Dilation and curettage

Dilation and curettage
D&C
Background
Abortion type	Surgical
First use	Late 19th century
Gestation	4–12 weeks
Usage
	WHO recommends only when manual vacuum aspiration is unavailable
United States	1.7% (2003)
Medical notes
	Undertaken under heavy sedation or general anesthesia. Risk of perforation. Day-case procedure
	Infobox references

Dilation (or dilatation) and curettage (D&C) refers to the dilation (widening or opening) of the cervix and surgical removal of sections and or layers of the lining of the uterus and or contents of the uterus such as an unwanted fetus (early abortion before 13 weeks), remains of a non viable fetus, retained placenta after birth or abortion as well as any abnormal tissue which may be in the uterus causing abnormal cycles by scraping and scooping (curettage). It is a gynecologic procedure used for treatment and removal as well as diagnostic and therapeutic purposes, and is the most commonly used method for first trimester abortion or miscarriage.^[1]^[2]^[3]^[4]

D&C normally refers to a procedure involving a curette, also called sharp curettage.^[2] However, some sources use the term D&C to refer to any procedure that involves the processes of dilation and removal of uterine contents, or life or former life inside which includes the more common suction curettage procedures of manual and electric vacuum aspiration.^[5]

^ Pazol, Karen; Creanga, Andreea A.; Burley, Kim D.; et al. (November 29, 2013). "Abortion Surveillance – United States, 2010". Surveillance Summaries. 62 (ss08). Division of Reproductive Health, National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control: 1–44. PMID 24280963. Retrieved 14 January 2014 – via CDC.gov.
^ ^a ^b "Dilation and sharp curettage (D&C) for abortion". WebMD. 2004-10-07. Retrieved 2007-04-29.
^ Hayden, Merrill (2006-02-22). "Dilation and curettage (D&C) for dysfunctional uterine bleeding". WebMD.com. Archived from the original on 2007-10-21. Retrieved 2007-04-29.
^ Nissl, Jan (2005-01-18). "Dilation and curettage (D&C) for bleeding during menopause". WebMD.com. Retrieved 2007-04-29.
^ "What Every Pregnant Woman Need to Know About Pregnancy Loss and Neonatal Death". The Unofficial Guide to Having a Baby. WebMD. 2004-10-07. Archived from the original on 28 May 2008. Retrieved 2007-04-29.

[Abortion_Statistics_in_the_U.S.A._2010-1] Pazol, Karen; Creanga, Andreea A.; Burley, Kim D.; et al. (November 29, 2013). "Abortion Surveillance – United States, 2010". Surveillance Summaries. 62 (ss08). Division of Reproductive Health, National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control: 1–44. PMID 24280963. Retrieved 14 January 2014 – via CDC.gov.

[webmd_abort-2] "Dilation and sharp curettage (D&C) for abortion". WebMD. 2004-10-07. Retrieved 2007-04-29.

[webmd_gyne-3] Hayden, Merrill (2006-02-22). "Dilation and curettage (D&C) for dysfunctional uterine bleeding". WebMD.com. Archived from the original on 2007-10-21. Retrieved 2007-04-29.

[4] Nissl, Jan (2005-01-18). "Dilation and curettage (D&C) for bleeding during menopause". WebMD.com. Retrieved 2007-04-29.

[webmd_miscar-5] "What Every Pregnant Woman Need to Know About Pregnancy Loss and Neonatal Death". The Unofficial Guide to Having a Baby. WebMD. 2004-10-07. Archived from the original on 28 May 2008. Retrieved 2007-04-29.

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