Is a D&C necessary after a natural miscarriage?

Patient's question:

After getting married for a year, I got pregnant, but last week I had a miscarriage due to an accident. Do you need to have a D&C (dilation and curettage) after a natural miscarriage?

Doctor's answer:

After a natural miscarriage, it is necessary to go to the hospital for an examination. If the uterine cavity is completely clean, there is no need for a D&C procedure. If there are residual tissue or excessive residual blood in the uterine cavity, a D&C surgery may be required.
If the amount of residual tissue is not significant, medication treatment can be considered, followed by periodic follow-up examinations. If the residual tissue is substantial, it is recommended to undergo a D&C surgery. Otherwise, it may lead to anemia or intrauterine infections. Therefore, hygiene and safety should be paid attention to.

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