Manual vacuum aspiration (MVA) in the management of first trimester pregnancy loss

R. Gazvani, Emma Honey, F. M. MacLennan, Alexander Allan Templeton

Research output: Contribution to journalArticle

15 Citations (Scopus)

Abstract

Background: Manual vacuum aspiration is not widely used for the evacuation of retained products of conception in western Europe despite its well-proven success and safety record. Nor is there much information about its use under intravenous (systemic) analgesia or patient-controlled anaesthesia in modern settings. Aim: To evaluate the use of manual vacuum aspiration for the evacuation of retained products of conception under systemic analgesia or patient-controlled anaesthesia in the management of first trimester miscarriages. Methods: Fifty-eight women with a diagnosis of first trimester miscarriage (42 missed and 16 incomplete miscarriages) were treated with manual vacuum aspiration under systemic analgesia or patient-controlled anaesthesia. Success rates and patient satisfaction and acceptability were recorded. Results: Of the 58 women recruited, 42 underwent the procedure under systemic analgesia and 15 under patient-controlled sedation while 1 woman opted for general anaesthesia. Successful evacuation was achieved in all cases. Both analgesic methods were associated with high levels of patient satisfaction and acceptability. Conclusions: Manual vacuum aspiration is an option in the management of all first trimester pregnancy losses. Comparisons with other treatment options are indicated. (C) 2003 Elsevier Ireland Ltd. All rights reserved.

Original languageEnglish
Pages (from-to)197-200
Number of pages3
JournalEuropean Journal of Obstetrics & Gynecology and Reproductive Biology
Volume112
Issue number2
DOIs
Publication statusPublished - 2004

Keywords

  • manual vacuum aspiration
  • first trimester miscarriages
  • anaesthesia
  • INCOMPLETE ABORTION
  • EVACUATION
  • CURETTAGE
  • COST
  • ACCEPTABILITY
  • TRIMESTER
  • EFFICACY

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