random d&c before an iud insertion ?

T

topolski18

New member
My friend just went to hospital to get Skyla inserted. She was sedated and intubated. Afterwards, they told her that they did a D&C in order to "clear out space in her uterus" (the nurses words). I have never heard of this, ever. Has anyone ever heard of a D&C being performed prior to IUD insertion to "clear out space"? She was not pregnant and she did not know they were doing a d&c prior to being sedated, they told her after. She is of course bleeding and cramping. I was shocked to hear about this. Is this standard procedure? I cannot find anything online about it.
 
@topolski18 She should look at the consent forms that she signed and see if there is any reference to the D&C. She should also follow up with the doctor that did the procedure and ask some questions. There might have been a situation that presented itself in the moment that the doc wasn't aware of at the beginning that would have necessitated the procedure. I wouldn't jump to anything nefarious, but docs and nurses are often rushed and the debriefing process, especially when recovering from anaesthesia can suck.
 
@topolski18 No, that's not standard. It's also not standard to be sedated and intubated. Most IUD insertions are done fully awake, or at most with some anti-anxiety medication. Having them done under any degree of true anesthesia is usually a special request if someone has been unable to tolerate awake insertion.

It sounds like a very unusual situation all around, I wonder if there was some other medical issues that needed to be solved at the same time and it got lost in translation of what she was telling you. D&C is commonly for second trimester abortion or resolving an incomplete miscarriage, but it can also be used for anything where they need to remove or sample the lining of the uterus. Maybe they discovered something unexpected while she was under? Nurses aren't always the best at explaining.

Just to be clear though, bleeding and cramping after an IUD insertion is normal even in the regular procedure.
 
Thank you to everyone who responded. I am planning on calling her doctor and also my doctor to talk about why it may have happened. She was loopy coming out of sedation so perhaps they told her a legitimate reason and she does not remember. She was sedated because she could not tolerate an awake procedure previously. However, I was surprised to learn it was general anesthesia and not twilight sedation. Thanks all for your input.
 
@topolski18 Was she just having it placed just for contraception or also to control heavy/irregular bleeding? In the latter case it is fairly common to do a D&C to clear out excess endometrial tissue prior to placing the IUD, both to minimize the patient’s bleeding as well as to decrease the chance of expulsion (which can occur when women are bleeding a ton or passing large clots, and the IUD just comes out with it). Regardless, if this was being done she would have to have signed a consent form stating she agreed to it.

I would also have her check with the doctor who did her procedure and not the recovery room nurse, as sometimes the exact procedure can be misunderstood when a patient is transferred from the operating room to the recovery area.
 
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