Efficacy, feasibility and patient acceptability of ultrasound-guided manual vacuum aspiration for treating early pregnancy loss
Publication in refereed journal

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其它資訊
摘要Background
Ultrasound‐guided manual vacuum aspiration (USG‐MVA) is an effective but underutilised alternative to medical or surgical evacuation of the uterus following first trimester miscarriage.
Aims
To evaluate the efficacy, feasibility and patient acceptability of USG‐MVA for treating early pregnancy loss.
Material and Methods
We invited patients with early pregnancy losses to participate in this prospective cohort study. We reviewed the medical records of the participants and their visual analogue pain score during MVA. Primary outcomes were efficacy, feasibility and patient acceptability of USG‐MVA. Secondary outcomes included the success rate of culture of chorionic villi for chromosomal analysis and complications from the USG‐MVA procedure.
Results
We included a consecutive series of 35 women who underwent the USG‐MVA procedure. The efficacy of USG‐MVA in achieving complete evacuation was 97.1%. The procedure was well tolerated and the mean procedure‐related pain score was 6.25 out of 10 (SD 1.55). Overall, all patients were satisfied with the procedure. The successful culture rate of chromosomal analysis was 94.3%. There were no major complications.
Conclusion
USG‐MVA is an effective treatment for the management of early pregnancy loss in an out‐patient setting. It is an alternative to surgical evacuation under general anaesthesia, particularly for women desiring chromosomal analysis of products of conception. Further studies are required to investigate its health‐related and economic benefits in hospital service provision.
出版社接受日期28.02.2018
著者Chung Jacqueline Pui Wah, Chung Cathy Hoi Sze, Mak Jennifer Sze Man, Li Tin Chiu, Kong Grace Wing Shan
期刊名稱Australian and New Zealand Journal of Obstetrics and Gynaecology
出版年份2019
月份2
卷號59
期次1
出版社Wiley
頁次71 - 76
國際標準期刊號0004-8666
語言英式英語
關鍵詞acceptability, efficacy, feasibility, manual vacuum aspiration, miscarriage

上次更新時間 2021-26-02 於 23:24