D&C Patient Instruction Sheet

What is an ultrasound-guided suction D&C?

• A minor procedure where tissue is gently removed from the uterus under ultrasound guidance.
• Recommended for diagnosing and treating abnormally growing pregnancies and for genetic testing.

What are the risks of a D&C?

• Rare complications include damage to the uterus or cervix, bleeding, infection, and reactions to anesthesia.
• Alternatives depend on the reason for the procedure and should be discussed with your primary doctor.

What do I need to do to prepare for the procedure?

• Arrange transportation home.
• Fast for 6 to 8 hours before the procedure.

What happens during and after the procedure?

• You'll receive medication for comfort before the procedure begins.
• The procedure typically takes less than an hour.
• Expect cramps or back pain afterward, with bleeding that can be light or heavier and intermittent for several weeks.

Healing/Recovery:

• A new uterine lining will develop, possibly affecting your next menstrual cycle.
• Resume normal activities within 1 to 2 days, avoiding tampons and sexual activity for at least a week.

When to contact a nurse/doctor:

• Fever, heavy vaginal bleeding, severe abdominal pain, or foul-smelling discharge.
• Consult with a nurse/doctor for emotional support or guidance on trying to conceive again.

Emotional Support:

Pollin recommends TBD, their chosen mental health counselling team, for emotional support.

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Procedure Details

Before Procedure Day:

• Do not eat or drink anything 6 to 8 hours prior to your scheduled procedure.
• Arrive with your partner (support person or spouse) 60 minutes before your scheduled procedure.
• Plan to take a day off from work for the procedure. A medical note can be provided upon request.

On Procedure Day:

• Avoid scented perfumes, deodorants, or lotions, as the facility is scent-free.
• Wear comfortable clothing, including socks, and avoid makeup. Nail polish is acceptable, but fake nails may need to be removed.
• Be accompanied by someone, as you won't be able to drive for 24 hours after the procedure.
• Payment for genetic testing, if opted for, will be collected before the procedure.

During Procedure:

• Upon arrival, a nurse will escort you to the admission/recovery area.
• Vital signs will be taken, and your medical history and allergies confirmed.
• Pre-operative medications, including Ativan for relaxation, will be administered through an IV.
• Conscious sedation medication (Versed and Fentanyl) will be given for comfort during the procedure.

After Procedure:

• You'll be taken to the recovery room where vital signs will be monitored.
• The IV will remain until you're ready to go home.
• You'll be provided with something to drink and a light snack, and medication will be given as needed for pain or nausea.
• Arrange for someone to bring you home as you won't be able to drive yourself.

Post-Procedure Care:

• Expect spotting and/or cramping, which may last up to two weeks.
• Follow the post-operative instructions provided by your nurse.
• Contact your Primary Nurse for any medical or medication-related questions.

Follow-Up:

• Remember not to drive for 24 hours after the procedure.
• Notify your Primary Nurse of any concerns or allergies to the medications listed.