Comparison of Manual Vacuum Aspiration Versus Conventional Evacuation of Retained Products

Objective: To compare the efficacy and safety of evacuation of Retained products of conception (ERPc) and Manual Vaccum Aspiration (MVA) in women experiencing a first-trimester miscarriageMaterials and Method: A comparative study was conducted at Rawal General & Dental Hospital, Islamabad from Sept 2016 to Sept 2017 and consisted of one hundred patients which were divided into two groups i.e. group 1 (ERPc) & group 2 (MVA). Data were extracted comparing the outcome in terms of safety and efficacy in both groups. Group 1 received General anaesthesia, while group 2 received paracervical block. Patients with a bleeding disorder, uterine anomalies, gestational trophoblastic disease and septic abortion were excluded from the study.Result: Primary outcome measures were efficacy and safety and complete evacuation were similar in both groups while secondary outcome included Hospital stay, operating time and need for evacuation was less in group 2 (MVA) as compared to group 1 (ERPc). The efficacy of group 2 was 98 % and group 1 is 94 % in the evacuation of the uterus.Conclusion: In patients with early pregnancy loss, treatment with MVA with local anaesthesia is an effective and safe alternative to Conventional Evacuation of Retained Products performed in general anaesthesia or sedation and it is more convenient and feasible for low socio-economic population.