Manual vacuum aspiration: a safe and cost-effective substitute for dilatation and curettage on the surgical management of First-Trimester Abortion

Objective: To compare the efficacy and safety of manual vacuum aspiration (MVA) with dilatation and curettage in the management of first trimester abortion. Study Design: A prospective randomized study was conducted between January 2010 to December 2012, at the Obstetrics and Gynecology department, Salman Bin Abdulaziz University Hospital. Four hundred women presenting with spontaneous miscarriage with gestational age <12 weeks were included in the study, these patients underwent either MVA group (n=200) or DC9(6):581- 585). (ISSN: 1545-1003). http://www.jofamericanscience.org. 73

[1]  Siwatchaya Khanuengkitkong,et al.  A comparative study of cost of care and duration of management for first-trimester abortion with manual vacuum aspiration (MVA) and sharp curettage , 2012, Archives of Gynecology and Obstetrics.

[2]  E. Wiebe,et al.  Benefits of manual vacuum aspiration for abortion , 2011, International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics.

[3]  J. Souza,et al.  Surgical procedures for evacuating incomplete miscarriage. , 2010, The Cochrane database of systematic reviews.

[4]  N. Khodakarami,et al.  Comparison of Incomplete Abortion Treatment between Manual Vacuum Aspiration and Curettage , 2010 .

[5]  N. Smith,et al.  Manual vacuum aspiration: a safe alternative for the surgical management of early pregnancy loss , 2009, BJOG : an international journal of obstetrics and gynaecology.

[6]  M. Gilliam,et al.  First trimester surgical abortion. , 2009, Clinical obstetrics and gynecology.

[7]  K. Barnhart,et al.  Patient acceptability of manual versus electric vacuum aspiration for early pregnancy loss. , 2007, Journal of women's health.

[8]  M. Creinin,et al.  Contemporary Management of Early Pregnancy Failure , 2007, Clinical obstetrics and gynecology.

[9]  F. Khan,et al.  Medical Termination of First Trimester Miscarriages , 2007 .

[10]  K. Guire,et al.  Patient Preferences, Satisfaction, and Resource Use in Office Evacuation of Early Pregnancy Failure , 2006, Obstetrics and gynecology.

[11]  A. Templeton,et al.  Surgical abortion using manual vacuum aspiration under local anaesthesia: a pilot study of feasibility and women's acceptability , 2005, Journal of Family Planning and Reproductive Health Care.

[12]  A. Campana,et al.  Medical versus surgical methods for first trimester termination of pregnancy. , 2002, The Cochrane database of systematic reviews.

[13]  H. Gaitán,et al.  Paracervical Block in Incomplete Abortion Using Manual Vacuum Aspiration: Randomized Clinical Trial , 2004, Obstetrics and gynecology.

[14]  A. Foster-Rosales,et al.  Treating incomplete abortion in El Salvador: cost savings with manual vacuum aspiration. , 2003, Contraception.

[15]  A. Campana,et al.  Surgical methods for first trimester termination of pregnancy. , 2001, The Cochrane database of systematic reviews.

[16]  D. Mishell,et al.  Serum beta-human chorionic gonadotropin levels and endometrial thickness after medical abortion. , 2001, Contraception.

[17]  S. M. Harvey,et al.  Comparing the acceptability of manual vacuum aspiration and electric vacuum aspiration as methods of early abortion. , 2001, Journal of the American Medical Women's Association.

[18]  A. Sophocles,et al.  Manual vacuum aspiration for first-trimester abortion. , 1998, Archives of family medicine.

[19]  L. Correia,et al.  [Use of manual vacuum aspiration in reducing cost and duration of hospitalization due to incomplete abortion in an urban area of northeastern Brazil]. , 1997, Revista de saude publica.

[20]  H. Nisenbaum,et al.  First-trimester US parameters of failed pregnancy. , 1997, Radiology.

[21]  S. Goldstein Significance of Cardiac Activity on Endovaginal Ultrasound in Very Early Embryos , 1992, Obstetrics and gynecology.