Monday, May 24, 2010

What is D & C?

I have some problem with my cycle and sort of miscarriage. So doctor has advised for D%26amp;C and going to do this week end. I am nervous totally.





Can any one tell me what is D %26amp; C and what does the doctor do? How long will be in the theatre and bed rest? I want to know more. Thanks in advance.

What is D %26amp; C?
You need to ask your doctor everything you want to know. Don't ever have a medical procedure done if you are in the dark about it. That's how medical mistakes can happen.





What they do is dilate your cervix, insert a tool into your uterus, and scrape everything out.
Reply:D%26amp;C, also known as dilation and curettage, is a surgical procedure often performed after a first trimester miscarriage. Dilation means to open up the cervix; curettage means to remove the contents of the uterus. Curettage may be performed by scraping the uterine wall with a curette instrument or by a suction curettage (also called vacuum aspiration), using a vacuum-type instrument.





I wish you all the best darling.





xox
Reply:a d%26amp;c is a cleaning out of your uterus. i had it done twice. they put you to sleep to do it. after it all over you will have some cramps and bleeding! you will be sent home to rest for couple of days!! give your self at least 3 months before trying to concieve again. this way your body is back to a healthy state again!! after the d%26amp;c is over dont be lifting anything that is heavy. just take life easy and get plenty of rest!!! dont worry honey your going to be just fine!!! its done everyday!!!
Reply:Let me explain who needs a D%26amp;C and why? A D%26amp;C may be required to diagnosed and/or treat a problem such as heavy or prolonged menstruation, as well as unexplained bleeding between periods. Abnormal uterine bleeding is also a warning of various types of growths, which are most often non-cancerous. A D%26amp;C can take place in a hospital or doctors office using general anesthesia. An injection around the cervix will minimize pain or discomfort from the procedure and produce numbness in the area.Dialation and curettage is also commonly performed following miscarriage or abortion in cases where the uterus fails to fully empty its content. Dilation and Curettage also provides important information about whether uterine cancer is present. I have had the proceedure your about to have and its a little uncomfortable,however you probably will not experince much discomfort. If you would like to find out more consult your doctor and to read more on your own please visit www.about.com and type in D%26amp;C Dilation and Curettage for more information. I hope this information helped you. If you have any more questions Iam here for you. By the way once the proceedure is done you feel good after rest a little sore but fine. Take care don't be nervous. IF you need to talk before you go email me also take a friend with you to the doctor when you have your proceedure done. I WISH YOU THE VERY BEST AND DON'T BE SCARED. ITS GOING TO BE OK I WILL PRAY FOR YOU AND ASK GOD TO PROTECT YOU DURING AND AFTER YOUR SURGERY.
Reply:Dilation and curettage


anyway ,the cervix is opened (dilated) using different sizes rods until a tube can be inserted ,then the lining of the uterus is scraped with a knife like instrument that is a hollow spoon shape.or sometimes a small suction tube is used


the purpose of this procedure is to remove any tissue that adheres to the lining of the uterus ,which could cause heavy bleeding and keep it from doing its job correctly.


As a nurse I have observed this procedure, and generally if done early enough in the day a woman can go home after the anesthesia has worn off and it is certain that there is no abnormal bleeding.


of course this is in America and since you said theater, I'm certain you are somewhere else, UK? It really shouldn't be much different.


I'm sorry about the miscarriage.Its a sad thing.


I'm going to include a link to a site about d%26amp;c so youll have more info than I can put here.


peace %26gt;%26lt;%26gt;





http://www.americanpregnancy.org/pregnan...
Reply:i found this online for you....








Local anesthesia: If you have a local anesthetic, you will lie on your back in the standard pelvic examination position: legs apart and your knees drawn up. Your doctor will insert an instrument called a speculum into your vagina to hold the vagina wall apart. The doctor or assistant will then clean the inner and outer vagina, including the cervix, with a cleaning solution. The doctor will then steady the cervix with a clamp and inject a local anesthetic into the cervix on either side. This is called a paracervical block and relieves pain from the dilating of the cervix. It does not numb any of the rest of the body.








Spinal anesthesia: A needle is placed in the lower back, usually while the patient is sitting up. Anesthetic is injected through this needle into the spinal fluid that surrounds the spinal cord. This causes numbness usually from the level of the belly button on down. It wears off in 1-3 hours.


General anesthesia: If general anesthesia is given, you will not be aware of anything including the cleaning step, after you lose consciousness. You will lie on the table with an anesthesiologist or nurse anesthetist at your head. You may be given an injection of medication to relax you and to dry up any oral secretions. You will then receive an intravenous fast-acting anesthetic and immediately fall asleep for the procedure.


Dilation (the first step): While grasping the cervix with a clamp, the doctor will pass a thin, flexible piece of metal called a sound to determine the depth and angle of the uterus. These measurements allow the doctor to know how far into the uterus the curette can be safely inserted. The usual method of dilation is to insert a thin, smooth metal rod gently along the vaginal canal and up into the tiny cervical opening. The rod is left in place for a moment, then withdrawn and replaced by a slightly larger rod. This process is repeated until the cervix has expanded to about the width of a finger. This method takes about 10 minutes. If you are under local anesthesia, you may experience crampy discomfort caused by stretching of the cervical muscles to accommodate the rods. Another method being used with increasing frequency is to insert laminaria tents (cigarette-shaped pieces of a special dried seaweed) into the cervix 8-20 hours before the procedure. The laminaria absorb water from the tissues and swell up, slowly distending and dilating the cervical canal. This is less traumatic than using the metal dilators.











Hysteroscopy and curettage (the second step): After dilation, your doctor holds the vagina open again with the speculum. The doctor may also reach into the cervix with a tiny spoon to obtain a specimen of the cervical lining. At this point, the hysteroscope is usually inserted into the uterus so that the doctor may look at the inside of the uterus. The doctor may see fibroids, polyps, or overgrowths of the endometrium. At that time, instruments may be inserted through the hysteroscope and biopsy, or removal, of these things may be accomplished.


The doctor will now place a slightly longer and larger curette through the dilated cervix and up into the uterus. This is a metal loop on the end of a long, thin handle. With steady, gentle strokes, the doctor will scrape or suction the uterine wall. This tissue is sent to the lab for analysis. When the curettage is completed, the instruments are removed.








If under local anesthesia, you will probably experience a tugging sensation deep in your abdomen as the curetting is performed. If this is too painful, you should tell the doctor, who may then order pain medicine.


The entire procedure, including curettage takes about 20 minutes. At the end, you may have cramps. This may last about 30 minutes.














I hope all goes well for you!!!
Reply:it is when the doctor go in and i think u r awake but the doctor goes in an takes out the baby. u may be uncomfortable for a couple of days.
Reply:Dialation %26amp; Curettage.An operation to clean up womb.you can google it up for more details.
Reply:basically your womb is being cleaned out from the miscarraige. is not sore but its very uncomfortable.
Reply:They now call this proceedure an ERPC - Evaucation of Retained products of Conception.





I had one under gneral anathestic, it was very quick, I did not need any bed rest, I was home within a few hours (though I did discharge myself) Bleeding afterwards is light, as is cramping.





Look it up, there is a wealth of info about it on the net, also they should have given you some leaflets at the hospital.
Reply:D and C is a procedure to scrape and collect the tissue from inside the uterus. Its an outpatient procedure. You will be put to sleep, so you don't feel anything being done to you. The dr could either scrape the tissue or use a suction. The procedure takes less than an hour. You will be sent home and can return to normal activities in a day or so. You will feel a little cramping in your stomach like menstrual cramps. You will be in the recovery room for about 30mins. You can't drive yourself home, so someone needs to be there with you. There should be no sex or the use of tampons for at least 7 days. Douches should also be avoided for 2wks. You will receive antibiotics and some pain medication. Your next period may come early or late. You will be fine there is no need to worry or go into panic mode.
Reply:I had a D%26amp;C when i miscarried


They put u 2 sleep in take u into theare n clean ur womb out u dont feel any thing at all n not that painful afterwards


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