Informed Consent

Question 1

What is required for someone having an MTOP?

Answer 1

• That they understand MTOP?
• How and where the Mifepristone Linepharma and GyMiso are administered.
• The Number of visits required to the clinic.
• A 24 Hour Nurse Telephone Support line is available.
• The Need for the patient to have a support person and how to access medical care in an emergency.
• Follow up contact is essential to confirm termination and exclude complications.
• To access 24 hour emergency care in the event of a complication.

Question 2

What are the Risks and Side Effects a Patient needs to understand?

Answer 2

• Risks
  
  • Continuing pregnancy
    Incomplete abortion
  • Excessive Bleeding
  • Infection
• Side effect
  
  • Bleeding
  • Cramping
  • Diarrhoea
  • Nauesa and vomiting
  • Fever and chills

Question 3

What must the practioner do to ensure that the patient has informed consent?

Answer 3

1. Understands the MS-2 Step process.
2. Risks and Side Effects
3. That surgical termination is an alternative to MS-2 Step Treatment for early pregnancy.

Question 4

Why is surgical termination recommended?

Answer 4

Because there is a risk of fetal malformations after the administration of misoprostol.

Question 5

When should contraception options be considered?

Answer 5

During the counselling session because fertility can return 2 weeks after the MTOP.