Dilation and evacuation (D&E) is the dilation of the cervix and surgical evacuation of the fetus from the uterus after the first trimester of pregnancy. It is a method of abortion as well as a common procedure used after miscarriage to prevent infection by ensuring that the uterus is fully evacuated. Dilation and evacuation (D&E) is the dilation of the cervix and surgical evacuation of the fetus from the uterus after the first trimester of pregnancy. It is a method of abortion as well as a common procedure used after miscarriage to prevent infection by ensuring that the uterus is fully evacuated.