BioMedica |

Original Article

VOLUME: 36 | ISSUE: 2 | Jun 30, 2020 | PAGE: (160 - 165) | DOI: 10.24911/BioMedica/5-130

Management of Early Pregnency Loss by Surgical Evacuation or Medical Termination Which is a Better Choice?

Authors: Tasneem Hayat , Munawar Afzal , Humaira Bilal , Waqas Latif

Article Info

Authors

Tasneem Hayat

Associate Professor, Sahara Medical College, Narowal - Pakistan.

Munawar Afzal

Assistant Professor, Sahara Medical College, Narowal – Pakistan.

Humaira Bilal

Assistant Professor, Sahara Medical College, Narowal – Pakistan.

Waqas Latif

.Sc, Data Analyst, University of Health Sciences Lahore -Pakistan.

Publication History

Received: January 09, 2020

Revised: March 03, 2020

Accepted: June 15, 2020

Published: June 30, 2020

Abstract

Background and Objective: Comparative efficacy of medical termination has always remained debatable as compared to surgical techniques. The study was designed to assess the safety, acceptability and success of oral Misoprostol as an agent of medical termination as compared to surgical evacuation in cases of early pregnancy loss.
Methods: This was a quasi-experimental study conducted in Department of Obstetrics and Gynaecology at Sughra Shafi Medical Complex, affiliated with Sahara Medical College Narowal from August 2017 to February 2019. Diagnosed cases of missed miscarriage before 13 weeks (n = 150) were allocated either for surgical evacuation (n = 50) or medical termination by oral Misoprostol (n = 100) on patients’ own choice after counselling. Effective dosage schedule of Misoprostol, its adverse effects, number of days taken for complete expulsion and duration of hospital stay were recorded. Main outcome measure was successful termination.
Results: Patients enrolled for surgical evacuation had 100% success rate while those in medical termination had 80% success rate and 20% treatment failure.Significant differences were also observed in symptoms, bleeding and hospital stays between the two groups.
Conclusion: Surgical evacuation is still a gold standard method recommended for suitable cases, while medical termination by Misoprostolis low cost, better accepted and effective but has unpredictable outcomes.

Keywords: Early pregnancy loss, Medical termination, Surgical evacuation.

Pubmed Style

Tasneem Hayat, Munawar Afzal, Humaira Bilal, Waqas Latif. Management of Early Pregnency Loss by Surgical Evacuation or Medical Termination Which is a Better Choice?. BioMedica. 2020; 30 (June 2020): 160-165. doi:10.24911/BioMedica/5-130

Web Style

Tasneem Hayat, Munawar Afzal, Humaira Bilal, Waqas Latif. Management of Early Pregnency Loss by Surgical Evacuation or Medical Termination Which is a Better Choice?. https://biomedicapk.com/articles/online_first/130 [Access: May 08, 2024]. doi:10.24911/BioMedica/5-130

AMA (American Medical Association) Style

Vancouver/ICMJE Style

Tasneem Hayat, Munawar Afzal, Humaira Bilal, Waqas Latif. Management of Early Pregnency Loss by Surgical Evacuation or Medical Termination Which is a Better Choice?. BioMedica. (2020), [cited May 08, 2024]; 30 (June 2020): 160-165. doi:10.24911/BioMedica/5-130

Harvard Style

Tasneem Hayat, Munawar Afzal, Humaira Bilal, Waqas Latif (2020) Management of Early Pregnency Loss by Surgical Evacuation or Medical Termination Which is a Better Choice?. BioMedica, 30 (June 2020): 160-165. doi:10.24911/BioMedica/5-130

Chicago Style

Tasneem Hayat, Munawar Afzal, Humaira Bilal, Waqas Latif. "Management of Early Pregnency Loss by Surgical Evacuation or Medical Termination Which is a Better Choice?." 30 (2020), 160-165. doi:10.24911/BioMedica/5-130

MLA (The Modern Language Association) Style

Tasneem Hayat, Munawar Afzal, Humaira Bilal, Waqas Latif. "Management of Early Pregnency Loss by Surgical Evacuation or Medical Termination Which is a Better Choice?." 30.June 2020 (2020), 160-165. Print. doi:10.24911/BioMedica/5-130

APA (American Psychological Association) Style

Tasneem Hayat, Munawar Afzal, Humaira Bilal, Waqas Latif (2020) Management of Early Pregnency Loss by Surgical Evacuation or Medical Termination Which is a Better Choice?. , 30 (June 2020), 160-165. doi:10.24911/BioMedica/5-130