Abortion Flashcards
what is the most commonly perforated gynae procedure in the UK
abortion
an unplanned pregnancy has poorer outcomes for mother and baby true/false
true - less likely to attend antenatal appointments, reduced breast feeding rates etc
how many clauses are there that an abortion can come under
5
A-E
how many doctors must sign off for an abortion under clauses A-E
2
how many doctors must sign off an emergency abortion under clauses F-G
1
what does clause A state
abortion as risk to mothers life if pregnancy continues
what does clause B state
termination required to prevent grave injury to physical/mental health of the mother
what does clause C state
continuation risks physical and mental health more than termination
what does clause D state
continuation risks the health of other children more than termination
what does clause E state
risk that if child was born it would suffer severe genetic/physical/mental abnormalities
what is the most common clause for TOPs to be certified under
C
what is conscientious objection
a clause made in 1967 stating that healthcare professionals have the right to refuse participation in abortion care
what are the 3 circumstances that conscientious objection does not apply to
emergency/life-threatening situations
should not prevent patients accessing the care they need
does not apply to indirect tasks associated with TOP such as admin
what is the gestational limit for a TOP under clause C
24 weeks
what is the gestational limit for a TOP under clause E
no limit
what are the 2 main types of TOP
medical
surgical
in scotland, when is a surgical TOP available until
14 weeks
what are the 2 medications involved in a medical TOP
mifepristone
misoprostol
in that order
what does mifepristone do
anti-oestrogen which stops the viability of the pregnancy
what does misoprostol do
prostaglandin which relaxes the cervix allowing the pregnancy to pass
an EMAH (early medical abortion at home) gives the woman what drugs
mifepristone misoprostol anti-emetic analgesia antibiotics for STI contraception (6 months of POP) low sensitivity pregnancy test
what are the two surgical TOP methods available in scotland before 14 weeks
electric vacuum aspiration under GA
manual vacuum aspiration up to 10 weeks under LA
what is the method of surgical TOP in scotland between 14 and 20 weeks
dilatation and evacuation
what are the main complications of abortion
bleeding, especially in surgical failed abortion infection due to foreign bodies uterine perforation cervical trauma - reduced with cervix priming
how quickly is fertility restored after abortion
ovulation occurs in 90% of people within 1 month after TOP
if contraception is started within __ days it is immediately effective
5 days
what form of contraception is contraindicated until normal female anatomy is restored after TOP q
diaphragm
