D and C

Dilation and Curettage (also known as D&C) is a surgical procedure often performed after a first-trimester miscarriage. Dilation means to open up the cervix; curettage means to remove the contents of the uterus. Curettage may be performed by scraping the uterine wall with a curette instrument or by a suction curettage (also called vacuum aspiration).

Procedure

The procedure is usually performed in a hospital or outpatient clinic. After the patient is sedated with anesthesia, the doctor dilates the cervix with small instruments or a medication. Then, the doctor uses a curette to remove uterine tissues.

Reasons for the procedure

D&C is used to diagnose or treat certain uterine conditions — such as heavy bleeding — or to clear the uterine lining after a miscarriage or abortion.

Risks

D&C procedures can cause various complications, including infection, hemorrhage and uterine perforation. Though rare, some complications can have serious consequences.

Recovery

Recovery after a D&C usually doesn't take long. Many women feel well enough to return to their normal activities the next day. However, for a few days after the procedure, some women do experience light cramping and spotting.

See also

• Miscarriage
• Abortion
• Uterine conditions
• Hemorrhage
• Infection

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