Dilation and curettage (D&C) is one of the most common invasive procedures in the United States. The procedure can be performed on a pregnant or nonpregnant patient and be either diagnostic or therapeutic. Sometimes the circumstances lead to a diagnostic procedure becoming therapeutic. A D&C occurs in 2 steps: dilation of the cervix and curettage of the endometrial cavity. While current recommendations for endometrial sampling in the nonpregnant patient include hysteroscopy with directed endometrial sampling, if necessary resources are unavailable, a simple D&C may be performed to acquire tissue for histologic evaluation. Contraindications to D&C are few, and the overall mortality rate is low. This activity reviews the indications, absolute and relative contraindications, equipment needs, technique, and complications of diagnostic and therapeutic D&C in pregnant and nonpregnant patients. In addition, the role of the healthcare team in improving care for patients undergoing D&C is highlighted.
- Provider:StatPearls, LLC
- Activity Link: https://www.statpearls.com/ArticleLibrary/viewarticle/128124
- Start Date: 2023-09-01 05:00:00
- End Date: 2023-09-01 05:00:00
- Credit Details: AMA PRA Category 1 Credit™️: 1.0 hours
Nursing: 1.0 hours
Pharmacy: 1.0 hours - MOC Credit Details: ABS - 1.0 Point; Credit Type(s): Accredited CME (ABS)
ABPATH - 1.0 Point; Credit Type(s): Lifelong Learning (ABPATH)
ABA - 1.0 Point; Credit Type(s): Lifelong Learning (ABA)
ABIM - 1.0 Point; Credit Type(s): Medical Knowledge (ABIM)
ABS - 1.0 Point; Credit Type(s): Self-Assessment (ABS)
ABP - 1.0 Point; Credit Type(s): Lifelong Learning and Self-Assessment (ABP) - Commercial Support: No
- Activity Type: Enduring Material
- CME Finder Type: Online Learning
- Fee to Participate: Variable
- Measured Outcome: Learner Knowledge, Learner/Team Competence
- Provider Ship: Directly Provided
- Registration: Open to all
- Specialty: All Practice Areas (e.g. ethics), Ambulatory/Outpatient, General Operative Anesthesia, General Pediatrics, General Surgery, Internal Medicine, Obstetric Anesthesia