L16: Abortion

Question 1

What is the definition of abortion

Answer 1

To deliberate termination of a human pregnancy

Question 2

What is the definition of miscarriage

Answer 2

Spontaneous loss of foetus’s before 20th week of pregnancy

Question 3

What is the definition of stillbirth

Answer 3

Loss of foetus after 20th week

Question 4

What is post coital interception

Answer 4

Any process which aims to stop a fertilised egg implanting

Question 5

Give an example of a post coital interception

Answer 5

Morning after pill

Question 6

Is post coital interception legally abortion

Answer 6

No

Question 7

Before 1967 what was the state of abortion

Answer 7

All was made illegal

Question 8

What brought the abortion act 1967 that made legal abortion

Answer 8

A statement that said life starts at breath

Question 9

Under the abortion action 1967 is buying abortion pils online illegal

Answer 9

Yes

Question 10

If abortion is carried out in clinical practise what does it have to be in accordance with

Answer 10

Abortion act 1967

Question 11

If a doctor is taking responsibility who do they need to legally notify

Answer 11

Chief medial officer

Question 12

Within how many days does this notification have to be done within

Answer 12

14 days of termination

Question 13

Who needs to agree for the abortion to proceed

Answer 13

2 doctors

Question 14

What are the 4 Criteria’s of with one has to apply to for abortion to proceed

Answer 14

1a) less than 24 weeks, risk of continuation is greater than abortion, risk of injury to physical or mental heath of woman or existing child of pregnant woman
1b) abortion is necessary to avoid risk of grave permanent injury to physical or mental health of woman
1c) risk of continuation is greater than risk of abortion
1d) a substantial risk that if child was born it would suffer from abnormalities as to be severely handicapped

Question 15

What are the 2 ways of caring out abortion

Answer 15

Medication

Surgical

Question 16

When is medical abortion carried out

Answer 16

Pregnancy less than 10 weeks

Question 17

What are the medications used for abortion

Answer 17

Oral milepristone

Oral misoprostol

Question 18

How does oral milepristone work

Answer 18

Blocks the hormonal cascade of pregnancy

Question 19

How does oral misoprostol work

Answer 19

Promotes expulsion of uterine contents

Question 20

What are the 2 surgical methods used for abortion

Answer 20

Suction

Cervical dilation and then suction

Question 21

When is suction used

Answer 21

If less than 12 weeks

Question 22

When is cervical dilation and then suction used

Answer 22

If 12+ weeks pregnant

Question 23

What are the risks of abortion

Answer 23

Unsuccessful abortion

Question 24

What are the reasons for and against abortion

Answer 24

Right to live
Right to bodily autonomous of woman
Feminist arguments
Religious
Is not existing at all worse than having a bad life?
Down syndrome kids can live a happy life
Cleft palate and lip can be fixed

Question 25

What is conscientious objection in abortion

Answer 25

You do not want to involved in the abortion as a doctor

Question 26

What must you do if you have conscientious objection to abortion/treatment or procedure

Answer 26

1) tell the patient you do not provide the particular treatment
2) tell the patient they have the right to discuss the condition and option for treatment with another practitioner
3) make sure the patient has enough info to arrange and see another practitioner

Question 27

When can you now have conscientious objection

Answer 27

In emergency to save life or severe deterioration of life

Question 28

Therefore in abortion what criteria section cannot you not ignore

Answer 28

Section 1b) grave injury

Section 1c) death

Question 29

If a patient presents under the age of 16 can they consent to termination

Answer 29

Yes if they are assessed to be gillicks competent

Question 30

Can the parents of the child overrule their gillicks competent

Answer 30

No