Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

Year 4 Gynae > Termination of pregnancy > Flashcards

Termination of pregnancy Flashcards

1
Q

When can partners abort

A

Up to 23 weeks and 6 days

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Methods of abortion

A

Medical:

  • Mifepristone (anti progesterone)
  • Misoprostol (prostaglandins for contractions)

Surgical:

  • Suction evacuation - 1 st trimester
  • Diliatation and evacuation - 2nd trimester
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

When is fetocide given

A

After 22 weeks

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Advantages of medical abortion

A

Non invasive

Controlled by woman

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Disadvantages of medical abortion

A

Can take longer
Bleeding and cramping
Nausea and vomiting
May require more clinic visits

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

When is medical abortion better than surgical?

A

Obesity
Uterine malformations
Fibroids
Choice

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Advantages of surgical abortion

A

Quick
Easily verified
Sterilisation and IUD can be done at same time

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Disadvantages of surgical abortion

A

Invasive
Infection risk
Uterine or cervical injury
Timing controlled by hospital

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

When is surgical abortion better than medical?

A

Vomiting, cannot take orally
Allergy
Time constraints - required quickly

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Regimen for medical abortion before 9 weeks

A

Mifepristone 200mg oral + misoprostol 800mg after 1/2 days vaginally/buccal or sublingual

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Regimen for medical abortion between 9 - 13 weeks + 6 days

A

Mifepristone 200mg oral + misoprostol 800micrograms after 1/2 days vaginally/buccal or sublingual

+ misoprostol 400micrograms every 3 hours until abortion

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Vacuum aspiration before 14 weeks risk

A

Higher risk of failure as not a lot of fetal tissue

- cervical preparation is advised to reduce risk of cervical injury by dilatation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

If abortion does not occur after 24hrs of medical regimen

A

Repeat mifepristone 200mg 3 hours after last dose of misoprostol

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Risks of vaccuum aspiration

A

Uterine perforation
Haemorrhage
Infection

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Risks of vacuum aspiration

A 
Uterine perforation 
Haemorrhage 
Pelvic infection 
Adhesions 
Cervical trauma 
Further treatment - blood transfusion, laparotomy
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Investigations before abortion

A

Bloods - group and save, STD screening

17
Q

Law for abortion

A

2 doctors must agree independently for an abortion to be accepted

18
Q

Advice if women would like to conceive after

A

Wait until at least one normal menstrual period and longer if there are chronic problems such as anaemia

19
Q

Aftercare advice

A 
Info on how much blood to expect 
Complications and signs 
When they an resume normal sexual intercourse 
Contraception 
Where to seek help

Year 4 Gynae (35 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions