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Emergency Contraception Flashcards

1
Q

What age group has the highest rates of TOP?

A

20-24year olds

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2
Q

What are the terms of the abortion act 1967?

A

needs 2 registered medical practitioners to sign off; must take place in NHS hospital

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3
Q

What form must be filled out for an abortion?

A

certificate A (HSA1)

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4
Q

What form must be filled in within 24 hours of an emergency abortion?

A

certificate B (HSA2)

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5
Q

What forms must be completed and sento t the CMO within 7 days of the abortion?

A

HSA4

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6
Q

What is the most common ground for termination used in certificate A?

A

pregnancy has not exceeded 24th week and continuane of pregnancy would invovle risk, greater than if pregnancy terminated, of injury to physical or mental health of pregnant woman

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7
Q

How long does it take to be referred for TOP consultation?

A

2 weeks

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8
Q

When is the legal limit for social TOP?

A

23 weeks 6 days

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9
Q

What is the limit for medical termination in Tayside?

A

18 week and 6 days

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10
Q

What is the limit for surgical termination for Tayside?

A

upto 12 weeks

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11
Q

What is defined as early medical temrination?

A

upto 9 weeks

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12
Q

What is defined as late medical termination?

A

9-12 weeks

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13
Q

What is mid-trimester termination?

A

12-24 weeks

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14
Q

What is the first stage in medical TOP?

A

oral mifepristone 200mg

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15
Q

What is mifepristone?

A

anti-progesterone

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16
Q

What is the second stage of medical TOP?

A

vaginal or oral prostaglandin eg misoprostol

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17
Q

HOw long after the first stage does the second stage of TOP take place?

A

24-48hours

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18
Q

What option is there for early medical TOPs~?

A

complete 2nd part at home

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19
Q

What is required for late-mid-trimester medical TOPs?

A

repeated doses of prostaglandin 3 hourly

20
Q

What is the surgical option 6-12 weeks?

A

vacuum aspiration

21
Q

What is the surgical option available in London between 13-24 weeks?

A

dilatation and evacuation

22
Q

What tx is required before surgical TOP?

A

cervical priming with vaginal prostaglandin

23
Q

What is manual vacuum aspiration?

A

new alternative for early TOP performed under LA

24
Q

What are the complications of TOP?

A

pain; haemorrhage; infection; imcomplete/failed; uterine perforation; cervical trauma; anaesthetic complications; uterine rupture

25
Q

How long after TOP should a repeat UPT be done?

A

2-3 weeks

26
Q

What contraceptives can be started immediately after TOP?

A

pills; injection; implant; IUD- depends

27
Q

What is the mid-cycle pregnancy risk following UPSI?

A

around 30%

28
Q

After how many missed COC should EC be taken?

A

more than one

29
Q

What are the oral methods of EC?

A

LNG-EC and UPA-EC

30
Q

What is the difference between LNG-EC and UPA-EC?

A

LNG upto 72hours post UPSI whereas UPA upto 120hours

31
Q

What intrauterine method is available for EC?

A

copper IUD

32
Q

What is the mode of action of oral EC?

A

delay ovulation

33
Q

Does LNG or UPA have a higher pregnancy rate after use?

A

UPA

34
Q

When is LNG most effective?

A

first 24 hours

35
Q

What is UPA?

A

anti-progestogen

36
Q

What is LNG?

A

high dose progestogen

37
Q

Which oral EC can work during LH surge but not after peak?

A

UPA

38
Q

When should UPA be avoided?

A

if wishing to start quick-start contraception- must delay for 5 days; if hormonal contraception has been used in past 7 days; severe asthma

39
Q

What is the effectiveness of the copper IUD compared with oral ECs?

A

10x more effective

40
Q

What are the mode ofactions of the copper IUD?

A

toxic to sperm and ovum; anti-implantation

41
Q

When can the copper iuD be inserted?

A

upto 120 hours post-UPSI; upto 5 days after earlist expected date of ovulation

42
Q

When do most pregnancies implant after fertilisation?

A

8-10days

43
Q

How often can levnorgestrel vs ulipristral be given in a cycle?

A

LNG- repeatedly; ulipristal- once

44
Q

What is the difference in time effectiveness between LNG and ulipristal?

A

LNG is time-dependent whereas ulipristal is not

45
Q

What drugs can ulipristal acetetate not be given with?

A

liver enzyme inducers; drugs reducing gastric pH; less effective if on hormonal contraception

46
Q

Is ulipristal suitable whilst breastfeeding?

A

CI for a week

Reproduction (52 decks)

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