Termination Of Pregnancy

Question 1

Regarding TOP

Which grounds refer to top <24 weeks

Answer 1

C & D

Question 2

Regarding TOP

What does ground E apply to

Answer 2

Top up to term but only in the case of severe fetal anomalies

Question 3

Regarding TOP

Which grounds apply to pregnancies up to term but only in cases of severe risk to maternal physical or mental health

Answer 3

A,B,F & G

Rarely used and only account for 1% of all abortions

Question 4

Regarding TOP

Which is the most common grounds used

What % of top is it applied to

Answer 4

C
98%

Pregnancies <24 weeks, continuation of that pregnancy would involve risk, greater than if terminated, to maternal physical or mental health

Question 5

Regarding termination of pregnancy

When can ground C be applied

Answer 5

Pregnancies <24 weeks, continuation of that pregnancy would involve risk, greater than if terminated, to maternal physical or mental health

Question 6

Regarding termination of pregnancy

When is ground D applied

How common is its use

Answer 6

Pregnancy <24 weeks, continuation involves risk, greater than the termination, of injury to the physical or mental health of any existing children or the family of the pregnant woman

1% of all abortions

Question 7

What percentage of women with a diagnosis of trisomy 21 opt for a TOP

Answer 7

94%

Question 8

What % of TOP occur after 24 weeks

Answer 8

<0.1%

Question 9

Regarding termination of pregnancy

When can ground A be applied

Answer 9

At any gestation

Pregnancy would involve risk to the woman greater than if terminated

Question 10

Regarding termination of pregnancy

When can ground B be applied

Answer 10

At any gestation

Termination necessary to prevent grave permanent injury to physical or mental health of the pregnant woman

Question 11

Regarding termination of pregnancy

When can ground F be applied

Answer 11

At any gestation

By the operating practitioner as immediately necessary

To save the life of the pregnant woman

Does not require signature of 2nd doctor

Question 12

Regarding termination of pregnancy

When can ground G be applied

Answer 12

At any gestation

By the operating practitioner as immediately necessary

To prevent grave permanent injury to the physical or mental health of the pregnant woman

Does not require signature of 2nd doctor

Question 13

Regarding termination of pregnancy

When applying ground C & D

What certificate is signed and what has to be recorded
By whom
Under what section of the act

Answer 13

The grounds for the abortion must be recorded on Certificate A

Signed by two doctors

Under section 1(1) of the act

Question 14

Regarding termination of pregnancy and the abortion notification form HAS4

Who completes it
Where is it sent
Within what time frame

Answer 14

By the practitioner performing TOP

sent to the chief medical officer

Within 14 days

Question 15

Regarding termination of pregnancy

When might an MTOP be necessary rather than STOP

Answer 15

Severely obese
Uterine malformations
Fibroid uterus
Previous Cx surgery

Question 16

Regarding termination of pregnancy

What is the failure for STOP AND MTOP

Answer 16

1-2:100

Question 17

Regarding termination of pregnancy

What is the need for repeat procedure following MTOP

Answer 17

5:100

Question 18

Regarding termination of pregnancy

What is the need for repeat procedure following STOP

Answer 18

2:100

Question 19

Regarding termination of pregnancy

What routine prophylaxis should given after STOP

Answer 19

200mg doxycycline within 2hr

OR

500mg azithromycin working 2 HR

Question 20

Under what circumstances does TOP not require a signature of two doctors

Answer 20

Under grounds

F) to save the life of the pregnant woman

Or

G) to prevent grave permanent injury to the physical or mental health of the woman

Question 21

As per RCOG recommendation

Prior what gestation should STOP not be offered and why

Answer 21

Under 7 weeks due to the high risk of failure in comparison to MTOP