Comparison of manual vacuum aspiration, and dilatation and curettage in the treatment of early pregnancy failure.

Autor:	Farooq F; Departmnient of Obstetrics and Gynaecology, Akhtar Saeed Medical and Dental College, Lahore, Pakistan. fareehafarooq786@gmail.com, Javed L, Mumtaz A, Naveed N
Jazyk:	angličtina
Zdroj:	Journal of Ayub Medical College, Abbottabad : JAMC [J Ayub Med Coll Abbottabad] 2011 Jul-Sep; Vol. 23 (3), pp. 28-31.
Abstrakt:	Objectives: To compare the efficacy, safety and cost effectiveness of Manual Vacuum Aspiration (MVA) with dilatation and curettage (DNC) in the management of early pregnancy failure. Methods: One hundred patients of spontaneous abortion, incomplete or missed, with gestational age <12 weeks were included in the study. Using a Random Number Table, these patients were assigned to undergo either DNC or MVA. Results: The distribution of age, parity and gestational age was similar in both groups. The mean duration of procedure was significantly higher (p<0.0001) in DNC (8.98 +/- 2.64 minutes) as compared to 5.88 +/- 2.43 minutes in MVA. The duration of hospital stay was significantly lower (p<0.0001) in MVA group (3.48 +/- 1.2 hours) as compared to 7.42 +/- 1.93 minutes in DNC group. Similarly the cost of procedure was also significantly lower (p=0.0001) in MVA group (PKR 1410 +/- 243.4) compared to PKR 3460 +/- 908.24 in DNC group. Conclusion: MVA is as effective as conventional dilatation and curettage for treatment of early pregnancy failure while it causes less blood loss, is less time consuming, requires a shorter hospital stay and thus costs less. It does not require general anaesthesia and complication rate is less than dilatation and curettage.
Databáze:	MEDLINE
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