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What's a D&C?
The Ins and Outs of Dilation and Curettage
By Kelly Burgess
The Risks
The risk of complications with a D&C is small, especially with the increased use of suction over actual scraping, but there is a slight chance of uterine rupture with scraping, or even rupture of nearby organs. If a woman undergoes too many procedures it may cause some scarring in the lining of the uterus and may make conceiving in the future more difficult. Dr. Beller says there's also a concern with multiple procedures that it can weaken the cervix, thus impacting future pregnancies. Preparation and Recovery
A D&C is generally performed on an outpatient basis. Some physicians can perform the procedure right in their office. Others may refer their patient to a hospital or outpatient surgery center. Dr. Beller says Ativan is sometimes given before the procedure for relaxation, followed by intravenous sedation. General anesthesia is rarely used. Pain afterwards is generally managed with oral pain medications, either over-the-counter or prescriptions for slightly stronger pain management. Since the procedure is done on an outpatient basis, the patient is expected to go home the same day. Dr. Lazarus says that having someone to drive you home is crucial, but after that the amount of recovery time is very individualized. Cramping and bleeding can go on for several days, but should be minimal within a day or two. Dr. Lazarus also is realistic when it comes to women who already have small children at home, noting that it's often difficult for them to take much time to rest.
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