scholarly journals Situation Analysis of Patients Attending TU Teaching Hospital after Medical Abortion with Problems and Complications

2013 ◽  
Vol 52 (191) ◽  
Author(s):  
Neebha Ojha ◽  
Kesang D Bista
Keyword(s):  
Teaching Hospital ◽  
Medical Abortion ◽  
University Teaching ◽  
Dissemination And Implementation ◽  
Situation Analysis ◽  
Vacuum Aspiration ◽  
Incomplete Abortion ◽  
Manual Vacuum Aspiration ◽  
A Prospective Study ◽  
Adequate Supervision

Introduction: In Nepal medical abortion has been approved for use since 2009. There were manycases coming to Tribhuvan University Teaching Hospital coming with problems and complicationsfollowing medical abortion. Thus the objective of this study was to analyze the cases that came toTUTH following medical abortion with problems and complications.Methods: This is a prospective study conducted in the Department of Obstetrics and Gynecologyof TUTH. Study was carried from 1st August 2011 to 30th November 2012. Women who came toTUTH with any complaints following medical abortion were interviewed, examined and treatmentprovided. Relevant clinical finding were noted.Results: There were a total of 57 cases during the study. Most (66.6%) of the women were in agegroup 20-29 years age. There were 45 (79%) women who had abortion up to 9 weeks. Medical shopwas the main place where most of the women (45.6%) directly come to know about medical abortion.More than 34 (77.2%) received the service from medical shops without any supervision. Most 31(54.4%) presented with incomplete abortion. There were three cases of continuing pregnancy andfour presented with ectopic pregnancy. Eighteen (31.6%) cases needed admission. Fifty six percentof the cases were treated with manual vacuum aspiration, six cases underwent laparotomy and therewas one maternal mortality.Conclusions: There is a need for proper dissemination and implementation of guideline formanagement of these women and adequate supervision to reduce the problems and complications._______________________________________________________________________________________Keywords: complications; incomplete abortion; medical abortion; problems.

scholarly journals Manual Vacuum Aspiration versus Sharp Curettage for Incomplete Abortion: Which One is Better?

2019 ◽  
pp. 76-79
Author(s):  
JM Seno Adjie ◽  
Erik J Triyadi
Keyword(s):  
Prospective Study ◽  
Clinical Findings ◽  
The Other ◽  
Clinical Infection ◽  
Vacuum Aspiration ◽  
Incomplete Abortion ◽  
Manual Vacuum Aspiration ◽  
A Prospective Study

Objective: To acknowledge the effectiveness and safety of MVA compare with SC in management of incomplete abortion below 12 weeks of gestation which compare time to perform procedure, rates of evacuation and infection one week after procedure, and complication during MVA and SC procedure Methods: A prospective study with 62 subjects with complain incomplete abortion came to ER at RSCM, RS Fatmawati and RS Karawang, divided into 31 subjects on MVA group and 31 subjects on SC  group. The data was documented on the time of MVA procedure compare to SC, clinical findings on complication during procedure, completed evacuation and infection symptoms one week after procedure. Results: Sixty two subjects (31 each group) with average time of procedure was 17,65 ± 4,128 minutes and  SC was 22,26 ± 4,611 minutes with p = 0,00 and 95% CI; -4,513(-6,837 to -2,389 with significant statistically difference. The comparison of completed evacuation one week after procedure was 3,2% (n = 1) on MVA and 6,5% (n = 2) on SC with clinical findings, and p = 0,554, RR = 1,034 and 95% CI 0,924 – 1,158 with no statistically difference. On the other comparison, we didn’t find any infection symptoms one week after procedure and complication during procedure on both of procedures. Conclusion: MVA has more effective than SC on the time of procedure in incomplete abortion with below 12 weeks of gestation. MVA has superiority from completed evacuation but no statistically difference and has equal safety to SC on clinical infection symptoms and complication during procedure. Keywords: Manual Vacuum Aspiration (MVA), sharp curettage (SC), incomplete abortion.   Tujuan:Mengetahuiefektifitasdankeamanandari AVM dibandingkan dengan kuret tajam pada penanganan abortusin komplit dibawah usia kehamilan 12 minggu dengan melihatdari lama tindakan, proporsi tingkat kebersihan evakuasi sisa konsepsi 1 minggu pasca tindakan, proporsigejala – gejalainfeksi 1 minggu pasca tindakan dan proporsi komplikasi pada saat tindakan AVM dan kuret tajam. Metode:Penelitian ini merupakan penelitian kohort prospektif (observasional) dengan jumlah sampel 62 subjek yang berkunjung dengan abortusin komplit ke UGD RSCM, RS Fatmawati dan RSUD Karawang terbagi dalam 31 subjek pada kelompok prosedur AVM dan 31 subjek pada kelompok prosedur kuret tajam. Data dikumpulkanmelaluipencatatanwaktu lama prosedur AVM dibandingkankurettajam, pemeriksaan klinis komplikasi selama prosedur berlangsung, pemeriksaan klinis kebersihan sisa konspesi 1 minggu pasca tindakan dan gejala – gejala infeksi 1 minggu pasca tindakan. Hasil:Sebanyak 62 subjek (masing – masing 31 subjek), dimana didapatkan rerata dan simpang baku prosedur AVM 17,65 ± 4,128 menit dan kuret tajam 22,26 ± 4,611 menit dengan p = 0,00 dan IK 95% -4,513(-6,837 s/d -2,389), bermakna secara statistik. Pada perbandingan proporsi tingkat kebersihan evakuasi sisa konsepsi 1 minggu pasca tindakan didapatkan pada AVM 3,2% (n = 1) dan pada kuret tajam 6,5% (n = 2) terdapat sisa konsepsi dengan penilaian klinis, p = 0,554, RR = 1,034 dan IK95% 0,924 – 1,158 tidak memiliki perbedaan bermakna secara statistik. Pada perbandingan lainnya, tidak ditemukan gejala – gejala infeksi 1 minggu pasca prosedur dan komplikasi selama prosedur berlangsung pada prosedur AVM  dan kuret tajam. Kesimpulan:.AVM juga memiliki keunggulan dalam kebersihan sisa konsepsi namun tidak bermakna secara statitik dan memiliki keamanan yang setara dengan kuret tajam dari tingkat gejala infeksi dan komplikasi selama prosedur. Kata kunci :Aspirasi Vakum Manual (AVM), kuret tajam, abortusin komplit

scholarly journals Use of Misoprostol in the Management of Early Pregnancy Loss

2014 ◽  
Vol 7 (2) ◽  
pp. 9-13
Author(s):  
G Gurung ◽  
A Rana ◽  
J Baral
Keyword(s):  
Early Pregnancy ◽  
Severe Pain ◽  
University Teaching ◽  
Missed Abortion ◽  
Excessive Bleeding ◽  
Vacuum Aspiration ◽  
Incomplete Abortion ◽  
Manual Vacuum Aspiration ◽  
Blighted Ovum

Aims: To evaluate the effectiveness of Misoprostol administered vaginally to assist complete evacuation in early pregnancy losses (incomplete abortion, missed abortion and blighted ovum). Methods: It is a descriptive study conducted in the Department of Ob/Gyn and Emergency Department Tribhuvan University Teaching hospital. All women with clinical/USG diagnosis of incomplete abortion, missed abortion and blighted ovum ≤12 weeks POG either from last menstrual period (LMP) or USG were inserted tab. misoprostol 800 mcg in the posterior fornix. Same dose was repeated when the evacuation was incomplete on day 3 of follow-up. Manual vacuum aspiration (MVA) was offered on day 14 if evacuation was incomplete or any complications like excessive bleeding/severe pain occurred during this period. Results: A hundred and thirty three women with incomplete/missed/blighted ovum were reported, of which 112 (84.3%) were analyzed as 21(15.7%) lost to follow up. Among the 112, 51 (45.5%) were incomplete abortion, 34(30.3%) blighted and 27 (24.1%) missed abortion. Complete evacuation was achieved in 98/112 (87.5%) cases [73 (65%) cases with single dose & 25(22.3%) with double doses]. Evacuation was failed in 14(12.5%) cases [incomplete abortion 6 (42%), blighted 7 (50%) & missed abortion 1 (7.1%)]. Failure for complete evacuation (n=14) related to gestational age: 10-12 weeks 9/14(64%), 7-9 weeks 5 (35%) and none in the ≤6 weeks. Although the plan was to evacuate on day 14 of follow-up for incomplete evacuation which was applicable only in 11(78.5%) cases, 3(21.5%) cases were surgically (MVA) treated beforehand (2 for excessive bleeding, 1 for severe pain). No severe complications and side effects requiring treatment were observed. Conclusions: Vaginal Misoprostol is proved to be effective and safe in cases of incomplete abortion, missed abortion and blighted ovum. In the cases that failed to achieve complete evacuation by medical means using misoprostol were subjected to surgical manual vacuum aspiration (MVA) on day 14 of follow-up. DOI: http://www.dx.doi.org/10.3126/njog.v7i2.11133   Nepal Journal of Obstetrics and Gynaecology / Vol 7 / No. 2 / Issue 14 / July-Dec, 2012 / 9-13

scholarly journals MANUAL VACUUM ASPIRATION (MVA)

2016 ◽  
Vol 23 (11) ◽  
pp. 1349-1353
Author(s):  
Muhammad Usman Anjum ◽  
Surriya Yasmin ◽  
Qamoos Razzaq
Keyword(s):  
Access To Health Care ◽  
Pregnancy Loss ◽  
Health Care Facilities ◽  
Vacuum Aspiration ◽  
Incomplete Abortion ◽  
Trimester Pregnancy ◽  
Products Of Conception ◽  
Number Of Patients ◽  
Manual Vacuum Aspiration ◽  
Anembryonic Pregnancy

Objectives: To determine the safety and effectiveness of manual vacuumaspiration (MVA) in treating first trimester pregnancy loss. Place & duration of study: Departmentof Gynecology, Shahina Jamil Teaching Hospital, Abbottabad, Pakistan, from September2013 to December 2014. Study design: Descriptive cross-sectional study. Materials andmethods: All the patients who were less than 12 weeks of gestation and diagnosed with missedabortion, incomplete abortion, having retained products of conception after normal deliveryand anembryonic pregnancy were included in the study. Diagnosis was made on the basis ofhistory, physical examination and ultrasonography. Urine pregnancy test and β-HCG were donein selected patients. Last menstrual period and USG were used to determine the gestationalage. Manual vacuum aspiration was carried out under Para cervical block using “Ipas EasyGrip” cannula with a 60ml syringe attached to it to create a negative pressure. Completenessof the procedure was determined and products of conception were sent for histopathologicalexamination. Results: There were 165 patients enrolled in this study. All study subjects weremarried. Mean age of the patients was 27.60± 4.86 years. Fifty patients had a previous historyof abortion. Mean parity was 2.98± 2.22 and mean gestational age was 8.23±1.6 weeks.The maximum number of patients, 80%, belonged to age group of 20-30 years. There were37 patients who were presented with first pregnancy. The number of multigravida and grandmultigravida patients were equal, 64 cases in each group. The main reason for undergoingMVA in our study subjects was missed and incomplete abortion followed by retained productsof conception and anembryonic pregnancy. Conclusion: MVA is a preferred mode of treatingfirst trimester pregnancy loss as it is a simple, safe and cost-effective procedure. MVA should beused preferentially in rural areas where there is a limited access to health care facilities, powerout-breaks are common and advanced medical equipment is not available.

The adaptive capacity of the female body after conducting medical abortion

2014 ◽  
Vol 20 (29) ◽  
pp. 0-0
Author(s):  
Алексеюк ◽  
Maksim Alekseyuk
Keyword(s):  
Menstrual Cycle ◽  
Adaptive Capacity ◽  
Female Body ◽  
Clinical Course ◽  
Medical Abortion ◽  
Second Phase ◽  
Vacuum Aspiration ◽  
Adaptive Capabilities ◽  
Manual Vacuum Aspiration ◽  
First Time

Based on the evaluation of the clinical course and the adaptive capabilities of the organism in the postabortion period after manual vacuum aspiration in 128 patients found that disorder of adaptation and the most frequent complications in the postabortion period observed in the production of abortion in the second phase of the suppositive menstrual cycle , especially in first time pregnant patients. In this way, the abortion in the first phase of "suppositive" menstrual cycle is the reserve for increasing the safety of abortion by MVA.

scholarly journals Comparison of Medical Abortion with Manual Vacuum Aspiration in Termination of Pregnancy up to Nine Weeks

2020 ◽  
Vol 18 (1) ◽  
pp. 116-119
Author(s):  
Kanti Prabha Giri ◽  
Ganesh Dangal
Keyword(s):  
Vaginal Bleeding ◽  
Medical Abortion ◽  
First Trimester ◽  
Termination Of Pregnancy ◽  
Chi Square ◽  
Vacuum Aspiration ◽  
First Trimester Pregnancy ◽  
Manual Vacuum Aspiration ◽  
Comprehensive Abortion Care

Background: Nepal government has legalized abortion and approved both medical abortion and manual vacuum aspiration for first trimester pregnancy. However, there is inadequate evidence in our setup to comment on the acceptability and complications of medical abortion and manual vacuum aspiration for termination of pregnancy up to nine weeks of gestation. The objective of this study is to compare the reasons for termination of pregnancy, effectiveness and complications between medical abortion and manual vacuum aspiration in termination of pregnancy up to nine weeks.Methods: A comparative study was conducted among women requesting termination of pregnancy up to nine weeks of gestation in Comprehensive Abortion Care unit of Paropakar Maternity and Women’s Hospital. Women were kept in medical abortion and manual vacuum aspiration groups after they chose the method. They were advised for follow up in two weeks. Reasons for termination, effectiveness and complications of medical abortion and manual vacuum aspiration were compared using Chi square test.Results: In a total of 160 women, the most common reason for termination of pregnancy was completion of the family. In manual vacuum aspiration group 43 (58.9%) women had minimal per vaginal bleeding while 30 (40.54%) women in medical abortion group had per vaginal bleeding for 6-10 days (p <0.001). Rate of complete abortion in medical abortion group was 85.14% (n=63) and in manual vacuum aspiration group was 93.15% (n=68). Conclusions: The complications following medical abortion were higher than manual vacuum aspiration in termination of pregnancy up to nine weeks. Rate of completeness of abortion following manual vacuum aspiration is superior over medical abortion.Keywords: Manual vacuum aspiration; Medical abortion; Termination of pregnancy

scholarly journals Epistaxis among children in Usmanu Danfodiyo University Teaching Hospital Sokoto Nigeria

2020 ◽  
Vol 1 (2) ◽  
Author(s):  
Foluso M. Adeyeye ◽  
Kufre Iseh ◽  
Stanley B. Amutta ◽  
Mohammed Abdullahi ◽  
Daniel Aliyu
Keyword(s):  
Prospective Study ◽  
Teaching Hospital ◽  
University Teaching ◽  
Life Threatening ◽  
A Prospective Study ◽  
Clinical Conditions

Background: Epistaxis is a life-threatening otorhinolaryngological emergency and presents as a symptom of varied clinical conditions. The study was designed to determine the frequency and forms of epistaxis among children in Usmanu Danfodiyo University Teaching Hospital (UDUTH), Sokoto, Nigeria. Materials and Methods: It was a prospective study of children ≤12 years with epistaxis presenting to UDUTH, Sokoto from January to December 2017. Information on age, gender, causes, nature, and laterality of epistaxis was collected and analyzed. Results: Of 1078 children who presented with otorhinolaryngological complaints during the study period, 39 (3.6 %) had epistaxis, with majority 14

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