Is it necessary to have a D&C surgery?

Patient's question:

Medication abortion, ultrasound examination echo size is 7, the doctor said the residual tissue is less than one centimeter, asking if it is necessary to have a D&C procedure?

Doctor's answer:

During miscarriage, the fetus and part of the placental tissue are expelled, but part of the placenta or the entire placenta remains retained in the uterine cavity, which is referred to as incomplete miscarriage. Before 8 weeks of gestation, miscarriage often involves the simultaneous expulsion of fetal and placental components. Between 8 and 12 weeks of pregnancy, the placenta has formed and is closely attached to the uterine decidua, making it difficult for the products of miscarriage to completely detach from the uterine wall, often resulting in incomplete miscarriage. Due to the presence of residual embryonic tissue in the uterine cavity, the uterus cannot contract effectively. However,
After a natural miscarriage, a Dilation and Curettage (D&C) is not always necessary. It is only required when the expulsion of embryonic tissue is incomplete.

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