COMPARATIVE STUDY OF MANUAL VACUUM ASPIRATION AND DILATATION & EVACUATION FOR THE SURGICAL MANAGEMENT OF FIRST TRIMESTER ABORTION AT TERTIARY CARE HOSPITAL IN WESTERN RAJASTHAN

Dr. Santosh Khajotia; Dr. Banshi Dhar Balai; Dr. Ruchi Saxena; Dr. Deepika Malik

Volume : IX, Issue : IV, April - 2019

COMPARATIVE STUDY OF MANUAL VACUUM ASPIRATION AND DILATATION & EVACUATION FOR THE SURGICAL MANAGEMENT OF FIRST TRIMESTER ABORTION AT TERTIARY CARE HOSPITAL IN WESTERN RAJASTHAN

Dr. Santosh Khajotia, Dr. Banshi Dhar Balai, Dr. Ruchi Saxena, Dr. Deepika Malik

Abstract :

Objective: To compare the safety and efficacy between manual vacuum aspiration and dilatation & evacuation as the method of surgical abortion in 1st trimester. Methodology: A prospective study was conducted on 200 females in first trimester abortion. Results: The mean age for study in MVA group was 23.24±2.67 years & in D&E group were 24.0±4.03 years. Mild to moderate pain experienced by women in MVA group and moderate to severe pain experienced in cases of D&E group. Higher blood loss occurred in cases of D&E group and 10% cases required blood transfusion. Mean duration of hospital stay in MVA group was 4.16±2.4 hours and in D&E group was 7.91±2.99 hours. Mean duration of procedure in MVA group was 6.5±2.65 minutes and in D&E group was 10.26±2.68 minutes. MVA was effective in 99% cases whereas D&E was effective in 94% cases. Conclusion: MVA is safe, effective, cheaper less time consuming method and requires shorter hospital stay. It does not require general anaesthesia and complications are also less.