Scraping for placental residues?


Question by: Lia Messina | Last updated: January 4, 2022

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Women can undergo curettage to voluntarily remove the product of an unwanted pregnancy no later than the 13th week of gestation. In addition to this purpose, operative curettage is performed for the removal of: Some placental residues from the uterus after delivery.

What happens if abortion material remains?

If after the miscarriage some products of conception remain in the uterus, some symptoms such as cramps and pain may occur, vaginal bleeding even after a few days and there is a risk of infection which can lead to fever, pain and even sepsis. In this case, he speaks of septic abortion.

What if the placenta remains?

When the placenta is attached too tightly, some flaps can remain attached to the uterus after delivery. In this case, delivery of the placenta is postponed but the risks of bleeding and infection of the uterus increase, which can be life-threatening.

How are the leaks after scraping?

After the uterine revision, you go home within the day, unless you have a fever or other complications, which are infrequent. In the following days, you continue to have increasingly mild blood loss, which subsides in 7-10 days.

What happens to the body after a curettage?

Curettage can cause complications such as: Bleeding in the abdominal cavity. Perforation of the uterus: constitutes the most dangerous complication of curettage. From medical statistics it is observed that only 1% of women undergo a perforation of the uterus after curettage.

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When can you get pregnant after a curettage?

In reality, a curettage does not normally affect uterine function. Some medical texts recommend waiting for two menstrual cycles for ovulation to return to normal. The WHO, on the other hand, states that it would be advisable to wait approximately 6 months before trying to find a pregnancy again.

How long does it take for a curettage?

Curettage is a simple surgical procedure, lasting about ten minutes and generally uncomplicated, but painful. In fact, it requires a mild anesthesia with awakening not annoying as there is no intubation.

When does ovulation occur after curettage?

When do you ovulate again? From a physical point of view, ovulation resumes almost immediately even after a miscarriage, so it is sufficient to wait a couple of menstrual cycles to allow the uterus to return to its original condition, especially if the abortion required a curettage.

What kind of anesthesia is done for the curettage?

As anticipated, uterine curettage involves the patient’s narcosis (general anesthesia). Less often, the surgical procedure is done under local anesthesia. The surgical procedure is performed in two steps: Cervical canal dilation: normally induced a few hours before surgery.

How long do the losses last after voluntary termination of pregnancy?

The losses can last from 7 to 12 days, in some cases even longer and are usually stronger or similar than a normal period. After approx. 14 days there will be a further check-up to verify the termination of pregnancy.

How to get rid of the placenta?

The placenta separates from the uterine wall and is expelled through the cervix and vagina spontaneously.

When is the placenta removed?

The third and final stage of labor is from the birth of the baby to the expulsion of the placenta and membranes.

Why does the placenta not detach?

This happens when during the afterbirth one realizes that the placenta does not detach and it is necessary to intervene with a manual detachment or with surgical intervention. For this reason, if the diagnosis of placenta accreta (or increta / percreta) is known, it is often evaluated whether spontaneous birth is actually indicated.

How do you know if the fetus’s heart stops beating?

When there is no more heartbeat it means that the growth of the embryo or fetus has stopped: it is an abortion, so-called internal or detained. THERE IS NO BEAT, THAT IS, THE WAIT HAS INTERRUPTED AND THERE WILL NOT BE “A SON AS EVERYONE UNDERSTANDS IT”.

How to tell if the baby is fine during pregnancy?

Among the most frequent disorders of pregnancy, nausea, vomiting and hypersalivation (sialorrhea) are probably caused by a hormone secreted by the placenta, chorionic gonadotropin (HCG), which is the hormone that is measured in pregnancy tests.

How long does the effect of Methergin last?

05.2 Pharmacokinetic properties. The action of Methergin occurs within 30-60 seconds after intravenous administration, after 2-5 minutes after intramuscular administration and after 5-10 minutes after oral administration, and its duration is 4-6 hours.

What should I do after an abortion?

How long does it take to recover from a miscarriage? You may be advised not to use tampons and not to have sex for 1-2 weeks after a miscarriage to help prevent infection.

How do you understand a miscarriage?

Miscarriage can also manifest itself through the loss of fluids and tissues from the vagina. Other symptoms may also include cramps, back pain, painful contractions, and a sudden reduction in the signs normally associated with an ongoing pregnancy.

How to react to a miscarriage?

How to overcome the trauma of miscarriage

  1. Share the pain. …
  2. Surround yourself with warmth and affection. …
  3. Take the time to grieve. …
  4. Make an appointment with a psychotherapist.

How do betas go down in the event of an abortion?

In the case of a miscarriage, the beta-HCG hormone decreases exponentially. If there are no signs of residual material in the uterus, it will not be necessary to undergo curettage. In the case of extrauterine pregnancy, the beta-HCG hormone increases little and does not follow the rules of quadrupling every 48 hours.

When does ovulation come after a miscarriage?

In general, ovulation resumes after a couple of weeks from the abortion, and therefore a pregnancy at that point would already be possible. But it is generally recommended to wait a couple of cycles before embarking on a new pregnancy, so that the uterus can return to its original condition.

How much does it cost to do a curettage in the clinic?

For those who choose to proceed in public facilities, abortion is free (except for the cost of the ticket for analyzes and drugs after surgery) while in private clinics it costs approximately 2,000 or 3,000 euros.

How to deflate the belly after an abortion?

In these cases, rest and ice pack on the stomach and possibly hemostats (Metherin drops: 20 drops 3 times a day, morning, noon and evening, for two or three days) are more than enough.

When Can You Get Pregnant Easiest?

There are only a few days of each month when a woman can get pregnant; having sex on the day of ovulation (when the body releases an egg) or in the few days before ovulation will give you the best chance of getting pregnant.

What to eat to feed the placenta?

Foods rich in iron can also be beneficial, reducing the risk of placental hemorrhage, because they contain a lot of vitamin K, which promotes blood clotting. Also eat lots of vegetables, wholemeal bread, beans, peas, and yeast extract.


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