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Recently there has been a lot of publicity with respect to the drug Mifepristone (RU486) and its use in medical termination.

Several issues need to be clarified when contemplating medical termination as opposed to surgical termination.

The medical termination using Mifepristone requires the patient to take these tablets at a consultation appointment and this is followed 36-48 hours later by the requirement to take another medication, Misoprostol which facilitates an induced miscarriage which will occur outside the hospital setting at an unknown time and place.

During the course of the miscarriage the patient will experience pain, the passage of the products of conception, bleeding and may experience an incomplete termination and excessive blood loss which may require hospitalisation via an Accident and Emergency Centre. This miscarriage occurs in a non supervised setting.

A surgical termination is a quick simple and safe procedure which is completed at a designated time under close medical supervision in a day hospital setting and is over in just a couple of hours. Complications of the surgical termination are rare and the requirement for hospitalization after the procedure is extremely rare.

Overseas studies have indicated that when the differences between a surgical termination

are explained to women the vast majority of women choose the much more predictable and supervised option of termination.

When considering medical termination the gestation is significant as medical termination is only suitable in the early part of the first trimester. This procedure can be accomplished without the use of RU486 by using Misoprostol in several doses. As mentioned previously the other alternative is to use Mifepristone and Misoprostol in combination.

For further information please contact us so that we can assist you further.