No not always. The d&c is sometimes pushed and I do not see why unless that is what YOU want or are enduring severe complications (fever almost fainting) basically ER status). You will most likely need a d&c if you get these symptoms to avoid infection. Some doctors do think d&c is easier emotionally..
Sometimes it is called for, if some tissue from the placenta has remained in the body. This can be tested for by testing your hCG levels. If there is still a remaining number (mine sat at about 50 for several weeks) it suggests remaining tissue. That is not the norm, however. Most of the time, a natural miscarriage takes everything out and that is that. If your periods are normal and you have no other signs, you probably don't need anything.
That's true the one time I got a d&c I had remaining tissue they saw through the ultrasound (transvaginal). Your body is amazing but technology is here too for times like those. I've gone both routes just don't let anyone push you one way or the other feel what you need to do. Some go natural some d&c (especially if necessary), some take a pill (vaginally I think if I remember correctly) to start contractions to make the process faster ( again preventing infection).
The Content on this Site is presented in a summary fashion, and is intended to be used for educational and entertainment purposes only. It is not intended to be and should not be interpreted as medical advice or a diagnosis of any health or fitness problem, condition or disease; or a recommendation for a specific test, doctor, care provider, procedure, treatment plan, product, or course of action. MedHelp is not a medical or healthcare provider and your use of this Site does not create a doctor / patient relationship. We disclaim all responsibility for the professional qualifications and licensing of, and services provided by, any physician or other health providers posting on or otherwise referred to on this Site and/or any Third Party Site. Never disregard the medical advice of your physician or health professional, or delay in seeking such advice, because of something you read on this Site. We offer this Site AS IS and without any warranties. By using this Site you agree to the following Terms and Conditions. If you think you may have a medical emergency, call your physician or 911 immediately.