Comparison of Manual Vacuum Aspiration With Dilatation and Curettage For Missed Miscarriage

Salma Achakzai, Khanda Gul, Safia Bibi, Fozia Muhammad Bukhsh

Abstract

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.

Key words

Manual vacuum aspiration, Dilatation and curettage, Missed miscarriage, Uterine perforation, Hospital stay.