Abstract
Introduction: Miscarriage is defined as the natural death of a fetus inside the uterus. To remove complete
conception material after a miscarriage, vacuum aspiration or dilatation & curettage are methods to remove
uterine contents. Controversies exist regarding both procedures. So we conducted this study to confirm the more
successful method.
Objective: To compare the effectiveness of manual vacuum aspiration versus traditional evacuation and curettage
(E & C) among females presenting with incomplete miscarriage during the first trimester of pregnancy.
Materials and Methods: This randomized controlled trial was done at the Department of Obstetrics &
Gynecology, Shalamar Hospital, Lahore for 6 months. Then the selected females were divided randomly into 2
equal groups. In group A, females had manual vacuum procedure while in group B, females had evacuation &
curettage under general anesthesia. After 12 hours of the procedure, ultrasonography was done to confirm
complete evacuation.
Results: The mean age of the patients was 29.87 ± 6.71 years, the mean gestational age was 8.06 ± 2.82 weeks. The
effectiveness was noted in 248 (91.85%) patients. Statistically, manual vacuum showed significantly more effective
as compared to evacuation & curettage procedure in the management of incomplete miscarriage i.e. p-value=
0.008.
Conclusion: It has been proved that manual vacuum aspiration is more effective than traditional evacuation &
curettage in the management of incomplete miscarriage.
Faiza Iqbal, Sadia Azmat, Rabia Jamshaid, Zunaira Arshad , Anum Saqib. (2020) Incomplete miscarriage during the first trimester: a comparison of indoor versus outdoor procedure, The Journal of Rawalpindi Medical College, Volume 24, Issue 3.
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