International Journal of Medical and Health Research

International Journal of Medical and Health Research


International Journal of Medical and Health Research
International Journal of Medical and Health Research
Vol. 6, Issue 1 (2020)

Early pregnancy termination: Comparison between manual vacuum aspiration and medical method


Dr. Rajni Priyanka, Dr. Chitra Sinha

Background: Early pregnancy termination can be done by surgical and medical methods. Choice of the methods depends upon the period of gestation and women preference. Aim: To compare the safety and efficacy of manual vaccum aspiration & medical method (with mifepristone and misoprostol) in the management of early pregnancy termination (up to 9 weeks). Study design - Prospective study Study time period – 6 month from January 2019 to June 2019 Material and Method:104womenwereselectedfor first trimester abortion up to 9 weeks from outdoor of Department of Obstetrics and Gynecology, PMCH Patna, Bihar. In group1-women who opted for vaccum aspiration and in group2- women who opted for medical abortion. All women were counselled & explained about both the methods in detail. Women were given the option of selecting medical abortion with mifepristone and misoprostol or manual vacuum aspiration. Those without a preference were randomly assigned to a method. Outcome were measured just after procedure and 14 days post abortion follow up visit. Result: Most of the women coming for termination of pregnancy belongs to urban area. Méan age of women in group 1 is 26.80 ± 3.63 yrs and in group 227.65 ± 3.50. 10 women were nullipara and majority of them (72.72%) opted for medical abortion. (P. value = <0.05) which is statistically significant showing more inclination of nulliparous women toward non-invasive procedure.12 women were Para-1, 56 women Para-2 & 26 women were multipara. Chi-Square Value is 0.953, Degree of freedom is 2 & P. Value 0.621.Other than nulliparous women there is no significant association between parity and two groups. Average gestational age in Group 1 was 48.9 ± 6.28 days and in Group 2 was 47.2 ± 6.87 days. Most of the patient in less than 42 days gestation opted for medical abortion. Average duration of bleeding in Group 1was6.77 ± 2.86 days and in Group 2 was8.57 ± 3.96 days (pvalue< 0.05).Amount and duration of vaginal bleedingis more in medical abortion group which is statistically significant. Incomplete abortion noted in 2 cases in medical method group. Success rate of MVA was 100% with no product of conception found in any patient were as in medical method the success rate was 96.15% in which two patient had incomplete expulsion. Conclusion: MVA is more efficacious then medical method in terms of complete evacuation of product of conception, Medical method provide a non invasive alternative choice for early pregnancy termination according to clinical examination and women preference.
Pages : 84-87