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Objective: To compare the efficacy and safety of Manual vacuum aspiration (MVA) with dilatation and curettage (DNC) in the management of early pregnancy failures at tertiary care Hospital.
Methodology: This comparative study was conducted in the obstetrics and gynecology department of CMH Zhob from January 2018 to December 2018. A total of one hundred and twenty patients with pregnancy failures of <12 weeks (spontaneous miscarriages, missed abortion, incomplete miscarriages, blighted ovum) were included. Using a Random table these patients were assigned to MVA and DNC. Data was collected via study proforma and analysis was done by using SPSS version 20.
Results: A total of 120 patients were studied, the mean age of patients of the DNC group was 29.35+6.4 years, and the mean age of MVA group was 28.04+6.19 years (p= 0.296). The average time of procedure was significantly higher in DNC group as compared to MVA group (p=0.001). Average of Hospital stay was significantly lower in MVA group. Mean VAS was significantly higher among patients of DNC group 6.23+2.12 as compared to the MVA group as 3.22+2.13. Infection rate, cervical trauma and heavy bleeding were also significantly higher among patients of DNC group as compared to the MVA group (p=0.001). However RPOCs and uterine perforation were statistically insignificant among both groups, p-values were quite non-significant.
Conclusion: In this study, MVA was observed as reliable, safe, non-invasive and effective techniques as conventional dilatation and curettage for the treatment of early pregnancy failures in the first trimester.
Yasmin Fatima, Shazia Firdos, Maria Sajid. (2020) Comparison of Manual Vacuum Aspiration Versus DNC in First Trimmer Pregnancy Failures in Terms of Efficacy and Safety at Peripheral Hospital Settings of Balochistan, Journal of the Society of Obstetrics and Gynaecologists of Pakistan , Volume-10, Issue-2.
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