Qudsia Nawaz, Sarwat Navid, Shehla Baqai.
S2Q MVA, Making Things Cheaper For Low Resourced Settings.
Rawal Med J Jan ;39(2):178-81.

OBJECTIVE: To determine the safety and efficacy of S2Q Improvised MVA STUDY DESIGN: Prospective descriptive study PLACE AND DURATION OF STUDY: This study was conducted in the department of obstetrics & gynecology at C.M.H. Lahore and PNS Shifa Hospital Karachi from May 2012 to Apr 2013 over a period of 1 year. PATIENTS AND METHOD: Total 150 Patients underwent the MVA procedure, 50 for diagnostic endometrial sampling and 100 for therapeutic pregnancy related indications. The patients with molar pregnancy and structural uterine malformations were excluded from the study. The S2Q MVA set was prepared out of common surgical disposable equipment consisting of a big nosel 60cc syringe, nelaton tube, and a holding plunger. Data was analyzed using MS excel in the form of frequencies, percentages and presented in the form of tables. RESULTS: In our study 100 patients underwent MVA for abortion and retained products of conception (RPOCs) related indications with an efficacy of 99% while 50 patients underwent the procedure for diagnostic indications such as heavy menstrual bleeding (HMB) and post menopausal bleeding (PMB), with an efficacy of 98%. CONCLUSION: S2Q MVA is and effective and much cheaper alternative to the commercially available expensive MVA kits.

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