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- Patient Education
What is a dilation and evacuation?
Dilation and evacuation (D&E) is one of the methods used when a woman is having a miscarriage. A D&E is done to completely remove all of the tissue in the uterus after confirmation of no fetal heart tones or severe fetal abnormalities in the second trimester of pregnancy.
What are the risks associated with this procedure?
As with any procedure, there are risks. Be sure to discuss these risks with your physician prior to the procedure. Making a hole in my uterus that could cause serious bleeding, which could require hysterectomy.
What happens after the procedure?
Antibiotics are given to prevent infection. Rest quietly that day. You can do normal activities the following day, based on how you feel. Acetaminophen (such as Tylenol) or ibuprofen (such as Advil) can help relieve cramping pain. Medicines may be given to help the uterus contract and return to its pre-pregnancy size. Do not have sexual intercourse for at least 1 week, or longer, as advised by your health professional.
You may experience irregular bleeding or spotting for the first 2 weeks. During the first week, avoid tampons and use only sanitary pads. Cramps similar to menstrual cramps, which may last from several hours to a few days, as the uterus shrinks back to its nonpregnant size.
When should I call Greenville OB/GYN?
Call our emergency number at any time if:
Call during regular office hours if: