Abstract

Background: Induced abortion is one of the safest procedures for unwanted pregnancies in medical practice. Vacuum aspiration is the preferred method for uterine evacuation before 12 weeks of pregnancy. Objectives: To study the efficacy of manual vacuum aspiration (MVA) ino8 wk versus 8–12 wk of pregnancy. MaterialsandMethods:ArandomizedcomparativeprospectivestudywasperformedattheDepartmentofObstetricsand Gynaecology, P D U Medical College, Rajkot, over a period of January 2012 to June 2013. Totally, 100 subjects were enrolled in thestudy, which werefurther dividedinto two groups(o8 wkand 8–12wk of pregnancy,50 in each). MVAwas performed in both the groups, and comparison was done in view to evaluate completeness of procedure, requirement of add-on procedure, and complications.
Results: Of 50 subjects in each group, perforation was found in two cases in group A and one case in group B. Requirement of oxytocics noted in only one case in group B, whereas incomplete abortion noted in two cases in group A and three in group B. All complications were found statistically insignificant (P = 1) between both the groups. Conclusion:ThisstudyfocusedontheefficacyofMVAinhigherweeksofgestations,whichwasequalinboththegroups. Thus, MVA is a safe and an acceptable procedure up to 12 wk of pregnancy.