Manual Versus Electric Vacuum Aspiration for Early Pregnancy Loss: What Do Patients Prefer?

MVA was safe and efficient, but women were less likely to recommend it, based on pain perception.

Manual vacuum aspiration (MVA) and electric vacuum aspiration (EVA) are options for surgical management of miscarriage, which ends 15% of pregnancies. Although patients undergoing elective terminations have given MVA and EVA similar acceptability and pain ratings, the two methods have not been evaluated as treatments for failed pregnancy (miscarriage). As part of a larger trial of misoprostol versus vacuum aspiration for first-trimester loss, investigators evaluated safety, efficacy, and patients’ opinions of MVA administered in an office setting compared with EVA administered in a hospital setting.

Women were randomized to undergo vacuum aspiration with MVA (n=89; paracervical block) or EVA (n=68; general, spinal, or monitored anesthesia ca…

Reviewing Author

Diane J. Angelini, EdD, CNM, FACNM, FAAN, CNAA

Disclosures

RoyaltiesOB Triage: Emergency Care Protocols (Springer Publications)

Editorial boardsJournal of Perinatal and Neonatal Nursing

Diane J. Angelini, EdD, CNM, FACNM, FAAN, CNAA

Disclosures

RoyaltiesOB Triage: Emergency Care Protocols (Springer Publications)

Editorial boardsJournal of Perinatal and Neonatal Nursing

Manual Versus Electric Vacuum Aspiration for Early Pregnancy Loss: What Do Patients Prefer?

Topics

Reviewing Author