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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 ...
In cases where the woman is Rh-negative, Rho(D) immunoglobulin (RhoGam) is administered to prevent the risk of developing erythroblastosis fetalis (hemolytic disease of the newborn) in subsequent pregnancies. [5] Intact D&E is more feasible among women with higher parity, at higher gestational ages, and when cervical dilation is greater. [4]
Thurman's death sparked widespread reaction and debate about the impact of strict abortion laws on maternal health. [ 1 ] [ 6 ] The case has reignited discussions about maternal mortality in the U.S. , particularly among Black women , who face higher rates of pregnancy-related complications and deaths. [ 6 ]
Public insurance cover increased from 2000 to 2010 in part because of an aging population and an economic downturn in the latter part of the decade. Funding for Medicaid and CHIP expanded significantly under the 2010 health reform bill. [10] The proportion of individuals covered by Medicaid increased from 10.5% in 2000 to 14.5% in 2010 and 20% ...
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.
In October 2020, Health Affairs writers summarized the results of several studies that placed the higher death rates for the uninsured between 1 per 278 to 1 per 830 persons without insurance: "Based on the ACS coverage data, we estimate that between 3,399 and 10,147 excess deaths among non-elderly US adults may have occurred over the 2017-2019 ...
[52] [22] A few rare cases of deaths from clostridial toxic shock syndrome have occurred following medical abortions. [ 53 ] A 2013 systematic review which included 45,000 women who used the 200 mg mifepristone followed by misoprostol combination found that less than 0.4% had serious complications requiring hospitalization (0.3%) and/or blood ...
In 2016, complications of pregnancy, childbirth, and the puerperium resulted globally in 230,600 deaths, down from 377,000 deaths in 1990. The most common causes of maternal mortality are maternal bleeding , postpartum infections including sepsis, hypertensive diseases of pregnancy , obstructed labor , and unsafe abortion .