PREPARING FOR A D&C
Before undergoing a D&C, it is important to follow the healthcare provider’s instructions regarding food and drink restrictions. Patients should also arrange for someone to accompany them and drive them home after the procedure, as drowsiness can occur after anesthesia. In some cases, cervical dilation may be necessary before the procedure, particularly for pregnancy terminations or specific types of hysteroscopy. This can be achieved through the use of medication or by inserting laminaria rods into the cervix to gradually expand it.
THE D&C PROCEDURE
During the D&C procedure, the patient lies on their back on an exam table with their heels resting in stirrups. A speculum is inserted into the vagina to visualize the cervix, and a series of dilators are used to gradually open the cervix. Once the cervix is sufficiently dilated, a curette, a spoon-shaped instrument with a sharp edge or a suction device, is inserted through the cervix into the uterus to remove the uterine tissue. The procedure is typically performed under anesthesia to ensure patient comfort.
RECOVERY AND AFTERCARE
Following a D&C, patients may spend a few hours in a recovery room for monitoring. Mild cramping and spotting or light bleeding are common side effects that can last a few days. Ibuprofen and other over-the-counter pain relievers can aid with discomfort treatment. It is important to avoid inserting anything into the vagina until cleared by the healthcare provider, including tampons and sexual activity. Menstrual cycles may be irregular after a D&C, and patients should consult their healthcare provider if planning to conceive after a miscarriage. The healthcare provider will discuss the results of the procedure and any further steps during a follow-up appointment.