A D&C (Dilation and Curettage) is generally considered a safe and routine procedure. However, like any surgical intervention, it carries some risks.
Understanding D&C Safety
Multiple sources confirm the safety of D&C procedures, highlighting its routine nature and low complication rates. Studies indicate a very low mortality rate, making it a relatively safe medical intervention. [1, 5, 7, 8] For example, one study cites a mortality rate of about 0.6 per 100,000 procedures. [5] The procedure is frequently used in various contexts, including after miscarriage [3, 4, 6], as a diagnostic tool, and as a method of early abortion. [8, 9]
Potential Risks and Complications
While generally safe, potential complications exist. These include:
- Uterine perforation: This involves a small tear in the uterine wall, potentially occurring if instruments penetrate the uterine lining. [1, 2]
- Hemorrhage or heavy bleeding: This is a risk following any surgical procedure. [4]
- Infection: Infection in the uterus is another potential complication. [4]
- Adverse reactions to anesthesia: Risks associated with anesthesia, including adverse reactions to medication and breathing problems, should be considered. [4]
Despite these risks, the overall safety profile of a D&C remains positive. Many sources emphasize the low occurrence of complications. [1, 2, 5, 6, 7]
Post-Procedure Considerations
If a D&C is performed due to a miscarriage, discussion with a healthcare provider regarding when it's safe to attempt another pregnancy is crucial. [3]
Conclusion
The vast majority of D&C procedures are performed safely with minimal complications. While potential risks exist, they are relatively rare. Proper pre- and post-operative care contributes significantly to a positive outcome.
