Pregnant woman discovers that her baby is alive 1 month after doctor talks about abortion Curettage, a procedure performed on a pregnant woman from Sumaré (SP) who was diagnosed with an abortion and later discovered that the fetus was still alive, is a technique used to remove material from the inside of the uterus in certain obstetric situations. The procedure, however, is not without risks. According to the Ministry of Health's Humanized Abortion Care Manual, the rigidity of the steel instruments used to scrape the uterus can cause serious accidents, such as uterine perforation. The official federal government document also highlights that the choice of technique must be made in a shared manner between the woman and the healthcare team, with respect for the patient's autonomy. Currently, there are more recommended techniques, such as Manual Intrauterine Aspiration (MVA). READ ALSO: Pregnant woman undergoes curettage after misdiagnosis of miscarriage and discovers a living baby a month later How curettage works Curettage consists of emptying the uterus by scraping the uterine cavity. The objective is to extract remains of the placenta or conception material that remain in the organ after an abortion. The doctor inserts a rigid steel instrument called a curette into the uterus, available in varying diameters. The curette is used to scrape the internal walls and loosen the material that needs to be removed.
What is curettage, a procedure performed on a pregnant woman who discovered a live baby after a miscarriage diagnosis
Pregnant woman discovers that her baby is alive 1 month after doctor talks about abortion Curettage, a procedure performed on a pregnant woman from Sumaré (SP) who was diagnosed with an abortion and later discovered that the fetus was...
According to the Ministry of Health's Humanized Abortion Care Manual, the rigidity of the steel instruments used to scrape the uterus can cause serious accidents, such as uterine perforation. The official federal government document also highlights that the choice of technique must be made in a shared manner between the woman and the healthcare team, with...
- Currently, there are more recommended techniques, such as Manual Intrauterine Aspiration (MVA).
- READ ALSO: Pregnant woman undergoes curettage after misdiagnosis of miscarriage and discovers a living baby a month later How curettage works Curettage consists of emptying the uterus by...
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If the cervix is ??closed, it is still necessary to perform mechanical cervical dilation or use medications, such as misoprostol, to promote prior softening of the cervix. What are the risks Pregnant woman undergoes curettage by mistake and discovers a live fetus without amniotic fluid in Sumaré Reproduction/EPTV As it involves the use of rigid steel instruments inside the uterus, curettage presents immediate and late physical risks, according to the manual: uterine perforation: this is the most common accident associated with the rigidity of the instrument; hemorrhages and infections: physical complications that may arise during or after scraping; injuries to other organs: risk of accidental perforations that affect adjacent organs; infertility: damage to the reproductive system that can compromise future pregnancies; injuries to the cervical canal: additional risks if the cervix needs to be forced into the curette; psychosocial impacts: in non-humanized contexts, the procedure can cause mental disorders, feelings of guilt and trauma. When curettage is indicated The Ministry of Health guideline advises that curettage should be used in the following circumstances: persistence of ovular remains: when the abortion is incomplete or inevitable and there is continued bleeding; uterine volume greater than 12 weeks: in these cases, the technique is recommended after using medications to expel the fetus; infected abortion: when the material must be removed under an oxytocin infusion; abortion provided for by law: as in cases of rape or risk to the pregnant woman's life. What is MVA The technical standard highlights, however, that curettage should not be the first treatment option. The Ministry of Health recommends MVA as the priority technique of choice as it is safer. Therefore, curettage should only be used when aspiration is not available. Unlike curettage, which uses rigid instruments, MVA is considered safer, faster and associated with lower complication rates. The procedure uses a syringe and consists of removing the material using a vacuum. Understand the case of Sumaré Pregnant woman undergoes curettage with a live baby at the Sumaré State Hospital In June, an examination carried out in Paulínia (SP) showed that the patient's pregnancy was proceeding normally, with an embryo aged six weeks and five days. After that: On July 12, when she experienced painless bleeding, she sought care at the Hospital Estadual de Sumaré (HES). A doctor only performed a physical examination, certified the miscarriage and referred the patient for curettage on the same day, without performing an ultrasound examination. The pregnancy was only discovered in mid-August, when the woman had to take a blood test before taking an injectable contraceptive. The result was positive. An urgent ultrasound confirmed that the fetus was still alive, with a heartbeat of 157 per minute and an estimated weight of 170 grams. The examination, however, revealed a total absence of amniotic fluid. Health professionals admitted to the patient that the curettage may have perforated the gestational sac. The patient reported that the medical team apologized and suggested terminating the pregnancy due to the risks to her health and the baby's viability. She refused the proposal "I'm living in a very difficult situation and I don't want to take my baby's life. As long as there is life, there is hope, I will have this pregnancy for as long as God allows me to live", she declared. What the hospital says "The Sumaré State Hospital (HES) regrets what happened and informs that it has opened an investigation to investigate the team's conduct related to the care provided to the patient. If irregularities are found, appropriate measures will be adopted. HES reinforces that it welcomed the patient and her family, providing all the necessary support and clarifications. HES reaffirms its commitment to offering qualified, humanized and safe assistance to the population." VIDEOS: Everything about Campinas and the Region See more reports about the region on the g1 Campinas page.