Abortion

Question 1

Over 80% of abortions are? 70% occur?

Answer 1

medical - tablets

under 9 weeks

Question 2

Abortion care- decision making

Answer 2

• 90% are certain

- those who aren’t often struggle and are left with sadness and guilt - provide support - some may need counselling

Question 3

Medical abortion pills?

Answer 3

Mifepristone - in clinic

24-48 hr later - Misoprostol - vaginal or buccal

Question 4

Side effects of medical abortion?

Answer 4

can cause heavy bleeding - Bad GI upset (the worst period you can imagine)

Question 5

Surgical abortion - 3 types

Answer 5

1 - dilation and evacuation - later gestation
2 - manual vacuum aspiration - local anaesthetic
3 - suction abortion (STOP)

Question 6

Local vs general anaesthesia ?

risk/benefits?

Answer 6

LA - recovery quicker, shorter time in hospital, painful
GA - longer recovery time, pain free, risks associated

less risk of retained tissue- come with risk of uterine or cervix damage - can insert coils

Question 7

What is conscientious objection - what does it include? (3)

Answer 7

• limited to med staff involved with the procedure
• right to opt out providing abortion care
• obligation to ensure the woman is still able to access the care

Question 8

What is conscientious objection - what doesn’t it include? (2)

Answer 8

Medical or nursing care provided to a woman currently undergoing abortion treatment
- care for a pregnant woman who is considering an abortion

Question 9

Why do women die from abortion? (3)

Answer 9

unsafe

performed by person lacking skills, bad environment

Question 10

What’s the legislation in the uk? (2)

Answer 10

1967 - 2 DOCTORS must be in agreement

- know women’s circumstances

Question 11

What clauses must the doctors agree on? (4)

Answer 11

1- continuance of pregnancy - risk to the pregnant woman
2- reduces chance of permanent injury to physical or mental health of woman
3- pregnancy has not exceeded its 24th week and continuation could cause harm to pregnant woman or their other children
4 - substantial risk to the child born, suffer from physical or mental abnormalities

Question 12

NI timescale?

Answer 12

28 weeks

Question 13

Problem is likely to be with

Answer 13

contraception

Question 14

how many women in the UK will have an abortion

Answer 14

1/3

Question 15

Important to see female patient alone?

Answer 15

to make sure they are not being coerced