Emergency Contraception And TOP Flashcards
For TOP who needs to authorise?
Need 2 registered medical professionals
Permitted reasonings for TOP?
Continuation of pregnancy would be risk of life of woman.
To prevent injury to physical / metal health of woman.
Continuation of pregnancy would be risk to mental / physical health of woman / existing children.
Risk that the new child would suffer physical/ mental abnormalities -> severely handicapped
Limit of a social TOP?
23 weeks 6 days
Limit of a fetal anomaly pregnancy?
Any gestation
Medical TOP gestational classifications?
Early : <9weeks
Late : 9-12 weeks
Mid-trimester : 12-24 weeks
What 2 stages are involved in an early medical TOP?
Oral mifepristone (an antiprogestogen) 24-48 hours after - misoprostol (vaginal/oral prostaglandin)
What addition step involved if late/ mid-trimester medical TOP?
Repeated doses of prostaglandins 3 hourly
What in involved for a surgical TOP 6-12 weeks?
Vacuum aspiration
What is involved in a surgical TOP 13-24 weeks?
Dilation and evacuation
What is the most effective emergency contraception?
Copper IUD
IUD can be given as emergency contraception up until what time?
120 hours
What are the oral methods of emergency contraception?
LNG-EC - levonorgestrel
UPA-EC - ulipristal acetate
Disadvantage of oral emergency Contraception?
Won’t work after ovulation
Time window for use of LNG-EC?
72 hours post UPSI
Time window for UPA-EC?
120 hours post UPSI
