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Scrape of the uterus

An obstetric scrape (scrape of the uterus), also called vacumexaeres, is an extraction of a pregnancy or ester of a pregnancy performed during anesthesia or anesthesia.

Pregnant women who have had a miscarriage or women who want a provoked abortion before the twelfth week of pregnancy.

After a miscarriage, the doctor assesses the amount of residual tissue that is, remaining pregnancy tissue in the uterine cavity should be removed by scratching. This is done either to avoid severe bleeding, or to protect the woman from an inflammation of the uterus that can make her sterile. If the woman gets a fever after a miscarriage, she always performs scratching. If the woman gets the miscarriage early in pregnancy, or if the amount of residual tissue is very small, you do not need scratch, but can “bleed the rest yourself”. This assesses the doctor.

After a miscarriage, when scratching is to be performed, the woman is first euthanized by an anesthetist. Thereafter, the gynecologist extends the cervical canal with some sterile pins, called Hegar dilatators. The enlargement of the cervical canal depends on how long the pregnancy lasted. Thereafter, the doctor enters a suction catheter in the uterine cavity and all residues are sucked out. After scrapping, the residual tissue is sent for a microscopic examination. This is done to make sure that the extracted tissue contains placenta or fetal parts and to rule out the possibility of a treatment-intensive inflammation of the uterus. You get the answer to the microscopic examination of your doctor after a few days. In some cases one can then answer if the miscarriage was caused by chromosomal abnormalities in the fetus.

In a provoked abortion, the procedure is performed similarly, with the difference that approximately 3 hours before the beginning of the procedure, a plasticizer will soften the cervix. Alternatively, some pills can be given the night before the abortion. In case of provoked abortions, the doctor also insures that the extracted tissue contains fetal parts, to ensure that the fetus is not left in the uterus. The extracted tissue is usually not sent away for microscopy.

Our previous article What is miscarriage? we recommend that you read our article titled.

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