Assessment of efficacy and safety of manual vacuum aspiration [MVA]

Objective: To assess the efficacy of manual vacuum aspiration [MVA] in term of complete uterine evacuation of product of conception. Secondary end point was to assess safety of procedure

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Study Design: Retrospective descriptive study

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Place and Duration: Department of Obstetrics and Gynecology, Unit-II Liaquat University Hospital Hyderabad Sindh from 15[th] October 2008 to 14[th] September 2009. PATIENT and METHOD: A retrospective review medical records of patients who underwent MVA was carried out. Primary out come measures were efficacy and secondary out come measures were to assess prevalence of complications

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Results: During study period 146 patients underwent surgical management for early pregnancy demise, incomplete miscarriage, retained product of conception after full term pregnancy. Out of 146, 112 patients were scheduled to undergo MVA. Efficacy of procedure was 88.18% [97/110]. Incomplete uterine evacuation was seen in 11 patients [9.82%], while 2 patients started to bleed heavily and shifted in Operation Theater in emergency

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Conclusion: MVA was introduced in Liaquat University of Medical and Health Science [LUMHS] for last 1 year. It is effective, cheap and should be considered to avoid prolonged hospital stay and cost