The aim of the study was to evaluate and analyze the efficacy of MVA in the process of evacuation of the left out products in incomplete abortion in the first trimester. The study was also employed to evaluate the advantages of the procedure, the chance and the rate of occurrence of complications which usually occur with the other surgical methods in first trimester abortion¹

Materials and Methods: The study included 80 patients with history of incomplete abortion of any cause in the first trimester (<12 weeks) with patent cervix, no associated pelvic pathology and endometrial thickness of >15mm. the study was done in the Department of Obstetrics and Gynaecology, in RMMCH, Chidambaram, Tamilnadu from January 2017- June 2018 for 18 months. This is an empirical study done to analyze the efficacy and advantages of the procedure.

Result: Around 97.5% of patients had complete evacuation of the conceptus and only 2.5% required repeat procedure.² The mean blood loss during the procedure 33.75ml. there was no requirement of blood transfusion or additional uterotonics for hemostasis achievement. There were no cases of uterine perforation/ laceration of cervix. It is a rapid procedure with the mean duration of 5.93 minutes. There was no need for anaesthesia and done in an office setup.

Conclusion: MVA is safe, portable, rapid office procedure requiring no anaesthesia and hence the need for access to operation theatre and decreased hospital stay.²

Keywords: Manual vacuum aspiration, Uterotonics, Incomplete abortion.

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Dr Jayashree.V

Associate Professor, Department of Obstetrics and Gynaecology, Rajah Muthiah Medical College, Annamalai University, Chidambaram

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