Ultrasound-guided Manual Vacuum Aspiration (USG-MVA)

This study evaluates the use of ultrasound-guided manual vacuum aspiration (USG-MVA) for treating miscarriage. USG-MVA is a gentle suction procedure done under ultrasound guidance to remove pregnancy tissue — an alternative to medication or waiting for natural passage. You may be eligible if: - You are a woman aged 18 or older - You have had a miscarriage in the first trimester (up to 12 weeks) or an incomplete miscarriage with less than 5 cm of retained tissue - You are hemodynamically stable (blood pressure and heart rate are stable) - You can tolerate a speculum examination You may NOT be eligible if: - You have cervical stenosis (narrowing of the cervical canal) - Your uterus is enlarged to 12 weeks size or more due to fibroids - You have a known uterine abnormality - You have a bleeding disorder - There is concern for active pelvic infection - You cannot tolerate a pelvic examination - You have a known allergy to misoprostol or similar medications Talk to your doctor to see if this trial is right for you.