Gynaecology - Termination of Pregnancy Flashcards
1
Q
Termination of Pregnancy
TOP?
A
Current Legal Standing:
- Based on abortion act 1967
- Amended 1990 by Human Fertilization and Embryology Act
2
Q
Termination of Pregnancy
TOP
Key features of act?
A
- Must be no greater than 24 weeks gestation
- Considered >24 wks if life of mother at risk
- Consider in cases where > risk to existing children
- Consider when physical and mental health of mother at risk
- Consider if child likely to be born with severe mental/physical issues
3
Q
Termination of Pregnancy?
Methods used?
A
Gestation <9weeks
- Mifepristone
- 48 hours after mifepristone - give prostaglandin (misoprostol)-stimulates uterine wall
Gestation<13weeks
- Surgical dilation and vacuum aspiration
Gestation - 15 weeks
- Surgical dilation and evacuation
4
Q
Termination of Pregnancy?
Complication?
A
General complication:
- Those of GA
- Haemorrhage
- Infection
- Retained products of conception
- Psychiatric complications
Specific complications:
- Trauma to the genital tract
- Asherman’s syndrome - Adhesions/fibrosis of endometrium
- Perforation of pelvic organs
