Efficacy of Manual Vacuum Aspiration for the Management of Incomplete Miscarriage

Abstract

Introduction: Miscarriage is an unfortunateoutcome of early pregnancy which is beyond a woman’s control.In routine, dilatation and curettage under general anaesthesia are performed to remove the products of conception which require admission in hospital and operation theatre thus increasing the cost of the procedure. Instead, manual vacuum aspiration (MVA) being less invasive procedure, can be performed in the outpatient departments under local anaesthesia making it acost-effective procedure and a better alternative to routine dilatation and curettage.

Objective: To determine the efficacy of MVA for the management of females with incomplete miscarriage.

Material and methods:
Study design: Descriptive study

Place and duration: Department of Obstetrics & Gynecology, Arif Memorial Teaching Hospital, Lahore for 9 months from May 2020 to January 2021.

Results:In our study, complete evacuation in patients undergoing MVA was recorded as 96.5%. So,the efficacy of MVA in the management of incomplete miscarriage in our study was 96.5% while in 3.5% of patients, MVA was not found efficacious.The mean age of the patients was 27.45 ±5.28 yearswith 67%of patients between 18-30 years of age and 33% between 31-45 years of age with higher efficacy found in the age group 18-30 years. Also, MVA was found to be 100 % efficacious in primiparous women in this study.Mean gestational ageof patients was found to be 8.05 ±3.30 weekswhere 29%of patients were between 1-6 weeks of gestation and 71%were between 7-13 weeks of gestation.

Conclusion:We concluded that the efficacy of MVA in the management of incomplete miscarriage is sufficient while it is simple, safe, and cost-effective which makesthis technique best suited for low-equipped centers. The present study also concluded that there is an association of efficacy of MVA with low parity and young age.