Does a natural miscarriage require a uterine cleaning (D&C)?

Written by Du Rui Xia
Obstetrics
Updated on September 10, 2024
00:00
00:00

When a miscarriage occurs, whether a uterine cleaning is needed depends on whether there are any remnants in the uterine cavity as shown by a follow-up ultrasound examination, that is, to see if the miscarriage was complete. If the examination reveals significant remnants in the uterine cavity after the miscarriage, then a uterine cleaning treatment is required. Most women do not need a uterine cleaning after a natural miscarriage, as typically the bleeding will stop around 7-10 days post-miscarriage. Therefore, women should focus on resting, improving their nutrition, and enhancing their body's resistance to prevent any potential complications after a natural miscarriage.

Other Voices

doctor image
home-news-image
Written by Du Rui Xia
Obstetrics
1min home-news-image

What should I do if a natural miscarriage is not complete?

If after a natural miscarriage, there is prolonged vaginal bleeding and accompanying abdominal pain, it is necessary to consider the possibility that the miscarriage was incomplete. In this case, the first step is to go to the hospital for an ultrasound to check if there is any residual tissue in the uterine cavity and the size of any remaining embryonic tissue. Treatment should be determined based on the size of the residual tissue. If the residual tissue is relatively small, about 1 centimeter, it is generally possible to promote uterine contraction and aid the expulsion of the residual tissue by taking medications that improve blood circulation and remove blood stasis. If the residual tissue is larger, exceeding 2 centimeters, taking medication generally does not yield good results, and it becomes necessary to proceed with further surgical cleaning of the uterus.

doctor image
home-news-image
Written by Du Rui Xia
Obstetrics
53sec home-news-image

Does a natural miscarriage require surgery?

Generally, after a natural miscarriage, it is not necessary to undergo surgical treatment, as it is usually possible to naturally expel the contents completely. Typically, after a natural miscarriage, the pregnancy tissue can be expelled from the body through contractions of the uterus. However, if there is residual tissue after the miscarriage, a dilation and curettage (D&C) procedure may be required. It is recommended to have an ultrasound at a hospital after a miscarriage to check for any residuals in the uterine cavity. Then, medication or a D&C can be used to remove any remaining tissue. After a natural miscarriage, it is important for a woman to adjust her mindset and take good care of her body to recover and prevent any diseases.

doctor image
home-news-image
Written by Du Rui Xia
Obstetrics
1min 7sec home-news-image

Is it easy to get pregnant after a natural miscarriage?

When a natural miscarriage occurs, it is generally not easy to conceive. There are many reasons for natural miscarriage, one common cause is the insufficiency of corpus luteum function in women, leading to low levels of pregnancy hormones in the body, which can easily result in spontaneous miscarriage. Additionally, whether a woman has some gynecological diseases, such as uterine fibroids, endometritis, endometrial displacement, septate uterus, bicornuate uterus, unicornuate uterus, and other uterine issues, can also affect pregnancy and lead to natural miscarriage. Moreover, if the fertilized egg has chromosomal abnormalities during pregnancy, it can also cause a natural miscarriage. Therefore, when women prepare for the next pregnancy, they need to go to the hospital for relevant examinations. After identifying and actively correcting some factors affecting pregnancy, they can then try to conceive again.

doctor image
home-news-image
Written by Du Rui Xia
Obstetrics
56sec home-news-image

What to eat after a natural miscarriage

After a natural miscarriage, it's important to pay attention to dietary adjustments, ensuring a balanced intake of both meat and vegetables, and reasonably incorporating nutrients. The diet should include more protein-rich foods, such as eggs, lean meats, dairy, and bean products, all of which can help replenish the body's energy. Additionally, it's important to consume foods rich in iron, since women may experience bleeding after a miscarriage, leading to iron loss. Therefore, eating more iron-containing foods, including eggs, animal organs, animal blood, and jujube, is advisable. Moreover, consuming more vitamin-rich foods to enhance the body's immune system is recommended. Eating fresh vegetables and fruit can strengthen the immune system, promote digestion and absorption, prevent constipation during pregnancy, and facilitate physical recovery.

doctor image
home-news-image
Written by Liu Wen Li
Obstetrics
51sec home-news-image

How long does a blighted ovum naturally miscarry?

There are two situations regarding a pregnancy with an empty sac. One situation is that the embryo does not develop well and remains an empty sac. In another situation, it is possible to wait for another 4 to 5 days or a week and then recheck with an ultrasound. It might be that the development is just occurring later than usual, and thus, no embryonic bud has developed at the time of the initial ultrasound, displaying an empty sac. As for how long it will take for the empty sac to be expelled, there is no definite timeframe. In some cases, it is not necessary to wait for it to be expelled naturally; active measures such as medication treatment or surgical abortion can be taken.