Miscarriage Management: D&C and Hysteroscopy – Antai Hospital
D&C Introduction
Dilation and Curettage are currently one of the most practiced gynecological procedures, where its primary function is to retrieve a terminated pregnancy from the uterine cavity. The pregnant patient will have the pregnancy or products of conception removed from the endometrial cavity trying to avoid removing tissue beyond the decidua basalis layer.
The decidua is divided into 2 layers. The decidual basalis is where implantation takes place, and the basal plate is formed; it is also where the placenta will detach after birth. When performing the pregnant D&C, the surgeon will try to avoid the removal of tissue beyond this layer to prevent the potential for adhesion formation.
However, it is increasingly common that the surgeons cause more harm than good for these pregnant patients when both fetal tissue and uterine tissue are removed in the process of the D&C. When the retrieved sample has both fetal and maternal tissue, it can cause problems during the post-operative analysis of fetal chromosomes. Furthermore, women who have repeated induced abortions, have a high risk of developing Asherman’s Syndrome which is known as intrauterine adhesions, which can lead to recurrent miscarriage and infertility depending on the level of severity. Excessive scraping of the uterine lining can also lead to endometrial damage, and may potentially cause endometrium thinning, which is also associated with amenorrhea and embryonic implantation defects (recurrent miscarriage).
The most detrimental outcome is the formation of anti-embryonic antibodies due to the fetal tissues containing paternal genes, entering the mother’s circulatory system via exposed endometrial veins (caused by the scraping of D&C). Induced abortions via D&C are the primary cause of recurrent miscarriage which stands for up to 85% of unexplained repeated miscarriages. Antai Hospital has discovered the root cause behind these specific miscarriages and offers an internationally patented treatment and diagnosis for immunological recurrent miscarriages with a full refund guaranteed.
Hysteroscopic Retrieval or Evacuation for Pregnancy Tissue Removal
Hysteroscopy has long been a gynecologist’s tool for minimally invasive diagnosis and treatment of intrauterine pathology. Its use can run the gamut from direct visualization to operative removal of polyps and fibroids. Some other uses of hysteroscopy include removal of intrauterine devices, management of intrauterine adhesions (IUA), and removal of retained products of conception (RPOC).
Just as used in the removal of foreign bodies, hysteroscopy can aid in providing a precise removal of tissue under direct visualization. During an induced abortion via hysteroscopy, there is almost no chance of collateral or secondary damage to the patient’s uterus tissue and lining. Furthermore, it can completely avoid the exposure of endometrial veins which can risk pregnancy tissue entering, forming anti-embryonic antibodies. This method can eliminate the possibility of recurrent immunological miscarriage.
For patients with high-risk factors for uterine perforation, laparoscopic monitoring should be done simultaneously. Laparoscopic ultrasonography monitoring has both the advantages of B ultrasonography and laparoscopy monitoring but is invasive and expensive.
Here at Antai, we always recommend that if our patients need an induced abortion to be conducted, they should always opt for a hysteroscopic evacuation of the pregnancy tissues to minimize harm and prevent future recurrent miscarriages. Although we do provide a cure for recurrent miscarriages, prevention is always better!
Antai Hospital’s Commitment
Antai Hospital’s full refund policy for the miscarriage prevention treatments we provide should already be the best guarantee for a healthy pregnancy. Patients should rest assured, can and should go about their everyday life, focusing their diet on vegetables, beans, celery, and other fiber-rich foods. Besides that, an active lifestyle of yoga and swimming should also be incorporated to help relieve stress and increase blood circulation, which is beneficial for the fetus’s development and the mother’s health. With our assurance, a healthy lifestyle, and peace of mind, you can go through a healthy pregnancy with no complications.
Recurrent miscarriages are no doubt a heavy blow to the patient’s physical and mental health. All we can do is to help ease the burden and decrease your trauma, to slowly help you overcome the anxiety with the love and care that we provide at Antai Hospital.
Trust in Antai Hospital and trust in yourself, your pregnancy is our priority.