COMPARATIVE STUDY BETWEEN MANUAL VACUUM ASPIRATION (MVA) VERSUS DILATATION AND CURETTAGE (D&C) IN FIRST TRIMESTER MISCARRIAGE

Authors

  • Dr. Sidra Azam Khawaja Muhammad Safdar Medical College Author
  • Dr. Saadia Mir Khawaja Muhammad Safdar Medical College Author
  • Dr. Naila Khawer Ihsan Mumtaz Teaching Hospital Author
  • Dr. Zoofishan Imran RLKU Medical College Author
  • Dr. Mahwish Pervaiz Khawaja Muhammad Safdar Medical College Author
  • Prof. Dr. Sumera Khawaja Muhammad Safdar Medical College Author

DOI:

https://doi.org/10.62019/xj4vkq08

Keywords:

Manual Vacuum Aspiration (MVA), Dilatation and Curettage (D&C), World Health Organization (WHO), Body Mass Index (BMI), Blood Pressure (B.P)

Abstract

Background:  Miscarriage is a serious health problem across all over the world which is affecting 10-20% of pregnancies. The aim of this was study to compare the efficacy of manual vacuum aspiration with dilatation and curettage in first trimester miscarriages.

Methods: It was non-probability consecutive study of 108 women ages between 20 to 35 years, presenting to first trimester with missed miscarriage and gestational age <12 weeks on LMP who were divided into two groups (each 54) group A (D&C) and group B (MVA). This study was conducted at Obstetrics & Gynaecology department, Allama Iqbal Memorial Teaching Hospital and Govt. Sardar Begum Teaching Hospital, Sialkot from June 2024 to December 2024.

Results: Mean age was 28.47 ± 4.02 years in group A and 29.01 ± 3.99 years in group B. In group A, mean BMI was 21.98 ± 1.32 kg/m2 and in group B was 22.40 ± 1.70 kg/m2. The gestational age ranged from 5–12 weeks. The mean gestational age in group A was 8.23 ± 1.62 weeks and in group B it was 8.51 ± 1.81 weeks. MVA (85.2%) was more effective than D&C (62.9%). Complication rate after procedure was lesser in group B.

Conclusion: Manual vacuum aspiration is more efficient than dilatation and curettage for handling first trimester miscarriages, providing enhanced safety as an added benefit.

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Published

2025-05-18

Issue

Vol. 2 No. 2 (2025): Journal of Medical & Health Sciences Review

Section

Articles

License

All articles published in the Journal of Medical & Health Sciences Review (JMHSR) remain the copyright of their respective authors. JMHSR publishes its content under the Creative Commons Attribution‑NonCommercial 4.0 International License (CC BY‑NC 4.0), which allows readers to freely share, copy, adapt, and build upon the work for non‑commercial purposes, provided proper credit is given to both the authors and the journal. 

How to Cite

COMPARATIVE STUDY BETWEEN MANUAL VACUUM ASPIRATION (MVA) VERSUS DILATATION AND CURETTAGE (D&C) IN FIRST TRIMESTER MISCARRIAGE. (2025). Journal of Medical & Health Sciences Review, 2(2). https://doi.org/10.62019/xj4vkq08