Dilation and curettage (D&C) for miscarriage

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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 practice 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.

References

Citations

1. Geyman JP, et al. (1999). Expectant, medical, or surgical treatment of spontaneous abortion in first trimester of pregnancy? A pooled quantitative literature evaluation. Journal of the American Board of Family Practice, 12(1): 55–64.

Credits

Last updated:	May 09, 2007
Author:	Kathe Gallagher, MSW
Reviewed By:	Joy Melnikow, MD, MPH - Family Medicine, Kirtly Jones, MD - Obstetrics and Gynecology
Editors:	Kathleen M. Ariss, MS, Pat Truman