Dilation and

curettage
presentor:
CUREG, PRECIOUS
DANAO, JOANA
DELA CRUZ, KIMBERLY
DEUNDO, JAMAICA
INTRODUCTION
Dilation and curettage (D&C) is one of the most common
procedures performed in obstetrics and gynecology. As a
general term, D&C describes a procedure in which
cervical dilators are used to facilitate the introduction of
instruments into the uterus, and the endometrial cavity is
either sampled or emptied with a curette. D&C can be
used for therapeutic and diagnostic indications and in both
the non-pregnant and pregnant uterus. A procedure to
scrape and remove tissue from the inner lining of the
uterus. The cervix is dilated (made larger) and a curette
(spoon-shaped instrument) is inserted into the uterus to
remove tissue. A tissue sample may then be checked under
a microscope for signs of disease, such as infection or
cancer. A dilation and curettage may also be done after a
miscarriage or to treat certain conditions, such as abnormal
bleeding.
SIGNS AND
SYMPTOMS
A physician may refer a client for D&C if she
complains of menorrhagia known as
excessive amount or duration of cyclic
menstrual bleeding, metrorrhagia, termed as
uterine bleeding between menstrual period
and most especially if she may experience the
so-called postmenopausal bleeding. These
manifestations could be a symptom for
several conditions that should not be ignored,
like polyps, myoma (benign neoplasm of the
uterus), or in some, endometrial cancer. Thus,
this minor procedure is often used in line with
hysteroscopy in order for the physician to
view the uterus for the presence of some
abnormal growths.
MANAGEMENT
➢ After the procedure, you will rest for some period of time in a
recovery or post-anaesthesia care area. This is necessary to monitor for
excessive vaginal bleeding or other complications and allows time for
you to recover from any anaesthesia you may have received.
➢ How long you stay in the recovery area typically depends on what
type of anaesthesia you had and may range from 30 minutes to a few
hours. If you were given general anaesthesia, you may have nausea
and vomiting, which can be treated with medications.
➢ To prevent infection, don't put anything in your vagina until your
provider says it's fine. Ask when you can use tampons and resume
sexual activity.
➢ Mild cramping and light bleeding are the side effects of dilatation
and curettage and your health care provider might give you
prescription drugs containing drugs that you can take.
 Thankyou for
listening maam!
muah muah😘