Ethics at the Beginning of Life Flashcards

1
Q

Name the three methods of abortion.

A

Medical (i.e. pill) (preferred)
Vacuum aspiration/Suction (7-15 weeks)
Surgical (15 weeks onwards)

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2
Q

Beyond what point is an abortion considered ‘late’ and which of the methods of abortion can still be used this late on?

A

20 weeks onwards

Medical or Surgical

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3
Q

What did the 1861 Offences Against the Person Act state with regard to abortion?

A

Abortion illegal under any circumstance

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4
Q

In what year was abortion legalised under certain circumstances (the 19.. Abortion Act)?

A

1967

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5
Q

According to the Abortion Act, when is abortion permitted normally?

A

Under 24 weeks - if continuing is a greater risk to woman’s physical/mental health or existing children

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6
Q

Under what 3 circumstances is an abortion permitted beyond 24 weeks?

A

When necessary to prevent permanent injury
When continuing presents risk of life to woman
When there is a substantial risk of child being born with a serious handicap

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7
Q

Before 1990, what was the previous limit for abortions (bar extenuating circumstances) (in weeks)?

A

28 weeks

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8
Q

How many doctors must agree to the abortion before it is permitted?

A

2

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9
Q

Is it possible for females under the age of 16 to have an abortion?

A

Yes - no parental consent required assuming ‘competency’ and ability to understand risks and procedures involved

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10
Q

As a health care provider, what are you allowed to and not allowed to object to regarding abortions?

A

Allowed: directly participating

Not allowed: aiding in associated tasks and patient care

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11
Q

At what point does a foetus gain legal rights

A

Once it is alive and outside the uterus. May however warrant moral consideration whilst in the uterus

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12
Q

How is a ‘serious handicap’ defined?

A

No legal definition - left to the discretion of the patient and doctor

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13
Q

At what point is foeticide recommended by the RCOG?

A

22 weeks and beyond

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14
Q

What rights does a potential father have regarding the implantation of frozen embryos from IVF?

A

Consent needed from both mother and father to implant frozen embryos - therefore, if the father wishes for this not to happen, that decision will stand. Once embryo is implanted however, the father has no rights regarding abortion of other courses of action

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15
Q

Can healthcare professionals force a treatment or procedure on a mother to be regarding abortion or premature birth?

A

If she retains capacity to consent, then no, even if thinking process is bizarre and irrational

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16
Q

What is the difference between direct abortion and indirect abortion?

A

Direct: primary effect is to kill the foetus
Indirect: Primary effect is not killing the foetus but something else instead; death of the foetus is not intended and is a side effect

17
Q

During medical pill abortion, what are the two pills used?

A

Mifepristone

Mifoprostol (given 2 days later)

18
Q

What does mifepristone (1st pill) do?

A

Prevents early implantation of embryo

19
Q

What does mifoprostol (2nd pill) do?

A

Breaks down uterine lining