Is it more painful to have a curettage or to give birth?

Basically all women will become mothers. Great mothers who have given birth say that uterine contractions during childbirth are really painful. Even if it is a caesarean section, oxytocin will be injected after the operation to promote uterine contractions. The slow contractions are also painful, but when they see the little life being born, they feel very happy in their hearts. However, some women have to face curettage for various reasons, and curettage is actually very painful. So is it more painful to have a curettage or to give birth?

1. Is it more painful to give birth or to have a curettage?

The uterine contraction pain during childbirth is indeed very painful, but nowadays there are generally painless delivery options. Anesthesia can be used to relieve pain. It is indeed very painful during the curettage. Now there are painless abortions, which can be performed with intravenous anesthesia so that there is no pain during the curettage. Whether it is giving birth or having a curettage, it will be painful. In comparison, giving birth is more painful because it requires opening the bones! The curettage is completed in just a few minutes, and the cervix can be dilated to 1 cm. For natural childbirth, the cervix should be dilated to 10 cm, and it will open by itself relying on the pain.

2. Harms of curettage

1. Cervical or endometrial adhesion: During uterine dilatation and curettage, if the scraping is too rough, causing injury or inflammation of the cervix or endometrium, it is possible to produce postoperative cervical or endometrial adhesions and cause menstrual abnormalities, such as amenorrhea or too little menstrual flow. In severe cases, infertility may occur in the future.

2. Incomplete abortion: If the operation is not performed completely, a small amount of fetal tissue will remain in the uterus, which may affect uterine contraction and cause continuous bleeding or cause adhesion, infection, etc. It is best to perform another careful surgery to remove the remaining tissue. Abnormal position or shape of the uterus is generally more likely to cause this sequelae.

3. Bacterial infection: If the instruments are not completely sterilized, or the surgeon himself does not pay attention to the aseptic process, it may cause intrauterine infection and even continue to spread upward to invade the fallopian tubes and pelvic cavity. In severe cases, it may cause ectopic pregnancy or infertility in the future.

3. Labor pain

The pain caused by uterine contractions will continue throughout the delivery process. Uterine contraction pain is mainly in the lower abdomen, and sometimes occurs on the inner thighs or above the spine. Most women feel contractions that are similar to menstrual cramps, but more intense. When the fetus is about to be born, the mother will feel a burning sensation and intense pain in the perineum and vulva due to the expansion of these areas. Finding a comfortable position and taking deep breaths while relaxed can help relieve labor pain.

Be fully prepared for the pain of childbirth. Childbirth is a natural physiological phenomenon, and labor pain is physiological pain that most people can endure. However, childbirth requires a period of severe pain. If the pregnant woman is not fully prepared mentally, she will be overwhelmed by the unexpected pain.

During labor, yelling and screaming can prolong the labor process. Being mentally and physically prepared can help you tolerate the pain.

During childbirth, you should have a positive attitude towards pain. Don't be afraid or anxious. You can give yourself self-suggestion and self-comfort. In addition, before pregnancy, you should familiarize yourself with the environment of the hospital where you will deliver your baby, communicate more with your doctor, determine the delivery method that best suits you, and ask your doctor to guide you on the preparations for delivery, such as practicing breathing techniques.

You can also ask your doctor about painless delivery, drug-induced analgesia and other delivery methods to relieve labor pain. You can also choose a doula delivery, or choose a family ward, have your husband accompany you during delivery, or a sitting delivery.