Ultrasound-guided suction D&C

What is an ultrasound-guided suction D&C?

A minor procedure where tissue is gently removed from the uterus under ultrasound guidance. It is recommended for diagnosing and treating abnormally growing pregnancies, and for genetic testing.

What are the risks?

Rare complications include damage to the uterus or cervix, bleeding, infection and reactions to anesthesia. Alternatives depend on the reason for the procedure and should be discussed with your primary doctor.

How do I prepare?

• Arrange transportation home.
• Fast for 6–8 hours before the procedure.

What happens during and after?

You’ll receive medication for comfort before the procedure begins. The procedure typically takes less than an hour. Expect cramps or back pain afterwards, with bleeding that can be light or heavier, and on and off for several weeks.

Healing and recovery

A new uterine lining will develop, which may affect your next period. You can return to normal activities within 1–2 days. Avoid tampons and sexual activity for at least a week.

When to contact a nurse or doctor

You can also speak with a nurse or doctor for emotional support or guidance on trying to conceive again.

Before procedure day

• Do not eat or drink anything for 6–8 hours before your scheduled procedure.
• Arrive with your partner or support person 60 minutes before your scheduled procedure.
• Plan to take the day off work. A medical note can be provided on request.

On procedure day

• Avoid scented perfumes, deodorants or lotions, as the facility is scent-free.
• Wear comfortable clothing, including socks, and avoid makeup. Nail polish is fine, but fake nails may need to be removed.
• Have someone with you, as you won’t be able to drive for 24 hours after the procedure.
• Payment for genetic testing, if you’ve chosen it, will be collected before the procedure.

During the procedure

When you arrive, a nurse will take you to the admission and recovery area. Your vital signs will be taken, and your medical history and allergies confirmed. Pre-operative medications, including Ativan for relaxation, will be given through an IV. Conscious sedation medication (Versed and fentanyl) will be given for comfort during the procedure.

After the procedure

You’ll be taken to the recovery room, where your vital signs will be monitored. The IV will stay in until you’re ready to go home. You’ll be given something to drink and a light snack, and medication as needed for pain or nausea. Arrange for someone to take you home, as you won’t be able to drive.

Care at home

• Expect spotting and/or cramping, which may last up to two weeks.
• Follow the post-operative instructions your nurse gives you.
• Contact your Primary Nurse with any medical or medication questions.
• Do not drive for 24 hours after the procedure.
• Tell your Primary Nurse about any concerns or allergies to the medications listed.