Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

1 Obs & Gyn > Abortive care > Flashcards

Abortive care Flashcards

1
Q

Do women have a legal right to abortion in mainland uk?

A

no

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

How can the 1967 abortion act be certified to allow for an abortion to take place?

A

be certified by TWO doctors

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Is there a time limit for a foetus with a serious disability?

A

no…

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

What are the five criteria for abortion? (A-E)?

A

A-risk of life to pregnant woman greater than if pregnancy were terminated

B- abortion necessary to prevent grave injury to physical or mental health of pregnant woman

C- not exceeded 24 weeks and continuation would risk mental and physical health

D- affecting existing children of the pregnant woman

E- physical or mental abnormalities -> handicapped

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Does a foetus have a legal right to life?

A

no…regardless of gestation?!

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Which medical procedures does the chief medical officer need to know about?

A

abortion

- marital status, smoking, ethnicity

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

How many women will have had an abortion by the time they reach 45?

A

1/3

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Medical abortions can be provided up to how many weeks?

A

20 weeks

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Up until when can surgical procedures be performed in Scotland?

A

13 weeks

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

What are the two types of abortion?

A

medical or surgical

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

What is the best time to perform an abortion?

A

9 weeks since last period

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Can abortions under 16 year be performed at home?

A

always in hospital

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

When can inpatient medical abortion take place?

A

> 12 weeks

if no support

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

List three criteria for patients who must be seen in person

A

Hx of pain and bleeding
IUD in situ
significant medical problems
high risk of ectopic pregnancy

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

What is the drug regimen for medical abortion?

A

Mifepristone

Misoprostol

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

What is the MOA of mifepristone?

A

anti-progesterone

17
Q

How is mifepristone taken?

A

200 mg OD

18
Q

When and how is misoprostol taken?

A

800 mcg vaginal/buccal/sublingual

taken on day 3

19
Q

Aside from misoprostol and mifepristone, what else forms part of the abortion package?

A 
ibuprofen
cocodamol
pregnancy test
sanitary pads
prochlorperazine
OCP
doxycyline
20
Q

What are the symptoms of medical abortion?

A

vaginal bleeding

lower abdo pain

21
Q

After how long will abortion symptoms take place after misoprostol?

A

2-3 hours

22
Q

What is the benefit of surgical over medical?

A

minimal abdo pain
minimal vaginal bleeding
coil can be fitted (IUC)
smear can be done

23
Q

After how long following an abortion are you fertile again?

A

after 5 days following abortion

24
Q

What is the surgical procedure for abortion?

A

suction device

25
Q

Three contraindications for medical abortion?

A 
long term corticosteroids
hypertension
adrenal insufficiency 
sickle cell
high cholesterol
26
Q

List two contraindications for surgical abortion

A

BMI 40
BMI 35 with comodrbidities
Anaesthetic complications
Difficulty of accessbility e.g. cervical tumour

27
Q

List three complications of abortion

A 
failure to end pregnancy
retained non viable tissue
infection
haemorrhage
cervical tear
uterine perforation
pscyhological impact
28
Q

When should you seek medical attention following an abortion?

A

very heavy bleeding
symptoms of anaemia: dizziness, SoB, palpitations
Offensive vaginal discharge
High fever and systemically unwell

29
Q

Which questions should you ask presenting to A&E with vaginal bleeding who had an abortion three weeks ago?

A 
type of abortion and process
STI screen
Did they take prophylactic antibiotics?
Pain, fever, offensive discharge
Contraception? 
Bleeding- how heavy? clots? pads? how many days? variability?
30
Q

Differential diagnosis for vaginal bleeding post abortion?

A

incomplete abortion
endometritis
uterine perforation (if surgical)
side-effect of contraception

31
Q

What is RPOC?

A

retained products of conception

32
Q

Would RPOC have a positive or negative pregnancy test?

A

positive

33
Q

What is the management of RPOC?

A

Watchful waiting
further misoprostol
surgical

34
Q

How is RPOC diagnosed?

A

clinical + USS

35
Q

What are the signs and symptoms of endometritis?

A 
persistent lower abdo pain
pain with intercouse
persistent bleeding
offensive vaginal discharge
fever
36
Q

What is the management of endometritis?

A

broad spectrum abx
analgesia
If sepsis- admit, IV abx, IV fluids

37
Q

What is a conscientious objection?

A

doctor who for religious/political/philosophical views disagree with abortion. Important to not express this but to say that you do not offer this procedure but that you are happy to refer onto a colleague

38
Q

What year is the most recent abortion act?

A

Abortion act 1967

1 Obs & Gyn (31 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions