OBJECTIVE :-To find out the efficacy of MVA, its comparison with S & E for 1 st trimester MTP in terms of time taken and various complications. Safe abortion care the public health human rights rationale, approximately 47,000 pregnancy related deaths are due to complication of unsafe abortion and 5 million were estimated to suffer disability as a result of complication due to unsafe abortion. Almost in all countries the law permits abortion to save the women's life, preserve physical and mental

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... health of women. There are four main methods for safe pregnancy termination -Dilation & Curettage, D & E by electric suction machine, MVA and medical abortion by misoprostol and mifepristone. MATERIAL & METHODS: In this study randomly selected 200 case upto 10 wk pregnancy for MTP were studied. Group-I: 100 cases underwent MTP by MVA and Group-II: 100 cases underwent MTP by suction evacuation observations were tabulated and analysed. p value of<0.05 considered as significant. RESULTS: In our study efficacy of MVA was 97% and by S & E 98%. Blood loss in MVA group was < 20cc in 64% of group-I and 40% in group-II clients. Perforation was seen in 1% in group-II whereas non in group-I. CONCLUSION: Study found that both methods have high efficacy but MVA is safe, cost effective, blood loss minimal, less time consuming, portable, Many MTP can be done in a day to hospital and PHC level which cater target population area.