This topic will help you understand what Dilation and Curettage (D&C) is after a miscarriage, and how to prepare for the procedure.
What Is Dilation and Curettage Evacuation After a Miscarriage? **
Dilation and Curettage Evacuation is a procedure used to remove placental tissue that has been retained in the uterus, especially during the first trimester (from conception to 12 weeks of pregnancy). A thin instrument is inserted into the uterus, the cervix is dilated, and the remaining uterine lining tissue is removed. After a miscarriage, it is also done to stop severe bleeding and avoid infection.
When Is Dilation and Curettage Performed After a Miscarriage? **
It is performed as a therapeutic intervention when placental tissue fails to be expelled completely following an incomplete miscarriage, particularly when the pregnancy has progressed to 10–12 weeks.
It is indicated when symptoms of retained tissue are present, including abdominal pain, severe cramping, lower back pain, a fever over 38.5°C, or heavy vaginal bleeding.
It may be used to diagnose the cause of abnormal uterine bleeding.
It is recommended in cases of urgent or emergency medical care.
Who Is Likely to Undergo This Procedure?
Women who experience an incomplete miscarriage between the 10th and 12th weeks of pregnancy.
How Should You Prepare for the Procedure?
Before the Procedure:
Inform your doctor of any chronic medical conditions you may have.
Provide a list of all medications you are taking. Your doctor might ask you to stop taking any that raise your risk of bleeding.
Share your personal and family medical history.
Let your doctor know about any allergies to medications, anesthetics, or metals.
Any history of unusual bleeding should be mentioned.
Inform your doctor if you currently have a vaginal bacterial or viral infection.
Fasting duration depends on the type of anesthesia: 8 hours for general anesthesia, or as instructed for regional anesthesia.
You will be asked to sign a consent form.
Arrive at the hospital early.
Follow your doctor's preoperative instructions.
After Procedure:
To control possible minor bleeding, use sanitary pads and replace them frequently to prevent infection.
Take all prescribed medications. Your doctor may prescribe antibiotics to prevent infection and pain relievers for post-operative discomfort.
Follow preventive measures to reduce the risk of infection, such as abstaining from sexual activity for a period advised by your physician and avoiding the use of tampons.
Adhere to all post-operative care instructions.
Frequently Asked Questions:
What Are Common Symptoms After the Procedure?
Mild abdominal cramps (lasting from the day of the procedure up to two weeks).
Light vaginal bleeding (lasting from the day of the procedure up to two weeks).
When Can I Try to Conceive Again?
It is generally advised.to wait until your menstrual cycle normalizes. You may then consult your gynecologist and begin planning for your next pregnancy.
Will My Menstrual Cycle Return Immediately?
No, it might take some time, usually a month or two.
What Are the Possible Complications of the Procedure?
Heavy bleeding.
Infection.
Uterine perforation.
Bowel perforation.
Cervical insufficiency.
Intrauterine adhesions.
When Should I Seek Immediate Medical Attention? **
If you experience any of the following emergency symptoms, contact your doctor immediately:
A fever higher than 38.5°C.
Severe abdominal cramps.
Intense pain in the abdomen.
Severe lower back pain.
Foul-smelling or discolored vaginal discharge.
Dizziness or fainting.
Heavy vaginal bleeding
Sources:
https://www.ncbi.nlm.nih.gov/books/NBK568791/
