Unfortunately,miscarriageis themost common kind ofpregnancy loss.The initial goal of the treatment during or after the miscarriage is to preventfrom hemorrhaging and/or infection. The earlier you are in pregnancy,the more likely body will expel all fetal tissue byitself & will not require further medical procedures. If bodydoes not expel all tissue, the most common technique is performedto stop bleeding & prevent infection is a D&C.
AD&C, also known as dilation & curettage, is a surgical technique usually done after thefirst-trimesterof miscarriage. In a D&C, dilation refers to opening of the cervix, and curettage refers to removing contents from theuterus. Curettage can be done by scraping the uterine wall withthe help of curette instrument or by the suction curettage it is also called as vacuumaspiration.
A D&C procedure will be done as an outpatient or inpatient procedurein the hospital or other types of surgical center. A sedative is generallygiven initially to help you to relax. Most usually, general anesthesiawill be given,but IV anesthesia or paracervical anesthesia can also be used.
- You will be given antibiotics intravenously or orally to prevent from the infection.
- The cervix will be examined to determine if can be open. If the cervix is closed, dilators which are narrow instruments in varying sizes, will be inserted to open cervix to allow surgical instruments to pass through it. A speculum will be placed to keep cervix open.
- The vacuum aspiration it is also called as suction curettage, procedure which uses a plastic cannula called as a flexible tube, which is attached to the suction device to remove the contents of uterus. The cannula will be roughly the diameter in millimeters as the number of weeks gestation of the pregnancy is. Example, a 7mm cannula will be used for a pregnancy that was 7 weeks gestation. The use of a curette which is sharp-edged loop to scrape the lining of the uterus can also be used, but this is not usually necessary.
- The tissue which is been removed during the procedure will be sent off to a pathology lab for the testing.
- Once the doctor has seen that the uterus has become firm & bleeding has been stopped or is minimal, the speculum will be taken out & you will be sent to to the recovery room.