Résumé
Objective: To assess and document safety, efficacy and patient acceptability of Manual vacuum aspiration [MVA] in the management of early pregnancy loss [EPL], performed in the treatment room setting
Study Design: Quasi-experimental, [clinical trial]
Place and Duration of Study: Treatment Room, OBGYN department, PNS Shifa from Nov 2010 to 31[st] Mar 2013
Material and Methods: Single centre prospective study conducted at Obstetric and Gynecology department, PNS Shifa from Nov 2010 to Mar 2013. A total of 414 women with EPL consented for MVA in the treatment room under local anesthesia, out of which 400 women underwent MVA
Results: Overall MVA was 94.5% effective in treating pregnancies through 13 weeks of gestation. There were no major complications. Minor complications: retained products of conception and endometeritis were treated easily
Conclusion: MVA is safe, effective and economical alternative to conventional dilatation and curettage for the treatment of EPL. Treatment in the outpatient setting allows better post-procedure physical and emotional quality of life; avoids general anesthesia, has immense potential in primary health care setting