A CLINICAL STUDY OF MANUAL VACUUM ASPIRATION IN WOMEN UNDERGOING FIRST TRIMESTER ABORTIONS.
European Journal of Molecular & Clinical Medicine,
2022, Volume 9, Issue 3, Pages 3074-3082
AbstractBackground-According to WHO, 42 million pregnancies end annually in induced abortions, 20 million of which are estimated to be unsafe. Globally, unsafe abortion accounts for 13% of maternal deaths, 99% of which occur in the developing world. This is mainly due to unavailability of the services and the underutilisation of the available services.
Materials and methodology-A prospective observational study of 650women , selected by non-probability convenience sampling method and who met the designed set of criteria, was conducted.
Results- In this study maximum number of participants were 238 (36.62%) in the age group of 21-25 years . Most participants 527 (81.07%) of the women were multigravida and 37.85% were having gestational age (GA) between 8.1-10 week. Maximum number of participants45.54% underwent MTP , among which 235 (36.15%) patients were terminated under ground V. Further 84.62% had no complaints of pain post-operatively. Further analysis reveals that there was significant correlation between GA and duration of procedure as p<0.05.In the study, 97.69% women did not have any associated complications. In the present study, Intrauterine contraceptive device (Copper T )was the most accepted method of contraception post MVA in 182 (28%) women , followed by oral pills in 169 (26%) women , tubal ligation in 130 (20%) women , condoms in 62 (9.53%) women , DMPA injection in 57 (8.76%) women and 50 (7.69%) women refused the use of any sort of contraception.
Conclusion-MVA is both safe & effective in first trimester medical termination of pregnancy and early trimester abortion.MVA is safe, cost-effective and reduces hospital stay as compared to inpatient based management.
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