D & E
D & E or Dilation and Evacuation is a surgical procedure often performed during the second trimester of pregnancy. This procedure is typically used to terminate pregnancies, but can also be used to treat certain medical conditions or to remove remaining tissue following a miscarriage.
Procedure
The D & E procedure involves dilating, or opening, the cervix to allow the surgical removal of tissue from the uterus. This is typically done using a combination of medical and surgical techniques. The procedure is usually performed under local or general anesthesia.
Uses
D & E is most commonly used to terminate pregnancies in the second trimester, typically between 15 and 26 weeks gestation. However, it can also be used to treat certain medical conditions, such as heavy bleeding or infection, or to remove remaining tissue following a miscarriage or incomplete abortion.
Risks and Complications
As with any surgical procedure, D & E carries certain risks. These may include infection, heavy bleeding, damage to the cervix or uterus, and complications related to anesthesia. However, D & E is generally considered to be a safe and effective procedure when performed by a skilled healthcare provider.
Legal and Ethical Issues
The use of D & E for abortion has been the subject of legal and ethical debate. Some jurisdictions have enacted laws restricting the use of D & E, often referred to as "partial-birth abortion" bans. These laws have been challenged in court, with varying outcomes.
See Also
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Contributors: Prab R. Tumpati, MD