ABSTRACT Background: Outcomes of surgical versus medical management of first trimester incomplete abortion are poorly documented in Uganda and it is important to guide clinical practice. Objectives: To compare the effectiveness, secondary outcomes and satisfaction level between surgical and medical management of first trimçster incomplete abortion among women admitted at Kampala International University Teachng Hospital. Methodology: Prospective open labelled randomized clinical trial of 100 consecutively recruited participants, using investigator administered questionnaire conducted from June to September, 2018. Ethical clearance was obtained from Research and Ethics Committee of Kampala International University Teaching Hospital (UG REC 023). Results: The effectiveness of surgical management was statistically significant higher than that of medical management (RRR=1 1.7%; p=O.043). Majority in the medical arm reported mild pain (64% versus 4%; p

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