Abstract
Manual vacuum aspiration (MVA) is the recommended surgical procedure for early miscarriages. Yet, its performance by unqualified and inexperienced hands without minimal medical knowledge and skills in the societies of developing nations is not uncommon. This can present some serious life threatening but preventable complications like uterine perforation with resultant intra-abdominal organ injuries that require surgical intervention. General awareness and retraining may decrease unsafe practices and thus reduce maternal morbidity and mortality. We present two cases of young multiparous women who underwent MVA for incomplete miscarriages, which were complicated by anterior and multiple fundal uterine perforations and resultant gangrenous bowel evisceration and entrapment respectively.
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