the evacuation by presence of retained products of conception on ultrasound done by specialist. Results: No substantial difference was found between patients subjected to D&C and to those subjected to MVA. Conclusion: MVA is as effective as D&C for the treatment of miscarriage. Keywords: Miscarriage, Abortion, Dilatation & Curettage, Manual Vacuum Aspiration, Retained products of conception.