Termination counselling

Question 1

Termination occurs between what weeks?

Answer 1

0-24weeks

Question 2

What 2 medical drugs are given in termination?

Answer 2

Misoprostol

Mifepristone

Question 3

How do the medical drugs work in termination?

Answer 3

Relax cervix

Soften cervix

Stimulate contractions for expulsions

Question 4

What do we also need to give patients if the termination occurs 10+ weeks

Answer 4

Anti-D Rhesus injection
-> if woman wants to be pregnant again

Question 5

Describe the Surgical Management of Termination

Answer 5

Same medical drugs + Anaesthetics (GA / Local) + Osmotic dilator to open cervix + Suction / Evacuation w/forceps

Question 6

If 0-14 weeks, what is the surgical management of termination?

Answer 6

Cervix dilation + Suction concents

Question 7

If 14-24 weeks, what is the surgical management of termination?

Answer 7

Cervix dilation + Evacuation w/forceps

Question 8

What complication can occur from termination?

Answer 8

Vaginal bleeding + Pain for 2weeks

Question 9

What to offer to Patient if they dont want to come to hospital + <10weeks? Termination

Answer 9

Marie Stopes

Can give medication sent to home

Question 10

What do we need to do before surgical / medical management is done for termination?

Answer 10

Ultrasound
Blood tests
Pregnancy test

Question 11

How do we confirm that abortion is complete? (2)

Answer 11

No sex for 3 weeks
Test Pregnancy test 3 weeks

Question 12

What do we advise to patients who have just had an abortion? (2)

Answer 12

Marie Stopes advise

Contraception discussion for future