ABSTRACT
OBJECTIVE: To compare the efficacy and safety of manual vacuum aspiration, and oral misoprostol in incomplete miscarriage
STUDY DESIGN: Comparative randomized controlled trial study
STUDY SETTING: Department of Obstetrics and Gynaecology [Unit-II] Liaquat University Hospital Hyderabad, Sindh from May 2011 to April 2012
MATERIAL AND METHOD: All eligible women who full filled the inclusion criteria were included in study after taking written informed consent. A total 222 women were included in study
In each group 111 were randomized either with 600 microgram ST mom or suction evacuation by MVA. Sample was randomized using computer generated random sequence. Opaque sealed study envelop were used for allocation. Primary outcome measure was to assess the efficacy of method in form of complete evacuation. Secondary outcome measure was occurrence of complication
RESULTS: 111 patients were randomized in each group. Mean age [years], parity and gestational age of study population were 28.4+/- 5.2, 3+/- 2 and 8.9+/- 12. Three patients in misoprostol [ST mom] group complain of pain while in MVA group none of patient complain of pain. So for safety is concern MVA is safer than misoprostol [p-value less than 0.031]
CONCLUSION: Both MVA and misoprostol can be used, as an effective method of uterine evacuation in incomplete abortion of < 12 weeks. MVA is significantly safer than misoprostol in terms of side effects
ABSTRACT
Retrospective study of 1052 patients with focal masses of liver, diagnosed on ultrasonography, was carried out from 1990 to 94. Focal masses were abscess, carcinoma, cyst [simple], hydatid cyst, polycystic disease of liver, haemangioma and haematoma. The involvement of males and female were studied. Relationship of abscess month-wise and age factor in liver haematoma were abserved. Among all the focal masses, abscess was the most common lesion [83%]