abortion care

Question 1

1 in 3 women have an abortion

Answer 1

true

Question 2

what are the legalities for an abortion

Answer 2

must be carried out at NHS hospital or licences premises
must have two registered doctors –barrier to access

Question 3

list of reasons people can have abortion

Answer 3

continuance of pregnancy would risk life of woman

termination is necessary to prevent injury to physical or mental health of pregnancy woman

pregnancy does not exceeded 24week and that the continuance of the pregnancy would involve risk greater than if the pregnancy were terminated, of injury to pregnancy woman

preg not exceeded 24weeks and pregnancy would risk other children of family

substantial risk that if child was born it would suffer from physical or mental abnormalities as to be seriously handicapped

Question 4

3 methods of abortion

Answer 4

early medical abortion at home up to 9weeks and 6 days

suction termination of pregnancy 7-14/40 weeks

manual vacuum aspiration up to 12/40 - up to 12 weeks

Question 5

early medical abortion EMA at home

what is given and when to make what happen

Answer 5

mifepristone taken in hospital is a anit- prostogenic steroid in hospital sensitizes myometrium to affective misoprostoll

this prostaglandin analogue misoprostolo in taken home and used vaginally 24hr - 48hr later this makes the uterus contract and the expels the pregnancy

repeat dose for use buccally if needed

induces miscarriage at home and very low complications and followed by telephone and high specification pregnancy 3 weeks later

Question 6

complication of EMA

Answer 6

bleeding
infection
ongoing pre under 1 percent
some may require surgery

Question 7

surgical termination as we know performed between 7-14 weeks under general anaesthetic , cervix is dilate and vacuum curette - offered contraception and also what is rheas negative

Answer 7

anti D

Question 8

MVA

deep cervical block does this use GA

Answer 8

no general aneasthic so quicker recovery time