12 doctors weighed in:

Is anesthesia required for dilation and curettage?

12 doctors weighed in
Dr. Karen Sibert
Anesthesiology
5 doctors agree

In brief: Depends why

Often a d & c may be done under sedation with Propofol and other meds such as versed or fentanyl.
The gyn doctor may use local anesthesia around the cervix. If it's an emergency situation where the patient doesn't have an empty stomach, if the patient is extremely obese, or if there is heavy bleeding, general anesthesia may be safest. The ob/gyn and anes doctors will decide the best plan.

In brief: Depends why

Often a d & c may be done under sedation with Propofol and other meds such as versed or fentanyl.
The gyn doctor may use local anesthesia around the cervix. If it's an emergency situation where the patient doesn't have an empty stomach, if the patient is extremely obese, or if there is heavy bleeding, general anesthesia may be safest. The ob/gyn and anes doctors will decide the best plan.
Dr. Karen Sibert
Dr. Karen Sibert
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Dr. Matt Malkin
Anesthesiology
4 doctors agree

In brief: Many

D+c can be done with a variety of techniques.
Can be mac/sedation helped with pudendal block, general, spinal. Depends on your health and aspiration risk, what you prefer, and anesthesiologist comfort level. You can discuss with your anesthesia provider your preferences.

In brief: Many

D+c can be done with a variety of techniques.
Can be mac/sedation helped with pudendal block, general, spinal. Depends on your health and aspiration risk, what you prefer, and anesthesiologist comfort level. You can discuss with your anesthesia provider your preferences.
Dr. Matt Malkin
Dr. Matt Malkin
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Dr. Richard Pollard
Anesthesiology
3 doctors agree

In brief: Usually general

In my hospital this is usually done under a light general anesthetic.

In brief: Usually general

In my hospital this is usually done under a light general anesthetic.
Dr. Richard Pollard
Dr. Richard Pollard
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Dr. Matt Malkin
Anesthesiology
2 doctors agree

In brief: Many

D+c can be done with a variety of techniques.
Can be mac/sedation helped with pudendal block, general, spinal. Depends on your health and aspiration risk, what you prefer, and anesthesiologist comfort level. You can discuss with your anesthesia provider your preferences.

In brief: Many

D+c can be done with a variety of techniques.
Can be mac/sedation helped with pudendal block, general, spinal. Depends on your health and aspiration risk, what you prefer, and anesthesiologist comfort level. You can discuss with your anesthesia provider your preferences.
Dr. Matt Malkin
Dr. Matt Malkin
Thank
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