Sometimes the unforeseen happens. You may only be a month or two pregnant when you begin to feel pain in your abdomen and when you rush to the bathroom, you are bleeding profusely. You are having a miscarriage.
This is not something that any women wants to go through but now it is happening to you. Miscarriages can happen in a few minutes and physicians do not always know what causes them.
You will need to go to the doctor immediately when you start to miscarry. If your physician thinks that it is necessary, they will want to perform a D&C on your uterus.
D&C (dilation and curettage) is a surgical procedure that allows your physician to clean out your uterus. They will do this by dilating your cervix and scraping the lining of your uterus.
Having a D&C performed will be necessary if you have very heavy bleeding with your miscarriage. Another reason that your physician may consider a D&C is if your miscarriage does not complete itself naturally.
Your physician will perform a D&C at your request if you do not want to wait for the miscarriage to complete on its own.
D&C versus Expectant Management
A D&C will help to end the miscarriage quickly. You will not have to go through as much physical discomfort, as you would have originally had to with an expectant management miscarriage.
Expectant management of a miscarriage may take a long time. Expectant management happens when your physician tells you that you have an ectopic pregnancy or a hemorrhage.
After your miscarriage, your physician will be able to run some tests and see what caused this horrible thing to occur.
There will be several risk factors to consider when getting a D&C. Puncturing of the uterine walls does sometimes occur during surgery.
When this happens, your uterus walls have the chance of weakening and your uterus has the chance of scarring. This scarring of the uterus, depending upon how severe, could affect future pregnancies. One risk that can happen, as with any surgery, is a bad reaction to anesthesia.
After the Surgery
You can usually go back to work after a few days when you have had a D&C. Bleeding vaginally and slight cramping may occur after surgery but will subside in a couple of days.
Your physician can give you a prescription if you have any pain or discomfort. Monthly periods should return to normal in about eight weeks but you should not consider getting pregnant for at least a few months.
Your body will need time to get back to its normal self. If at any time after the D&C you start having bad pain, a vaginal discharge that is not normal, dizziness, or a fever you will need to contact your physician.
A miscarriage will be a very emotional time for you. Make sure to give yourself enough time to heal mentally. You may want to get some counseling or if you develop severe depression, your physician will help you with medications that will help you feel better.