Abortion Flashcards
abortion is considered:
removing a fetus or embryo from the uterus before the stage of viability
What is the stage of viability?
24wks
how women in the US will have an abortion before 45y?
25% (1in4)
what % of pregnancies in NC are unintended?
54%
what are the two types of abortions and how effective are they?
medical (95-99%) and surgical >99%
medical may require a D&C after
what types of abortion are available to someone at 10-12wks?
induced (aspiration)
spontaneous: medication and surgical
what types of abortion are available to someone at <10wks?
induced: medication or surgical
spontaneous: medication or aspiration
what types of abortion are available to someone at 12-14wks?
induced: cervical prep often required -> aspiration
spontaneous: cervical prep often required, aspiration
what types of abortion are available to someone at >14wks?
cervical prep required -> dilation and evacuation
When can a fetus begin to feel pain? what are some other considerations for this issue?
not until 28wks
if parent is receiving pain med, baby is too
other surgeries (spina bifida) don’t require pain control
What are the conditions of abortion care in NC?
state-mandated counseling
72-hour waiting period
parental consent for minors
no telemedicine for medication abortion
no abortion based on sex selection
facility requirement
refusal clause for professionals
duke performs up to 22w6d
U/S image to confirm >16wks
sale of fetal tissue from abortion/miscarriage is illegal
how do abortions make it to 2nd trimester?
social delays, BMI and chronic health limitations
prenatal dx is often 18-20wks
what is involved in cervical prep?
dilation of cervix, placed 4-48hrs before procedure, swell and release prostaglandins
what happens in evacuation <14wks?
manual vacuum aspiration o electric vacuum aspiration
what happens in evacuation >14wks?
D&E
labor induction abortion
