Dilation and curettage (D&C) for miscarriage
A dilation and curettage (D&C) is a surgical procedure in which the cervix is opened (dilated) and tissue is removed from the uterus. D&C is the most effective treatment for a miscarriage that is causing severe bleeding.
For decades, incomplete miscarriage has been treated surgically with D&C or vacuum aspiration. This practise is based on the concern that an incomplete miscarriage, in which a woman's uterus retains tissue, can lead to excessive bleeding or infection. Recent research, however, supports the use of close observation, called expectant management, as a treatment option for many early, uncomplicated miscarriages.1
A D&C can be performed in a hospital or clinic using general anesthesia or local anesthesia and can usually be done on an outpatient basis without requiring an overnight stay in the hospital.
Risks associated with D&C are rare, but they include:
- Possible reactions to anesthetic medicines.
- Infection.
- Puncture (perforation) of the uterus.
| Author: | Kathe Gallagher, MSW Carrie Henley | Last Updated: June 28, 2007 |
| Medical Review: | Joy Melnikow, MD, MPH - Family Medicine Deborah A. Penava, BA, MD, FRCSC, MPH - Obstetrics and Gynecology | |
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