1Post Graduate, Obestetrics and Gyanecology, SIMS, Hapur, Uttar Pradesh
2Professor and Head of Department Obestetrics and Gyanecology, SIMS, Hapur, Uttar Pradesh
3Senior Resident, Obestetrics and Gyanecology, SIMS, Hapur, Uttar Pradesh
4Professor, Community Medicine, Dr. B.S.A. Medical College, Rohini, Delhi
*Corresponding author: Nishi Singh Post Graduate, Obestetrics and Gyanecology, SIMS, Hapur, U.P.. singhnishi224001@gmail.com
Online published on 16 August, 2018.
To compare the efficacy, the amount of blood loss, severity of side effects, complication, success rate and safety of medical and surgical method for first trimester missed miscarriage.
This study was done in Obestetrics and Gyanecology, SIMS Hapur, U.P.
Total 200 patients were taken and divided into two groups: -
Group-A: Medical method
Group-B: Surgical method
In medical method a synthetic analog of prostaglandin E1 (PGE1) misoprostol 4 tablets (800mg) was placed in the posterior fornix. For the second group surgical evacuation was carried out after diagnosis of missed miscarriage with TVS or TAS
The success rate with medical method was 82% with surgical method was 98%.
The average amount of blood loss in medical group was 112.6 ml and in surgical group was 85.6 ml.
80 out of 100 in surgical group required I/V fluid and 2 patients needed blood transfusion while none in the medical group required either of them.
There is significant difference between the two groups for diarrhoea [‘P’ Value-0.0001] and fever [‘P’ value 0.04].
There is just significant difference in the induction-abortion interval between single and double dose of misoprostol.
from this study we came to the conclusion that surgical method of missed abortion is better than medical method with misoprostol in terms of amount of blood loss, duration of bleeding and the rapid completion of the process
TVS-Trans Vaginal Scan, TAS-Trans Abdomen Scan, I/V-Intra Venous Fluid
