Manual vacuum aspiration: a safe alternative for the surgical management of early pregnancy loss
Abstract
Manual vacuum aspiration (MVA) is an alternative to the standard surgical curettage, performed under local anaesthetic in the setting of a treatment room. The aim of our study was to assess the efficacy of MVA in the management of first trimester early fetal demise and first- and mid-trimester incomplete miscarriage. This was a retrospective study of 246 patients who were scheduled to undergo MVA for first trimester early fetal demise and first- and mid-trimester incomplete miscarriage. One woman was excluded in the analysis because of the procedure being abandoned prior to MVA. Efficacy of the procedure was 94.7% (232/245). Incomplete uterine evacuation was seen in 5.3% (13/245) patients. Although not widely used in the UK, MVA could be considered routinely, thus avoiding general anaesthesia and the need for access to theatre.
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In a retrospective Scottish study, the efficacy of MVA was 94.7% among 245 patients undergoing MVA for incomplete abortion.
“The efficacy of MVA has been assessed in a retrospective Scottish study, which reported the efficacy of the procedure to be 94.7% among 245 patients undergoing MVA for incomplete abortion (35).”
From Unsafe abortion and postabortion care - an overview (2011) · cites this paper as [35]
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Unsafe abortion and postabortion care - an overview
RASCH, V. (2011) · Acta Obstetricia et Gynecologica Scandinavica · doi:10.1111/j.1600-0412.2011.01165.x · Cited by 94 · see citing works
Beyond usual care: the economic consequences of expanding treatment options in early pregnancy loss
Dalton, V. K., Liang, A., Hutton, D. W., Zochowski, M. K., & Fendrick, A. M. (2015) · American Journal of Obstetrics and Gynecology · doi:10.1016/j.ajog.2014.08.031 · Cited by 22 · see citing works
- Authors
- Milingos, D., Mathur, M., Smith, N., & Ashok, P.
- Affiliations
- Aberdeen Maternity Hospital (GB)
- ORCID
- Mathur, M
- Venue
- BJOG: An International Journal of Obstetrics & Gynaecology
- Publisher
- Wiley
- Published
- 2009-07-10
- Volume
- 116
- Issue
- 9
- Pages
- 1268-1271
- ISSN
- 0306-5456 (ISSN-L)
- 1470-0328
- 1471-0528
- OpenAlex
- W1529694582
- Cited by
- 56
- References
- 0
- Citations by year
- 2026: 2 · 2025: 2 · 2024: 3 · 2023: 6 · 2022: 5 · 2021: 5 · 2019: 6 · 2018: 4 · 2017: 3 · 2016: 1 · 2015: 1 · 2014: 3 · 2013: 4 · 2012: 5
- FWCI
- 3.68
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- BJOG An International Journal of Obstetrics & Gynaecology (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Reproductive Health and Contraception
- Health Sciences › Medicine › Obstetrics and Gynecology › Maternal and Perinatal Health Interventions
- Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Maternal and fetal healthcare
- Keywords
- manual vacuum aspiration, early pregnancy loss, incomplete abortion, surgical curettage, local anesthesia, uterine evacuation, general anesthesia avoidance
- MeSH terms
- Abortion, Incomplete, Adult, Female, Humans, Length of Stay, Pregnancy, Pregnancy Trimester, First, Pregnancy Trimester, Second, Retrospective Studies, Vacuum Curettage
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