Having a miscarriage could be a nightmare for each woman who is probing for the presence of a baby. In addition to bleeding, miscarriage is often associated with a curettage or curettage procedure. However, not all miscarriages require curettage. Miscarriage is spontaneous or sudden fetal death that occurs before 20 weeks of gestation. Usually, this typically happens within the first three months of maternity.

Should You Have Curettage When You Have Miscarriage?

When a miscarriage, blood comes out along with clots that are fetal tissue. This doesn't happen if you're only menstruating. In some cases, the bleeding is so profuse that it must be stopped immediately. One way is with a curette.

Not All Miscarriages Must Be Cured

Miscarriages can be divided into 2 types, namely miscarriages without curettage and those requiring curettage. Curettage in cases of miscarriage is a procedure carried out with the aim of cleaning the remaining fetal tissue that is still left in the uterus so that the bleeding can stop.

Miscarriages that don't need surgical procedure, as an example, are total miscarriages. In a total miscarriage, all of the pregnancy tissue has come out naturally. Therefore, there is no need for a curettage procedure because no tissue is left in the uterus.

Some miscarriage conditions that will need surgical procedure include:

1. Incomplete miscarriage

Incomplete miscarriage or incomplete abortion still leaves some tissue within the uterus. This condition requires a curettage procedure because otherwise the bleeding may continue and infection of the uterus may occur.

2. Inevitable miscarriage

In this miscarriage, bleeding occurs and the cervix opens, but the pregnancy tissue is still intact in the uterus. However, because the cervix is open, the pregnancy cannot be maintained and needs to be removed. One way is with a curette.

3. Septic miscarriage

In this kind of miscarriage, there has been associate degree infection of the female internal reproductive organ which will damage the mother, therefore it should be treated in real time. Handling that must be given immediately in addition to antibiotics is curettage so that the uterus is clean of any remaining fetal tissue.

Possible Complications After Curettage Procedure

Although curettage is considered safe, there are some complications that may occur after the curettage process takes place. Among others are:

Bleeding
Complications due to anesthesia
Infection
Damage to cervical and uterine tissues
The formation of scars or adhesions in the uterine wall is also known as Asherman's syndrome.
The tearing of tissue in the uterine wall.

Not all miscarriages require curettage. Besides curettage, there are also other options to clean the uterus from remaining tissue, for example with medication. However, usually, curettage is preferred because it is the fastest to stop the bleeding.

If your obstetrician advises you to perform a curettage, prepare yourself. The curettage procedure usually takes a short time and does not require hospitalization. Some women can even carry out light activities as usual again. However, miscarriage can be traumatic and distressing for both you and your partner. So, it's okay to give yourself time to recover physically and emotionally.

Having a miscarriage is not the end of everything, really. You can still get pregnant next time. Do not hesitate to consult with your obstetrician about how to avoid repeated miscarriages. If after curettage you experience severe complaints, such as bleeding that lasts more than 2 weeks, fainting, or high fever, immediately consult a doctor.