- CODEN : IAJPBB
- issn 2349-7750
TITLE:
ANALYSIS BETWEEN MEDICAL MANAGEMENT AND MANUAL VACUUM ASPIRATION IN CASES OF FIRST TRIMESTER MISSED MISCARRIAGE AMONG LOCAL FEMALE POPULATION OF PAKISTAN
AUTHORS:
Dr Noor us Sabah, Dr Aymen Sana, Dr Maryam Amir
ABSTRACT:
Introduction: Missed abortion is a relatively common event, occurring in up to 10-20% of recognized pregnancies. Missed abortion is in utero death of the embryo or fetus before the 20th week of gestation with retained products of conception. Aims and objectives: The basic aim of the study is to find analysis between medical management and manual vacuum aspiration in cases of first trimester missed miscarriage among local female population of Pakistan. Material and methods: This study was conducted at Islamic International Medical College during Dec 2017 to March 2018. Patients of age 18 to 40 years with first trimester missed miscarriage of less than 12 weeks gestation diagnosed by ultrasound showing gestational sac of less than 25 mm in diameter with no fetal cardiac activity primary para, multi para and grand multi para were included in the study. Results: The mean number of gestational age of the 125 patients studied was 8 weeks, the mean age being 33 years old. Mean intra-procedural comfort scores. Mean comfort scores recorded for MMM, MVA and SMM) were 2.6 for MVA (SD 0.1.22) and 3.9 for MMM. There was demonstrable significance difference between these two scores (p = 0.0025). Conclusion: It is concluded that MVA is better treatment modality as compared to medical management. Efficacy rate was significantly higher in MVA group as compared to medical treatment group
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NLM ID:101711216 [Serial]
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