{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,24]],"date-time":"2026-06-24T04:47:33Z","timestamp":1782276453264,"version":"3.54.5"},"reference-count":22,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2026,6,2]],"date-time":"2026-06-02T00:00:00Z","timestamp":1780358400000},"content-version":"vor","delay-in-days":1,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,6,1]],"date-time":"2026-06-01T00:00:00Z","timestamp":1780272000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/100009725","name":"Wishlist","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100009725","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Aust NZ J Obst Gynaeco"],"published-print":{"date-parts":[[2026,6]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Outpatient manual vacuum aspiration (MVA) has been recently implemented in Australia as an option for the management of first\u2010trimester miscarriage. In other international settings, it has been shown to be a safe and effective alternative to suction dilatation and curettage (D&amp;C). Our study presents the outcomes of outpatient MVA under local anaesthetic compared to suction D&amp;C under general anaesthetic. This service is the first to be established in Australia.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aims<\/jats:title>\n                    <jats:p>To evaluate the safety and efficiency of manual vacuum aspiration curettage (MVA) as a management option for early pregnancy loss, to determine if this procedure is equivalent to conventional surgical treatment.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and Methods<\/jats:title>\n                    <jats:p>A retrospective clinical audit was conducted at a regional tertiary teaching hospital to compare the rates of complications (haemorrhage, return to theatre, procedure failure and readmission) and length of stay between suction dilatation (D&amp;C) and MVA for the management of first\u2010trimester miscarriage.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      MVA was associated with significantly less blood loss (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001) and length of stay (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001) compared with suction D&amp;C. Overall readmission rates were similar between the two groups, with MVA more likely to be complicated by retained products of conception, whilst patients undergoing a D&amp;C were more likely to be readmitted with pain or endometritis.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>MVA is a safe alternative to suction D&amp;C for the management of first\u2010trimester miscarriage, with reduced hospital length of stay compared with D&amp;C.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/ajo.70134","type":"journal-article","created":{"date-parts":[[2026,6,2]],"date-time":"2026-06-02T07:54:48Z","timestamp":1780386888000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Re\u2010defining Care: Australia\u2019s First Outpatient Manual Vacuum Aspiration Service for the Surgical Management of Miscarriage"],"prefix":"10.1111","volume":"66","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1554-2745","authenticated-orcid":false,"given":"Betrice","family":"Walker","sequence":"first","affiliation":[{"name":"Sunshine Coast University Hospital  Birtinya Australia"},{"name":"University of the Sunshine Coast  Sippy Downs Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5995-9070","authenticated-orcid":false,"given":"Bethan","family":"Townsend","sequence":"additional","affiliation":[{"name":"Sunshine Coast University Hospital  Birtinya Australia"},{"name":"University of the Sunshine Coast  Sippy Downs Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7366-042X","authenticated-orcid":false,"given":"Rachael","family":"Nugent","sequence":"additional","affiliation":[{"name":"Sunshine Coast University Hospital  Birtinya Australia"},{"name":"University of the Sunshine Coast  Sippy Downs Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3764-9519","authenticated-orcid":false,"given":"Emma","family":"Seed","sequence":"additional","affiliation":[{"name":"Sunshine Coast University Hospital  Birtinya Australia"},{"name":"University of the Sunshine Coast  Sippy Downs Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,6,2]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.mpaic.2010.08.002"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10397\u2010013\u20100804\u20106"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13037\u2010022\u201000328\u20107"},{"issue":"3","key":"e_1_2_10_5_1","first-page":"28","article-title":"Comparison of Manual Vacuum Aspiration, and Dilatation and Curettage in the Treatment of Early Pregnancy 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