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Hey everyone, yet another question. My friend just sent me a text message saying that she still needs a....either DMC or DNC. I don't know the abbreviation, but I do know it's the procedure you get when you have a miscarriage and they clean everything out...that's how she explained it. Anyway, she told me back in June that she needed this. The thing was, she was bleeding everyday, non stop for a month, and she says that she still is. All this bleeding is tiring her out, because she feels like it's a non stop period. When she went to the Dr. before she knew about the miscarriage, that's when they told her that she'd been pregnant, had a miscarriage, and would need a DNC/DMC. So, she says that they don't do them in the place that we're from, and that the other places she could go to, don't have appointments available for a long time. I don't know if she's telling the truth, or just really can't afford it. My question is, could not having one be dangerous to her health?

2006-10-03 05:54:31 · 6 answers · asked by LibraT 4 in Pregnancy & Parenting Other - Pregnancy & Parenting

6 answers

What your friend needs is called a D and C. It is an abbreviation for a procedure called Dilatation and Curettage. It is a scraping of the uterus. She does run the risk of health problems if she does not have this procedure done. Continued vaginal bleeding could cause severe anemia from the blood loss. There is also risk of infection if there are remaining fetal or placental pieces of tissue remaining. She is probably afraid of what the procedure entails if she has never had one. It can be done at a doctor's office or a health clinic or a hospital. It should not be difficult to find a place to have it done, in fact, her doctor should have referred her to a place if he doesn't perform the procedure himself. If she does not have it done, it could be dangerous to her health.

2006-10-03 06:46:01 · answer #1 · answered by sevenofus 7 · 0 0

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

2006-10-03 05:57:50 · answer #2 · answered by Anonymous · 0 0

please tell your friend to go to an emergency room as soon as possible. When having a miscarriage not all the time does eveything come out. Thats why they need the DNC because having those leftovers can cause medical problems including bacteria build up, and other cervical problems.

2006-10-03 06:00:01 · answer #3 · answered by StilettosGolour 2 · 2 0

yes. Tell her to go to the ER, and they can do a d&c. Sometimes these things can just go away, but if she is still bleeding/cramping, take her the hospital. If it's life threating, they cannot deny her service.

2006-10-03 05:59:20 · answer #4 · answered by Anonymous · 0 0

I don't know where your from but yes it could be dangerous to her health if your in Canada it should be paid for by ohip. Why would her doctor not send her for one ASAP. Time to get a 2nd op ion.

2006-10-03 05:59:41 · answer #5 · answered by Crystal F 2 · 1 0

she needs to go to and er and get this done before she bleeds to death. shes is drained and tired because she is anemic. telll her to get to an er pronto and tell them everything .the truth. its dnc

2006-10-03 06:00:21 · answer #6 · answered by kleighs mommy 7 · 0 0

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