Assessment of Efficacy and Safety of Manual Vacuum Aspiration (MVA)

Abstract

Background: To assess the efficacy and safety of manual vacuum aspiration (MVA) by comparing it with conventional evacuation of retained products of conception(ERPC)
Methods: In this descriptive study patients who underwent ERPC(n=100) and MVA(n=60) were enrolled. ERPC was done under general anaesthesia, while MVA was done under para-cervical block, with or without analgesics, using ‘Ipas Easy Grip’ cannula attached to a 60 ml syringe Primary outcome measures were complete evacuation and complications following the procedure. Secondary outcome measures included hospital stay, operating time and need for re-evacuation.
Results: Efficacy of MVA was found to be 96.7% while it was 100% in ERPC group. Contrary to ERPC group, all cases of MVA were managed under paracervical block with or without analgesia.
Conclusion: MVA is a promising method compared to conventional ERPC.