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Evacuation of retained products of conception is the medical term for removing any parts of your pregnancy that remain in your womb after a pregnancy has ended. This may include a small fetus, the pregnancy sac, placenta or blood clots. However, if there is very little tissue or blood clots in your womb, they may advise that you wait until you pass the contents of your womb naturally - letting nature take its course.
Some people find a surgical procedure can help them by giving some closure especially if it has taken a long time to confirm that the end of the pregnancy is still not completed. Others will prefer to let nature take its course or to use medical treatment. The procedure will be explained to you and you will be able to ask any questions you may have.
If you are then happy to proceed, a consent form will need to be signed as well as a document expressing your wishes with regard to the sensitive disposal of the remaining pregnancy tissue. You may be given a small tablet to be placed into the vagina approximately 2 hours before your procedure. In certain cases this is helpful to soften the cervix neck of womb and make the operation easier.
After the tablet has been inserted you may experience some period like cramps and increased bleeding. Please do not be alarmed if this occurs.
Before the operation you should remove any make-up nail varnish or false nails. If you have false nails and you do not want to remove them all, you may remove just one on each hand. You will be taken to theatre and given a general anaesthetic to ensure you are asleep during the procedure. Once you are asleep, your legs will be placed in leg rests and the area around your vagina cleaned with a sterile solution. A speculum will be placed in the vagina to allow the doctor to see the cervix neck of the womb.