COMPARISON OF SAFETY AND BENEFITS OF MVA AND DNC IN THE FIRST TRIMESTER MISCARRIAGE

Abstract

Objective: To compare the safety, efficacy, and patient-centered outcomes of MVA and D&C in managing first-trimester pregnancy failures.

Study Design: Randomized Controlled Trail.

Study Setting: The study conducted at the MNCH Hospital, Faisalabad

Study Duration: Six Months (November’23 to April’2024)

Methodology: A randomized controlled trial involving 110 participants equally divided into MVA and D&C groups. Outcomes measured included procedural efficacy, complication rates, pain intensity, hospital stay duration, and patient satisfaction. Data were analyzed using SPSS version 26.

Results: MVA demonstrated significant advantages over D&C, including lower complication rates (3.6% vs. 7.3% for uterine perforation), reduced pain intensity (mean score: 1.55 vs. 2.62, p < 0.001), shorter procedural time (5.25 vs. 9.93 minutes, p < 0.001), and higher patient satisfaction (85.5% vs. 61.8%, p = 0.005). Both methods were comparably effective in achieving complete uterine evacuation. MVA also showed better feasibility in low-resource settings.

Conclusion: MVA is a safer, more efficient, and patient-friendly alternative to D&C for managing first-trimester pregnancy failures. Its adoption in clinical practice, especially in resource-limited settings, is recommended to enhance patient outcomes and optimize healthcare resource utilization