I had to stay in a hospital type setting, also had to pee and crap in a bowl and write my name on it, so that medical staff could go through what I had passed to make sure everything had gone that was meant to. I can't imagine this would be safe at home? Mind I guess its not that different to a miscarriage which I did suffer at home. Just, I was told that it could cause infections and stuff if certain parts got retained, which was why I had to stay for them to check. They did not offer any pain relief or anything though, and honestly, it was more painful than actually giving birth, not sure why..some of the women there were really really ill. One was actually crawling on the floor to try and get to the loo, while medical staff ignored her. I did help her as well as I could, but the whole thing was just awful and we were made to feel we were wasting the staffs time.