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

Abstract

Objective : To acknowledge the effectiveness and safety of manual vacuum aspiration (MVA) compared with Sharp Curettage (SC) in the management of incomplete abortion below 12 weeks of gestation which compare time to perform the procedure, rates of evacuation and infection one week after the procedure, and complication during MVA and SC procedure. Methods : A prospective study with 62 subjects with incomplete abortion came to the emergency wom of at Dr. Cipto Mangunkusumo hospital, Fatmawati hospital and Karawang hospital, 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 the procedure, completed evacuation and infection symptoms one week after the 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 did not find any infection symptoms one week after procedure and complication during the procedure on both procedures. Conclusions : 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 statistical difference and has equal safety to SC on clinical infection symptoms and complication during the procedure.