Uterine scraping (dilatation and curettage: D and C) is a fairly minor surgical procedure. The procedure may be performed in the hospital or in a clinic using general or local anesthesia.
The vaginal canal is held open by a speculum, and the opening to the uterus (cervix) may be anesthetized. The cervical canal is widened (dilated) using a metal rod, and a curette (a metal loop on the end of a long, thin handle) is then passed through the canal into the uterine cavity. The inner layer of the uterus (endometrium) is scraped away, and the tissue is collected for examination.
2006-09-16 08:57:25
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answer #1
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answered by ☼Earthbound Misfit☼ 4
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A D&C happens after a miscarriage. Sometimes all of the fetal tissue does not expell from the body and it has to be removed (or it can possibly make you sick). Also if a woman is having very heavy periods, or other problems that may lie within the uterus, they will perform a D&C for biopsy reasons (also may help lighten a menstral period)
A D&C (dilatation and curettage) is sometimes performed to "complete" a miscarriage. Remaining fragments of decidual or endometrial lining are removed. If there is still embryonic or placental tissue left behind, this procedure will remove them.
First, a speculum is placed in the vagina and anesthesia is assured with a paracervical block (a numbing agent is instilled into several quadrants around the cervix). Often the mother is given a sedative medication as well. If the D&C is completed in a hospital in the operating room, a general anesthetic may be given.
The cervix and uterus are stabilized with a tenaculum, which is like a two pronged pincher sort of clamp. This is used to apply traction to straighten out the natural bend in the cervical-uterine junction.
The uterus is "sounded" (the depth is measured), by passing a long probe until it comes in contact with the fundus or top of the uterus. Then dilators or progressively larger instruments are passed through the cervix to open it.
A curette is passed in and out of the cervix and gently comes into contact with the walls of the uterus until all tissue is extracted. As an adjunct to this, some physicians will use a suction device also.
After the procedure, the physician examines the tissue and sends it to pathology for evaluation. The client is awakened or allowed to sit up and rest at this point. Bleeding is like a period and subsides rapidly over the period of a few hours to a few days. Intercourse or tampons are not recommended for 7 to 14 days. Sometimes, antibiotics are prescribed for 3 to 7 days.
Unless, the procedure resulted in infection or some complication such as perforation, there should be no scarring that would affect your fertility.
2006-09-16 08:59:08
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answer #2
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answered by Kynnie 6
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D and C means Dilatation and Curettage.
It is done by using a Cervical Dilator to open the Cervix and introduction of a Curettage through the cervical OS into the Uterus to evacuate retain product of conception
Yes, when it is done by a professional and in the absence of any other gynecological problem.
In the early stage before it is eight weeks, YES. but after wards, NO
2006-09-16 08:59:29
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answer #3
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answered by Anonymous
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i find expert answers solshine. read them carefully.
1.dilatation is graded blunt rods enlarging the hole opening of the womb to allow 2.the curette spoonlike to go inside the womb easily and scrape out the products of conception = baby matter ,
usual under simple anesth, even valium like. [ care blood pressure, anemia, fast heart, general weakness.]
=for family planning before 11 weeks preg,
=for therapeutic [<11weeks]when continue preg is harm for the mother,
=for diagnosis of the nonpreg uterus if any pathology,
=or after natural abortion when there is some matter remaining still not come out and bleeding and bleeding
=to stop irreg menses flow sometimes.
=for no child long time married.
// sometimes sucking out is poss, after larger pieces are removed.
2006-09-16 09:37:57
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answer #4
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answered by kamesvari i 2
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A D&C is a medical way of cleaning out the uterus. It is perfectly safe millions of women including myself have had it done. A miscarraige can happen naturally but they do the D&C just to make sure that all of the product of conception is gone. If it is not gone you can get an infection in the uterus that can kill you.
2006-09-16 08:56:13
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answer #5
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answered by Medical and Business Information 5
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"dilation and curettage". basically the doctor artificially dialates the cervix and then scraps the walls of the uterus with an instrument called a "curette". D&C are also used for some types of cancer and for women experiencing very heavy menstrual bleeding. if done correctly by a trained professional, it is safe. but there are always risks as with any major surgery.
2006-09-16 08:58:51
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answer #6
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answered by Meg 4
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2016-10-15 01:47:59
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answer #7
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answered by Anonymous
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Different doctors use different methods. I have have had two miscarriages one ther natural way and one D and C. I much preferred the D and C. I wasn't always wondering when the miscarriage was going to start and the recovery wasn't as bad as I thought. Personally, they suctioned me, and I really wasnt in as bad as pain as with a regular miscarriage.
2006-09-16 10:02:46
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answer #8
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answered by TRISHTHEDISH76 2
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Sometimes a D&C is required because all of the fetal tissue or all of the placenta does not come out. If this happens it can cause an infection and cause fertility problems.
2006-09-16 08:55:05
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answer #9
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answered by Ryan's mom 7
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As I understand it, they get a scalpel and scrape the inside of the womb to end the pregnancy...I don't know how you induce a natural miscarriage though.
2006-09-16 08:53:19
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answer #10
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answered by want it bad 5
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