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Medical termination of pregnancy.A medical termination of pregnancy may be carried out within the first 16 weeks of pregnancy. You need to swallow one tablet called Mifepristone which begins to soften the cervix (neck of the womb) and separate the contents of the womb so that these can be passed vaginally. You may experience pain, some vaginal bleeding and sickness, following the Mifepristone tablet. 24-72 hours later you are admitted to Ward 10 Bishop Auckland General Hospital and have 4 tablets called Misoprostol placed into your vagina. After 3 hours you will be asked to swallow 2 Misoprostol tablets and then further Misoprostol tablets at 3 hourly intervals, until you have passed the contents of your womb. For most patients this happens within 2 –10 hours.Your contraception, which will have been agreed with you in clinic, will be given and explained prior to your discharge. If your blood group is Rhesus negative, you will be given an injection of Anti-D before you go home. As this is a Day Case procedure if you require an overnight stay due to nausea/vomiting, heavy bleeding or pain, or if you are greater than 12 weeks pregnant and have not passed your pregnancy, you will be transferred to the main Gynaecology area Ward 62 at Darlington Memorial Hospital or Ward 9 at University Hospital of North Durham by ambulance. You will be discharged home the following day.The first 3 or 4 days after the procedure there will be vaginal bleeding like a very heavy period, possibly with some clots. This gradually diminishes over the next 2 to 3 weeks (but some women may continue bleeding until their next period). It is important that you use only external sanitary towels and not tampons as these may cause infection. Cramp-like period pains may persist at home for up to one week. Simple painkillers, such as, paracetamol or ibuprofen should be adequate; however if the pain is severe you should seek advice from your own doctor.If you need to see your own doctor within 14 days of your treatment, please take with you the discharge letter you have been given whilst in hospital. After 14 days you may destroy this as by then we will have written to your referring doctor. ................
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