Do you need to do坐月子 (confinement) again after a second dilation and curettage?

Confinement refers to the puerperium period. A second dilation and curettage (D&C) refers to a repeat surgical procedure performed after childbirth or miscarriage due to incomplete expulsion of endometrial tissue. After a second D&C, women typically need to go through another puerperium period. Specific details are as follows:

Dilation and curettage is a procedure that cleans the uterus, aiming to remove residual placental tissue and blood clots to prevent postpartum hemorrhage and infection. A second D&C can cause a certain degree of uterine damage, requiring time for recovery. Undergoing another confinement period helps promote uterine contraction, wound healing, and reduces the risk of complications. Additionally, blood loss and trauma during surgery may lead to physical weakness, which also necessitates recuperation during the puerperium.

During the puerperium, patients should consume easily digestible foods such as rice porridge, noodles, and vegetables. They should also drink plenty of water to maintain proper hydration. Adequate sleep should be ensured, and staying up late or overexertion should be avoided. With medical guidance, light exercises such as walking or yoga may be performed appropriately to support physical recovery and overall health.

After undergoing a second D&C, patients should follow their doctor’s instructions, take prescribed medications on time, and attend regular follow-up appointments to ensure proper uterine recovery. Attention should also be paid to diet, maintaining balanced nutrition. Any discomfort or unusual symptoms should be promptly reported to the physician.