What is a DnC?
A DnC is a surgical procedure that involves dilating the cervix and scraping the uterine lining to remove tissue. It is used for diagnostic or therapeutic purposes.
WhatsAppWhat is the full form of D&C?
The DnC full form is dilation and curettage. It refers to the two main steps involved:
Dilating the cervix
Scraping (curettage) the uterine lining
Why is D&C performed?
A D&C procedure is performed for various diagnostic and therapeutic reasons. These include:
Diagnosing conditions related to abnormal uterine bleeding
Clearing out tissue in cases of miscarriage or incomplete abortion to prevent infection or heavy bleeding
Removing uterine polyps or fibroids
How is a D&C done?
DnC is performed under general or regional anaesthesia and takes 10-15 minutes to complete. The steps involved are as follows:
The cervix is dilated using increasingly larger rods
A curette is utilised to scrape the lining of the uterus to remove tissue
Once the procedure is complete, the instruments are removed
Is D&C a surgical procedure?
Yes, D&C is a surgical procedure that requires anaesthesia. It is conducted in a hospital or specialised clinic setting under sterile conditions to prevent infection.
What are the indications for D&C?
Dilation and curettage is performed for several clinical reasons, from diagnostic assessments to therapeutic interventions. Here are the key indications for undergoing a D&C:
Diagnosis and treatment of abnormal uterine bleeding
Removal of tissue post-miscarriage or abortion
Removing uterine polyps or fibroids
How many days rest after D&C?
After going home, patients are advised to rest for the remaining day. They can return to their daily activities in a day or two.
What not to do after a D&C?
Post-operative care is crucial to avoid complications after a D&C procedure. Patients should be aware of what not to do during the recovery period:
Avoid inserting tampons into the vagin*
Refrain from sexual intercourse to prevent infection
Do not take baths (opt for showers instead)
Is D and C painful?
The DnC procedure can cause mild cramping, similar to menstrual pains. These cramps can be managed with over-the-counter pain medications.
What is dilation?
The term dilation refers to a medical procedure essential in various gynaecological interventions. It involves widening the cervix using specialised instruments or medications to facilitate access to the uterus.
Is D&C safe?
Yes, D&C is a safe procedure, and complications are rare. The overall mortality rate for this procedure is approximately 0.6 per 100,000, which, in some cases, makes it safer than childbirth.
What are the risks and complications of D&C?
DnC is generally considered safe, but like any surgical procedure, it carries some risks. These include:
Heavy bleeding
Infection
Uterine perforation
Scar tissue formation
Anaesthesia reactions (rare)
What is the recovery time after a D&C procedure?
The recovery time after a D&C procedure is typically short. Most patients can resume routine activities within 1-2 days. However, they may experience light bleeding or spotting for 10-14 days.
Can D&C be used for diagnostic purposes?
Yes, the D and C procedure can be used for diagnostic purposes. It is often performed to obtain tissue samples to diagnose conditions such as uterine cancer or the causes of abnormal bleeding.
Is anaesthesia required for D&C?
Yes, anaesthesia is required for a D&C to ensure the patient’s comfort and prevent pain during the procedure. The type of anaesthesia may be general or regional, depending on the specific circ*mstances and patient preference.
Can D&C be done in an outpatient setting?
Yes, D&C procedures can be done in an outpatient setting meaning it does not require a hospital stay. This allows patients to return home the same day, provided there are no complications or other medical concerns.
How long does it take to recover from D&C surgery?
Most patients recover from D and C surgery in a week. Some may experience light bleeding or spotting for 10-14 days, but major activities can usually resume within 1-2 days.
What post-operative care is needed after D&C?
Post-operative care is an important part of recovery to ensure the success of D&C. It includes the following steps:
Monitoring for excessive bleeding
Avoiding the insertion of anything into the vagin*, such as tampons
Abstaining from sexual intercourse for at least a week
Can D&C affect future pregnancies?
A DnC can affect future pregnancies if it leads to the development of scar tissue inside the uterus, known as Asherman’s syndrome. However, this is rare, and many women go on to have successful pregnancies after the procedure.
Are there any restrictions on activities after D&C?
After a D&C, it is recommended to avoid heavy lifting and strenuous activities for a week or two. It allows the cervix to close and the uterus to heal. Normal activities can typically be resumed based on comfort level and doctor’s advice.
Is the D and C procedure covered under insurance?
Yes, D&C procedures are often covered under insurance, especially if they are deemed medically necessary. However, coverage specifics can vary. Therefore, patients are advised to consult HexaHealth experts to understand the policy details.
How much does D and C surgery cost?
The dilation and curettage cost can range between ₹ 8,000 to ₹ 11,000, depending on the facility fees, geographic location, and the doctor’s expertise. However, these prices are estimates. Consult HexaHealth experts for up-to-date expenses.
