The following methods are recommended by World Health Organization (WHO) for abortions in the first trimester of pregnancy:<\/p>\n
Dilation and curettage refers to the methods not recommended by the WHO\u00a0 in the first trimester of pregnancy.<\/p>\n
Dilation of the cervix and curettage is a less safe procedure than vacuum aspiration and, at the same time, much more painful for women.<\/p>\n
In most industrialised countries, but also in other countries, the procedure of dilation of the cervix and curettage has been replaced by vacuum aspiration. The incidence of severe complications following dilatation and curettage exceeds 2 – 3 times the incidence of complications caused by vacuum aspiration.<\/p>\n
Both the WHO and the International Federation of. Gynecologists and Obstetricians (FIGO) consider that the dilatation and curettage (D&C) is an old to date method of surgical abortion and should be replaced by vacuum aspiration and\/or by methods of medical abortion.<\/p>\n
D&C is a surgical procedure that involves dilating the cervix with the help of mechanical dilator\u00a0\u00a0 or of pharmacological agents, after which the walls of the uterus are cleaned with curette (surgical instrument in form of a spoon).<\/p>\n
The procedure D&C lasts from 7 to 20 minutes and is carried out in a single visit. You may need a control visit after it.<\/p>\n
As a rule, the painful sensations in case of D&C are stronger, but can be total absent with general anesthesia, after which for a few hours may follow a state of drowsiness, weakness and dizziness.<\/p>\n
For a week after D&C pains of moderate intensity, similar or more intense than menstrual pains,\u00a0 and hemorrhagic discharges are a normal occurrence.<\/p>\n
After the procedure you should refer immediately to the physician if you have:<\/strong><\/p>\n