Lukman H Y, Pogharian D
Department of Obetetrics and Gynaecology, Addis Ababa University Medical Faculty, Ethiopia.
East Afr Med J. 1996 Sep;73(9):598-603.
This institution based case control study emanated from the fact that manual vacuum aspiration (MVA) has been recently introduced in Ethiopia and Gandhi Memorial hospital is currently serving as the pioneering centre. Abortion is an important everyday medicolegal, social, political and public health issue. The objectives of the study were to focus on abortion issues, to show that MVA is alternative instrument applicable in our setting and to highlight some of the determinants that can influence the choice of instruments in the management of incomplete abortions of less than 12 weeks of gestation. A total of 1896 patients who fulfilled the inclusion criteria underwent evacuation and curettage with MVA and SMC during the study period. The main considered variables included socio-demographic characteristics, service-providers, complications in relation to operators and method of surgery, duration of the surgery, patient pain evaluation and uterine factors. MVA is found to be equally safe, effective, simple and fast set of instruments which can be employed in the management of incomplete abortions. Integration of MVA in the medical training is recommended as it is a measure which can greatly contribute towards the reduction of maternal morbidity and mortality especially in a developing country like ours where resources are scare and alternatives are quite limited.
手动真空吸引术（MVA）最近在埃塞俄比亚被引入，甘地纪念医院目前是该技术的先锋中心。堕胎是一个重要的日常法医学、社会、政治和公共卫生问题。该研究的目的是关注堕胎问题，证明MVA是适用于我们当地情况的替代工具，并强调一些可能影响小于12周妊娠的不全流产处理中器械选择的决定因素。在研究期间，共有1896名符合纳入标准的患者接受了MVA和扩宫刮宫术（SMC）进行清宫。主要考虑的变量包括社会人口学特征、服务提供者、与操作者和手术方法相关的并发症、手术持续时间、患者疼痛评估和子宫因素。发现MVA是一组同样安全、有效、简单且快速的器械，可用于不全流产的处理。建议将MVA纳入医学培训，因为这一措施可极大地有助于降低孕产妇发病率和死亡率，特别是在像我们这样资源稀缺且替代方法非常有限的发展中国家。
