What does the scraping procedure involve?
In fact, curettage is the removal of the mucous membrane of the uterus body and its contents (for example, the fetal egg) and the cervical canal. Since intrauterine fetal death, as a rule, occurs in the first trimester, and women are also being aborted somewhere in this period, the operation "scraping" is most often performed between 4 and 12 weeks of pregnancy. However, there are cases of carrying out the operation in the second and even in the third trimester.
Preparing for curettage
Before making an instrumental abortion, and this is the name of this procedure, a woman is prepared. She must necessarily take a shower and make an enema. Next, you need to shave off your hair from the genitals. In the evening before the day of surgery, you can not eat, the same applies to the next day, on which curettage is prescribed. Before the procedure, a woman should be examined by an anesthesiologist and, necessarily, an obstetrician-gynecologist. He will assess the condition of the vagina and cervix, and also specify the duration of pregnancy, find out the shape and position of the uterus. It is also important that when examined, the doctor may exclude (or vice versa, confirm) contraindications to curettage.
And what, there can be contraindications to curettage?
Yes. They include:
- inflammatory diseases of the genitals;
- infectious diseases, as well as chronic diseases of internal organs in the stage of exacerbation;
- Suspected violation of the integrity of the uterine wall.
How is curettage done?
As a rule, this operation is performed under general anesthesia. In very rare cases - under local. For the operation, a woman lies down in a gynecological chair. Before scraping, the doctor treats the external genitalia with a 5% alcohol solution of iodine, and the mucous membrane of the cervix and vagina with a fifty percent solution of ethyl alcohol. Further, the doctor exposes the cervix with the help of mirrors and widens its canal, carefully introducing expanders of different diameters. In order to remove the fetal egg from the uterine cavity, the doctor uses a special instrument similar to a stupid spoon and is called a curette. It is with this tool that he, in fact, conducts scraping.
If scraping is carried out because of incomplete spontaneous abortion, in most cases, the dilatation of the cervical canal is not carried out.
After the curettage is carried out, it is especially necessary to monitor the well-being of a woman, as well as the temperature of her body. It is also necessary to observe the secretions from the genital organs and be alert: in case of signs of bleeding or infection, you need to urgently seek medical help. To the doctors after the operation will have to handle quite often. A woman will need control from female counselors.
Write a woman home, based on her condition. For example, if the patient feels well, does not feel pain in the abdomen, if her body temperature is normal and there are no signs of bleeding, she will be allowed to go home. True, with such a condition that at the appointed time a woman will necessarily come to the control. For example, after 1, 5-2 weeks it is necessary to pass an ultrasound without fail. This will help to find out if there are pieces of the fetal egg left in the uterus. Sometimes you may need to take medication, reducing the musculature of the uterus and providing antibacterial therapy. Complications that may occur during scraping
Among the complications that may occur as a result of curettage, note:
- Bleeding and disorders of the coagulating system of blood. Blood clots can accumulate, and this sometimes requires re-scraping.
- Education of synechia (adhesions), which leads to the violation of menstrual and genital functions.
- Perforation, that is, a violation of the integrity of the uterine wall.
- Infection and development of inflammatory diseases of the genital organs.