Abortion Flashcards
T/F Nearly 90% of abortions occur in the first three months of pregnancy.
T
T/F Induced abortion is common: 40% of american women have had one.
T
T/F the risk of mortality due to abortion is less than the risk of mortality due to pregnancy.
T –> only approximate each other in second trimester
T/F earlier abortion procedures are safer.
T
What tissues would be recognizable at 5-7 weeks?
decidua, trophoblastic villi
What tissues would be recognizable at 9-12 weeks?
decidua, placenta, fetal parts
Does medication abortion require a gynecologic exam?
No
Medication abortion typically involves what drugs?
mifepristone and misoprostol
_____ is a progesterone receptor antagonist.
mifepristone
_____ is a prostaglandin that causes uterine cramping and expulsion
misoprostol
_____ is a folic acid antagonist
methotrexate –> tubal/ectopic pregnancy
T/F Can use misoprostol alone for abortion
T
Nausea, diarrhea, vomiting, and headaches are consequences of which medical abortion component?
misoprostol –> prostaglandin
MOA of mifepristone
anti-progestin –> blocks progesterone and anti-glucocorticoid (blocks implantation) –> 4-6 hours to complete abortion
T/F Misoprostol is heat unstable.
F –> heat stable –> useful outside the occident
Effects of misoprostol
uterine contraction, softening and priming of cervix, prevents/treats ulcers, nausea/vomiting/diarrhea, fever +chil ls
Methotrexate delivery
IM –> takes up to a week
T/F pregnancy is possible in the first month post abortion
T
_____ methods are the most effective form of contraception with equal/better safety to any other method
LARC = long acting reversible contraception
T/F IUDs may be safely inserted immediately after spontaneous or induced abortions
T
Contraindication to IUD insertion
after septic abortion
how long after medical abortion can a patient have insertion of an IUD?
1 week followup
T/F ovulation may occur within 7-10 days of abortion.
T
