Manual Uterine Aspiration in the Emergency Department as a First-Line Therapy for Early Pregnancy Loss: A Single-Centre Retrospective Study

Manual uterine aspiration (MUA) is a currently underused management option for early pregnancy loss (EPL) in the emergency department (ED). This study addresses the safety and efficiency of MUA in the ED. We performed a single-site retrospective observational chart review of pregnant women presenting to the ED with vaginal bleeding and ED pathology submissions for products of conception (POC) between 2012 and 2016. Patients were excluded for gestational age >14 weeks, no evidence of pregnancy loss, uterine cavity anomaly, hemodynamic instability, or hemoglobin 14 semaines, absence de signes d’avortement spontané, anomalie de la cavité utérine, instabilité hémodynamique et hémoglobine à < 80 g/L. Nous avons comparé la fréquence des complications (besoin d’une transfusion sanguine, consultation répétée au SU, échec de la prise en charge initiale, hospitalisation) et le temps d’utilisation du SU entre 4 options