Termination of pregnancy Flashcards

1
Q

latest date for a termination of pregnancy?

A

24 weeks

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2
Q

how many grounds are there for abortion currently ?

A

6

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3
Q

which are the two most common grounds for miscarriage?

A

would involve risk of physical or mental injury to mother
baby born seriously handicapped
(Ground C or ground E)

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4
Q

the categories of abortion ?

A

early (<9 weeks)
late (9-12)
mid trimester (9-24)

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5
Q

what is stage 1?

A

medical

oral mifepristone

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6
Q

what kind of drug is mifepristone

A

anti prostaglandin

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7
Q

what does mifepristone do?

A

increases contractions and increases expression of prostaglandin receptors

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8
Q

what is stage 2 ?

A

oral or vaginal prostaglandins

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9
Q

what prostaglandins are used?

A

gemeprost and misopristol

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10
Q

when can stage 2 be completed at home?

A

if less than 9 weeks

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11
Q

how do prostaglandins act to promote passage of POC?

A

increasing contractions

opening the cervix

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12
Q

complications of termination of pregnancy?

A

pain
bleeding
infection
faliure

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13
Q

success rate of TOP?

A

95%

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14
Q

if initial medical termination fails, what can be done?

A

can be repeated or surgical one can be carried out

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15
Q

when can a surgical termination be carried out?

A

9-13 weeks

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16
Q

how is this carried out at 9-13 weeks

A

vacuum aspiration

17
Q

what are the advantages of a surgical ?

A

lower failure rate

allows insertion of IUD/IUS

18
Q

complications of surgery?

A

same as medical