A client who has undergone a dilation and curettage (D&C)for early pregnancy loss is likely to be discharged the same day.The nurse must ensure that vital signs are stable,that bleeding has been controlled,and that the woman has adequately recovered from the administration of anesthesia.In order to promote an optimal recovery,discharge teaching should include:

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The woman should be advised to consume a diet high in iron and protein.For many women,iron supplementation also is necessary.Acknowledge that the client has experienced a loss,albeit early.She can be taught to expect mood swings and possibly depression.Referral to a support group,clergy,or professional counseling may be necessary.Discharge teaching should emphasize the need for rest.Nothing should be placed in the vagina for 2 weeks postprocedure.This includes tampons and vaginal intercourse.The purpose of this recommendation is to prevent infection.Should infection occur,antibiotics may be prescribed.The client should expect a scant,dark discharge for 1 to 2 weeks.Should heavy,profuse,or bright bleeding occur she should be instructed to contact her health care provider.

A Client Who Has Undergone a Dilation and Curettage (D&C)for