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Cervical dilation can be performed by temporarily stretching the cervix with a series of (cervical) dilators of increasing diameter. [11] Misoprostol prior to hysteroscopy for cervical dilation appears to facilitate an easier and uncomplicated procedure only in premenopausal women.
Dilation and evacuation can be offered for the management of second trimester miscarriage if skilled providers are available. [6] Some women choose D&E over labor induction for a second trimester loss because it can be a scheduled surgical procedure, offering predictability over labor induction, or because they find it emotionally easier than undergoing labor and delivery.
Dilation (or dilatation) and curettage (D&C) refers to the dilation (widening or opening) of the cervix and surgical removal of sections and/or layers of the lining of the uterus and or contents of the uterus such as an unwanted fetus (early abortion before 13 weeks), remains of a non-viable fetus, retained placenta after birth or abortion as well as any abnormal tissue which may be in the ...
Most abortion providers use laminaria, Dilapan-S, or both for osmotic dilation prior to surgical abortion after 16–18 weeks gestation. [7] Osmotic dilators may also be used to achieve cervical dilation prior to gynecology procedures, such as hysteroscopy or dilation and curettage of the non-pregnant uterus, [8] although this is uncommon.
Cervical dilation can be performed by temporarily stretching the cervix with a series of dilators of increasing diameter. [4] Misoprostol prior to hysteroscopy for cervical dilation appears to facilitate an easier and uncomplicated procedure only in premenopausal women.
First, there are several points in the procedure that can cause pain (or maybe just make a patient woozy to think about): opening the vagina, stabilizing the cervix, stretching open the cervix ...
Hegar dilators are used to induce cervical dilation in order to gain entry to the interior of the uterus. During the process of dilation, the cervix may have to be stabilized with a tenaculum , and then the dilators are slowly entered into the cervical canal with a lubricant, starting with a thin, low Hegar number rod and progressing gradually ...
A sign of cervical weakness is funneling at the internal orifice of the uterus, which is a dilation of the cervical canal at this location. [3] In cases of cervical weakness, dilation and effacement of the cervix may occur without pain or uterine contractions. In a normal pregnancy, dilation and effacement occurs in response to uterine ...