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Acetaminophen (such as Tylenol) or ibuprofen (such as Advil) can help relieve cramping pain.You can do normal activities the following day, based on how you feel. Antibiotics are given to prevent infection.Cramps similar to menstrual cramps, which may last from several hours to a few days, as the uterus shrinks back to its nonpregnant size.During the first week, avoid tampons and use only pads. Irregular bleeding or spotting for the first 2 weeks.The uterine tissue removed during the D&E is examined to make sure that all of the tissue was removed and the procedure is complete.ĭoctors may use ultrasound during the D&E procedure to confirm that all of the tissue has been removed and the pregnancy has ended.ĭilation and evacuation (D&E) is a surgical procedure. Give you a medicine to reduce the amount of bleeding from the procedure.This may be done as a final step to make sure the uterine contents are completely removed. Use a curved instrument (curette) to gently scrape the lining of the uterus and remove tissue in the uterus.This is more likely in pregnancies of 16 weeks or more and is done before the uterine lining is scraped with a curette. Pass a grasping instrument (forceps) into the uterus to grasp larger pieces of tissue.Some cramping is felt during the rest of the procedure. The cannula is attached by tubing to a bottle and a pump that provides a gentle vacuum to remove tissue in the uterus. Pass a hollow tube (cannula) into the uterus.An abortion in the second 12 weeks will need the cervix to be dilated more than required for a vacuum aspiration. Dilate the cervical canal with probes of increasing size.Grasp the cervix with an instrument to hold the uterus in place.Or your doctor may use general anesthesia, which makes you unconscious. If the procedure is done in an operating room, you could receive a spinal anesthesia injection into the fluid around the spinal cord.
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Give you a pain medicine injection in the cervical area (paracervical block) along with a sedative.Clean the vagina and cervix with an antiseptic solution.Position you on the exam table in the same position used for a pelvic exam, with your feet on stirrups while lying on your back.Give you a first dose of antibiotic to prevent infection.During a D&E procedure, your doctor will: It can also be done at a clinic where doctors are specially trained to perform abortion. It is usually done in a hospital but does not require an overnight stay. This medicine can help soften the cervix.ĭ&E usually takes 30 minutes. Misoprostol may also be given several hours before surgery. Dilating the cervix reduces the risk of any injury to the cervix during the procedure. It usually includes a combination of vacuum aspiration, dilation and curettage (D&C), and the use of surgical instruments (such as forceps).Īn ultrasound is done before a D&E to determine the size of the uterus and the number of weeks of the pregnancy.Ī device called a cervical (osmotic) dilator is often inserted in the cervix before the procedure to help slowly open (dilate) the cervix. Dilation and evacuation (D&E) is done in the second 12 weeks ( second trimester) of pregnancy.