Efficacy of manual vacuum aspiration (MVA) and medical treatment in themanagement of first trimester missed miscarriage

摘要

Objective: To compare medical management with manual vacuum aspiration in cases of first trimester missedmiscarriage.Material and methods: This Randomized Controlled Trial was conducted at Department of Obstetrics & GynecologyBahawal Victoria Hospital, Bahawalpur from March 2018 to September 2018 over the period of 6 months. Total 104patients with first trimester missed miscarriage of less than 12 weeks gestation diagnosed by ultrasound showinggestational sac of less than 25 mm in diameter with no fetal cardiac activity.Results: Mean age of the patients was 29.63 ± 6.68 years, mean age of the patients of study group A was 30.23 ± 6.72years and mean age of patients of group B was 29.02 ± 6.65 years.Patients of study group A were managed by MVAand patients of study group B were managed by Medical treatment. Efficacy was noted in 92.3% (n=48) patients and76.9% (n=40) patients respectively in group A & B. Efficacy rate in group A was significantly (P = 0.05) higher ascompared to group B.Conclusion: Results of this study revealed that MVA is better treatment modality as compared to medicalmanagement (misoprostol intravaginally). Efficacy rate was significantly higher in MVA group as compared tomedical treatment group. In older age group MVA group was found with significantly higher rate of efficacy ascompared to medical management group.