Dilatation and Curettage Process


First developed in the mid-nineteenth century, the process of dilatation and curettage has been known since ancient times. It was properly developed into an accepted medical procedure in the 1870s with the development of the first commercially viable dilator by a German physician, Alfred Hegar.

Dilatation and Curettage is basically a process of dilation the cervix and then carrying out an invasive technique known as curettage. The process of dilatation is done by means of application of certain herbs or ointments to cause the cervix to dilate overnight. Curettage is the process of introducing a sharp instrument into the uterus through the vagina and cervix, to scrape the walls of the uterus for diagnostic or cleansing purposes. This procedure is more commonly associated with medically assisted abortions,

Preparation for Dilatation and Curettage

To be able to carry out this procedure in a safe and efficient manner, certain precautions and preparations must be followed as listed below:

  • Abstain from Drugs. Unless prescribed by your doctor, avoid unnecessary consumption of any form or drugs like medication for colds and laxatives. Aspirin should be avoided.
  • Do not drink any alcoholic beverages.
  • Avoid smoking.
  • Discuss the precautions that you need to take with your doctor. Today some doctors even advise their patients not to consume any herbal supplements.
  • Blood pressure should be monitored and kept under control for at least a few days before the dilatation and curettage is done.
  • Complete fasting should be followed. Since D&C procedure uses general anesthesia, the preparation should also be given the same consideration as a regular surgical procedure.
  • Blood and urine tests should be carried out on the same day or the day before.

Minimum Requirements of Dilatation and Curettage

This procedure should be carried out by a nursing home which has at least the minimum facilities in respect to equipment, instruments, human power, and space and so on. The nursing home should contain the following facilities:

  1. Emergency first aid
  1. General medicine
  1. General surgery
  1. Maternity facilities
  1. Pathology
  1. Radiology
  1. ECG
  1. Health education
  1. Ambulance services
  1. Medical records
  1. Dietary facilities

In addition to the above, the personnel should have the minimum required professional training and the procedure should be carried out by certified medical doctors and technicians who are specifically trained in the procedure of dilatation and curettage.  It would be a good idea for the patient to make a visit to the facility prior to the treatment, to verify that the minimum requirements are being met.

More About Dilatation and Curettage Surgery