Guidelines

What medications are prescribed after a D&C?

What medications are prescribed after a D&C?

Pain Management After a D&C patients tend to experience some discomfort such as cramping and/or pain. This is normal. Your doctor may recommend non-steroidal anti-inflammatory drugs (NSAIDs) such as Motrin or Ibuprofen to manage your pain.

What sedation is used for a D&C?

Reasons for a D&C A D&C also may be done after a miscarriage or abortion to remove tissue that has remained in the uterus. A D&C may be done with other procedures, such as hysteroscopy, in which a slender device is used to view the inside of the uterus.

What anesthesia is used for dilation and curettage?

The type of anesthesia will depend on the specific procedure being performed. Some D&C procedures may be performed while you are asleep under general anesthesia, or while you are awake under spinal or epidural anesthesia. If spinal or epidural anesthesia is used, you will have no feeling from your waist down.

Do you take antibiotics after D&C?

Most often, general anesthesia is used, but IV anesthesia or paracervical anesthesia may also be used. You should be prepared to have someone drive you home after the procedure if general or IV anesthesia is used. You may be given antibiotics intravenously or orally to help prevent infection.

Can you take naproxen after D&C?

It’s better to use a sanitary pad rather than a tampon, as it reduces the risk of an infection following the procedure. Period-like cramps are common. Light cramps can last up to 2 weeks. Naproxen or ibuprofen may help with the pain.

Which is better hysteroscopy or D&C?

Diagnostic hysteroscopy is usually done on an outpatient basis with either general or local anesthesia and takes about thirty minutes to perform. Curettage or scraping of the inside of the uterine cavity may be performed after hysteroscopy; this allows a better diagnosis on the tissue.

Do they use propofol for D&C?

Propofol is a widely used agent with rapid onset of action in D&C, however it may cause cardiovascular and respiratory depres- sion in a dose dependent manner. These untoward effects may be reduced/eliminated with addition of ketamine.

Is propofol used for D and C?

Traditionally propofol has been used for providing sedation in dilatation and curettage (D and C).

Which is better D&C or misoprostol?

Results: Misoprostol was more preferable than dilatation and curettage D&C in both 2010 and 2014, with percentages of 79.30% and 69.57%, respectively. There was a slight increase in the preference toward D&C in 2014.

When do you need a dilation and curettage?

Dilation and curettage (D&C) is a procedure to remove tissue from inside your uterus. Doctors perform dilation and curettage to diagnose and treat certain uterine conditions — such as heavy bleeding — or to clear the uterine lining after a miscarriage or abortion.

When to put medicine in cervix for dilation?

Healthcare providers may place medicine in your cervix to help it dilate. This medicine may be inserted 1 to 2 days before your procedure or the day of your procedure. You may be given an antibiotic through your IV to help prevent a bacterial infection.

What are the risks of uterine dilation and curettage?

During a hysteroscopy, your doctor can also remove uterine polyps and fibroid tumors. Dilation and curettage is usually very safe, and complications are rare. However, there are risks. These include: Perforation of the uterus. Perforation of the uterus occurs when a surgical instrument pokes a hole in the uterus.

How is misoprostol used to promote cervix dilation?

How you prepare. To promote dilation, your doctor uses a medication called misoprostol (Cytotec) — given orally or vaginally — to soften the cervix or inserts a slender rod made of laminaria into your cervix. The laminaria gradually expands by absorbing the fluid in your cervix, causing your cervix to open.

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