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Dilation and evacuation can be offered for the management of second trimester miscarriage if skilled providers are available. [6] Some women choose D&E over labor induction for a second trimester loss because it can be a scheduled surgical procedure, offering predictability over labor induction, or because they find it emotionally easier than undergoing labor and delivery.
Intact dilation and extraction (D&X, IDX, or intact D&E) is a surgical procedure that terminates and removes an intact fetus from the uterus. The procedure is used both after miscarriages and for abortions in the second and third trimesters of pregnancy. When used to perform an abortion, an intact D&E can occur after feticide or on a live fetus.
D&E is performed vaginally and does not require an incision. Intact dilation and extraction (D&X) refers to a variant of D&E sometimes used after 18 to 20 weeks when removal of an intact fetus improves surgical safety or for other reasons. [79] Abortion may also be performed surgically by hysterotomy or gravid hysterectomy.
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 ...
That procedure, paired with follicle-boosting medication, may be enough to achieve pregnancy. Though, as you may have guessed, success rates once again drop after age 40. Navigating A Bumpy Road
Occasionally the medication misoprostol or a procedure such as vacuum aspiration is used to remove the remaining tissue. [12] [17] Women who have a blood type of rhesus negative (Rh negative) may require Rho(D) immune globulin. [8] Pain medication may be beneficial. [12] Emotionally, afterwards, sadness, anxiety or guilt may occur.
Fetal surgery, also known as antenatal surgery or prenatal surgery, [1] is a growing branch of maternal-fetal medicine that covers any of a broad range of surgical techniques that are used to treat congenital abnormalities in fetuses who are still in the pregnant uterus.
Single-use double-valve manual vacuum aspirator. Vacuum or suction aspiration is a procedure that uses a vacuum source to remove an embryo or fetus through the cervix.The procedure is performed to induce abortion, as a treatment for incomplete spontaneous abortion (otherwise commonly known as miscarriage) or retained fetal and placental tissue, or to obtain a sample of uterine lining ...