Lamia Yusuf, Natasha Bushra.
Patient Satisfaction and Efficacy of Manual Vacuum Aspiration - a Safe Management Choice for First-Trimester Miscarriage.
J Sharif Med Dent Coll Jan ;9(1):32-5.

Objective: To determine the efficacy of manual vacuum aspiration (MVA) and the satisfaction regarding MVA in patients presenting with first- trimester miscarriage. Methodology: This cross-sectional survey was conducted in the Department of Gynaecology & Obstetrics, Khawaja Muhammad Safdar Medical College, Sialkot. Permission from the institutional review board was taken. The sample size was 28 as calculated by an open epi calculator. Manual vacuum aspiration was offered to all women fulfilling the inclusion criteria. A self-administered questionnaire was given to patients to assess their satisfaction scores. The primary outcome was to assess the efficacy of the procedure defined as complete uterine evacuation without the need for further treatment (medical or surgical curettage). Secondary outcomes were the safety of the procedure and related complications including uterine perforation, bleeding, and patient satisfaction. The data obtained was evaluated using Statistical Package for the Social Sciences (SPSS) version 21. Results: The mean age in the study group was 28.4+/-5.4 years. The efficacy of the procedure was 92.8% & the duration of the procedure was noticed as <10 minutes in 78.6% of patients. Blood loss was less than 100 mL in 78.6% of participants. The majority of patients (85.6%) were satisfied with the procedure. Conclusion: Manual vacuum aspiration is an efficient treatment option in terms of complete uterine evacuation, blood loss, pain during & after the procedure, and patient's satisfaction. So, MVA is an acceptable, efficient, and satisfactory alternative method in patients with first-trimester miscarriages. Keywords: Miscarriage. Early pregnancy. Patient satisfaction.

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