Compare the manual vacuum aspiration with electrical vacuum aspiration in 1st trimester MTP

Introduction: During the last three decades, abortion laws have been liberalized in many parts of the world, so that termination of pregnancy is now permitted on broadly interpreted medical, psychological or social grounds. Aim: Randomised study was undertaken to compare the manual vacuum aspiration with electrical vacuum aspiration in 1st trimester MTP. Materials and methods: The study consisted of 100 pregnant women for termination of pregnancies in 1st trimester (6-12 weeks) admitted, during period of 2 years this study was carried out by using manual vacuum aspiration syringe in 50 women who formed the study group and compared with electrical vacuum aspiration in 50 women who formed the control group. Results: Majority of the patients belongs to age group between 21-25 years, Most of them were married and multigravidae requesting MTP, Longer the average procedural time observed with electrical vacuum aspiration (8.1 min) than manual vacuum aspiration (7.6 min). Average amount of blood loss compared with gestational age in both the procedure there is excessive amount of blood loss with increasing gestational age and blood loss is comparatively more with electrical vacuum aspiration (21.6 ml) than manual vacuum aspiration (16.6 ml). There are no complications during procedure with both vacuum sources. Incomplete evacuation rate with MVA was 4% and with electrical vacuum aspiration 2%. In the follow up after 1 month complications are nil with both the procedures. Conclusions: MVA procedure leads to marked improvement in the quality of abortion care, being its low maintenance, relatively inexpensive and easily transportable instrument, with eliminating need for electricity with these features combined with success in first trimester pregnancy termination.