Termination of pregnancy Flashcards
What proportion of pregnancies are terminated worldwide?
1 in 5
What proportion of women in the UK with have had a TOP before the age of 45?
1/3rd
How many TOP’s are carried out in the UK each year?
200,000
What proportion of TOP’s occur before 12 weeks gestation?
> 90%
When can a TOP take place under ‘A’ of The Abortion Act 1967?
There is a risk to the woman’s life if the pregnancy continues
When can a TOP take place under ‘B’ of The Abortion Act 1967?
Termination is necessary to prevent permanent grave injury to the physical or mental health of the woman
When can a TOP take place under ‘E’ of The Abortion Act 1967?
There is substantial risk that is the child were born he/she would suffer such physical or mental abnormalities as to be seriously handicapped
When can a TOP take place under ‘C’ of The Abortion Act 1967?
Continuance risks injury to the physical or mental health of the woman, greater than if terminated AND foetus <24/52
When can a TOP take place under ‘D’ of The Abortion Act 1967?
Continuance risks injury to the physical or mental of existing children of the woman, greater than if terminated AND foetus <24/52
Under what ‘letter’ are most abortions conducted, and what proportion of abortions is this?
97% = carried out under C
What is the form doctor’s have to sign for an abortion to take place?
HSA1
What are the complications of TOP?
- Failure to abort
- Post-abrotion infection
- Haemorrhage
- Uterine perforation (surgical only)
- Uterine rupture
- Cervical trauma
- Premature labour in future pregnancies (surgical only)
When is fetecide required in a medical TOP?
KCl required beyond 21 weeks 6 days
When is fetecide required in a surgical TOP?
KCl required beyond 23 weeks
What drugs are used in a medical TOP?
Mifepristone + misoprostol
