Comparison of manual vacuum aspiration with electrical vacuum aspiration in management of first trimester miscarriages

Aim: to compare manual vacuum aspiration with electrical vacuum aspiration for management of first trimester miscarriages in terms of mean blood loss and mean duration of hospital stay. methods: a randomized controlled trial conducted at department of obstetrics and gynecology unit ii,farooq teaching hospital of akhtar saeed medical and dental college lahore,from 1st january 2014 to 31st december 2015. two hundred patients presenting with first trimester miscarriage (gestational age less than 12 weeks) of all age groups and parity were randomly distributed into two groups. patients in group a underwent electric vacuum aspiration (eva) and patients in group b were offered manual vacuum aspiration (mva). independent sample t-test was used to compare blood loss and duration of hospital stay between the two groups. results: mva was superior to electric vacuum aspiration in terms of significantly less blood loss (31.14±5.30ml vs. 39.58±4.39ml; p=0.0001) and shorter duration of hospital stay (6.53±1.56 hours vs. 14.13±1.77hours;p=0.0001). conclusion: mva is safe and effective with less bleeding and less duration of hospital stay.