Does a natural miscarriage require a uterine cleaning (D&C)?

Written by Du Rui Xia
Obstetrics
Updated on September 10, 2024
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When a miscarriage occurs, whether a uterine cleaning is needed depends on whether there are any remnants in the uterine cavity as shown by a follow-up ultrasound examination, that is, to see if the miscarriage was complete. If the examination reveals significant remnants in the uterine cavity after the miscarriage, then a uterine cleaning treatment is required. Most women do not need a uterine cleaning after a natural miscarriage, as typically the bleeding will stop around 7-10 days post-miscarriage. Therefore, women should focus on resting, improving their nutrition, and enhancing their body's resistance to prevent any potential complications after a natural miscarriage.

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Written by Du Rui Xia
Obstetrics
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Can a natural miscarriage be completely cleared?

After a natural miscarriage, whether it can be completely cleared varies from individual to individual. Some women may have a complete miscarriage naturally. However, some people may have existing gynecological inflammation or be relatively weak, which can lead to incomplete miscarriage, necessitating further uterine cleaning. After the miscarriage, women should closely monitor their vaginal bleeding and abdominal pain. Normally, after such a miscarriage, abdominal pain should last about two to three days, and vaginal bleeding should clear up within a week. If vaginal bleeding persists for a longer time and abdominal pain occurs, the possibility of residual materials in the uterine cavity should be considered, and it is advised to go to the hospital for further ultrasound examination and subsequent treatment as needed.

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Written by Du Rui Xia
Obstetrics
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Do the symptoms of spontaneous miscarriage include bleeding?

During a natural miscarriage, vaginal bleeding occurs. This is because, after a miscarriage, the gestational sac and shed uterine lining also need to be expelled from the body, resulting in vaginal bleeding. Typically, this bleeding lasts about a week, gradually diminishing until it stops. If vaginal bleeding after a natural miscarriage persists for an extended period, even exceeding ten days without stopping, and is accompanied by abdominal pain, it is necessary to visit the hospital for an ultrasound to check for any remnants within the uterine cavity and possibly undergo a dilation and curettage procedure.

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Written by Du Rui Xia
Obstetrics
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How long to rest after a natural miscarriage?

Women will experience both physical and psychological impacts after a miscarriage, and the body needs time to recover. Therefore, it is best to rest for at least two weeks before going back to work after a miscarriage. It is crucial to rest, avoid fatigue, and refrain from vigorous exercise. Consuming foods rich in proteins and vitamins, such as eggs, lean meats, milk, fresh vegetables, and fruits, can help enhance resistance and promote healing post-miscarriage.

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Written by Du Rui Xia
Obstetrics
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Natural miscarriage impact on the body

If a woman experiences a natural miscarriage, it can have adverse effects on her body. If attention is not paid to local cleanliness and hygiene during uterine bleeding, and the body's resistance is lowered, it can easily lead to some gynecological infections. If the inflammation is not treated in time, it can affect future normal pregnancies. Furthermore, if care is not enhanced after surgery, and rest is not adequately observed, it will impact the uterus's normal contraction and recovery, leading to continuous vaginal bleeding, which can also affect future pregnancies. Additionally, it can also have some adverse psychological effects on the pregnant woman.

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Written by Du Rui Xia
Obstetrics
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How many days of rest are needed for a natural miscarriage?

After a natural miscarriage, women also need to go through a confinement period, although it is shorter than the confinement period after a normal delivery. Therefore, it is essential to rest for at least a week after a miscarriage. If possible and conditions allow, it is best to rest for two weeks. Following a miscarriage, women's immune systems are generally weaker, and their bodies more frail. At this time, it is important to establish healthy lifestyle habits, such as maintaining a regular sleep schedule, going to bed early and waking up early, ensuring adequate sleep, and avoiding heavy physical labor. Opt for light, easily digestible, and absorbable foods, with balanced nutrition including both meat and vegetables. Eating more fresh vegetables and fruits, as well as foods like lean meat, eggs, and dairy, can help enhance the body's immune system and promote recovery.