Is a uterine clearance necessary after taking medication for a missed miscarriage?

Patient's question:

Pregnant for three months, I went to the hospital for a check-up and found that the fetus wasn't developing well and had died. The doctor told me to have a medication abortion and also have a D&C procedure. I'm a bit scared. Is it necessary to have a D&C after a medication abortion if the fetus has died?

Doctor's answer:

Not absolute, it's best to go to the hospital promptly to decide on a follow-up ultrasound to check how much residue remains. If it's relatively small, medication can be considered as a conservative approach. For example, taking Motherwort Granules for (regulating) and carefully monitoring for a period of time. Pay attention to safety and prevent transmission. It's also recommended to follow medical advice to increase nutrition and maintain good hygiene. Be mindful of preventing anemia and carefully observe the amount of bleeding. Eating more warming foods is beneficial for preventing transmission and anemia. Avoid excessive stress.

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