Scraping - this is not a harmless operation, which can give a variety of complications from bleeding before joining infection. However, many women are repeatedly carried out the operation to terminate the pregnancy. This is despite the fact that there are currently enough funds for contraception and proper planning pregnancy. Scraping the lining of the uterus - is an operation that is used in obstetrics (pregnancy) and Gynaecology (diseases of female genitalia). In obstetrics scraping is used to remove the uterus (such as the ovum) and decidua of the uterus.
Carry out this operation with a view to termination of pregnancy (up to 12 weeks), incomplete miscarriage
Miscarriage - can you protect yourself from it?
After abortion in the later stages and in the postpartum period in the delay of the placenta in the uterus, which caused uterine bleeding.
In gynecology scraping - a delete operation mucosa cervical canal and uterus. In this case, the scraping may be used for diagnostic and therapeutic (e.g., in polyps and uterine cervix, uterine bleeding, etc.) purposes.
This is counter-scraping
- acute infectious diseases, exacerbation of chronic diseases of internal organs;
- acute and subacute pelvic inflammatory disease;
- suspected perforation (a violation of the integrity of the wall) of the uterus.
But in an emergency (for example, with strong bleeding in the postpartum period), all of these contraindications can be ignored.
On the eve of a planned scraping woman should take a shower, she put a cleansing enema, shave hair from the external genitalia. On the day of surgery and the night before is not allowed to eat. On the eve of a woman examining an anesthesiologist, to-day operations - operating obstetrician. Conduct a general inspection, investigation vagina and cervix using mirrors and manual research to clarify the pregnancy (if the operation is carried out with the purpose of abortion), the shape and position of the uterus, to the exclusion of contra operation.
How is the operation
Scraping is usually performed under general anesthesia (but sometimes under local) in the gynecological chair
Gynaecological chair: Take a closer look
. Vulva treated with 5% alcohol solution of iodine, the vaginal mucosa and cervical - 50% ethanol solution. The cervix is exposed with the help of vaginal mirrors and expand its channel by sequentially adding extenders of different diameters. Then, when curettage for abortion fertilized egg is removed special blunt spoon (curette) and scrape the uterine lining acute stomach.
If the operation is performed on the uterine bleeding
Uterine bleeding outside of menstruation - a sign of a serious breach
Not related to pregnancy and childbirth, the uterine lining scrape sharp curette. Scraping of incomplete miscarriage is usually carried out without cervical dilation.
Dilatation and curettage with subsequent diagnostic research material held for suspected uterine cancer, tuberculosis
Tuberculosis - a full recovery is not guaranteed
, Uterine bleeding, without any signs of pregnancy, infertility and in some other cases.
When diagnostic curettage first scrape the mucous membrane of the cervical canal, and then expand the channel and spend scraping the mucous membrane of the uterus (separate diagnostic curettage).
Obtained by scraping biological material regardless of the purpose curettage (abortion, diagnostic tests, etc.) is collected in a sterile container and immediately sent to a lab for testing. When diagnostic curettage scrapings from the cervical canal and the uterine cavity is collected in a separate bowl.
The postoperative period
In the postoperative period is necessary to monitor the temperature of the body and genital discharge, time to notice signs of infection or bleeding. External genitals twice a day, wash with antiseptic solutions. After discharge from the hospital recommended prenatal surveillance.
Complications that can occur when curettage
Scraping may be complicated by perforation (a violation of the integrity of the wall) of the uterus, joining the infection and the development of pelvic inflammatory disease, menstrual irregularities, infertility.
Excessive scraping the uterine mucosa may develop Asherman's syndrome - menstrual and fertility caused by intrauterine adhesions (sinehiyaim).
Scraping the lining of the uterus is always fraught with danger of complications, however well it may be held.