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Reproduction > Termination of Pregnancy > Flashcards

Termination of Pregnancy Flashcards

1
Q

Give some of the main reasons for abortion

A

Failure of contraception
Sexual assault
Danger to mother’s life

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2
Q

Which age group has the highest rates of abortion?

A

20-24

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3
Q

How many registered medical practitioners are required to justify an abortion?

A

Two

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4
Q

What form are the doctors required to sign for an abortion?

A

Certificate A

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5
Q

Most terminations take place under which ground?

A

C - pregnancy has not exceeded week 24 and continuing pregnancy involves risk of injury to physical/mental health

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6
Q

What are the emergency grounds for termination?

A

F & G - necessary to save life or prevent grave permanent injury

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7
Q

What is Gillick competence?

A

The ability of a minor to consent to their own medical treatment

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8
Q

What should be discussed by the doctor with a minor who requests termination?

A

Potential risks
Gillick competence
Discussion with parents
Support after termination

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9
Q

Can doctors object to being involved in termination?

A

Yes - on moral or religious grounds

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10
Q

When must the doctor perform a termination despite conscientious objection?

A

In an emergency (i.e. grounds F & G)

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11
Q

What antibiotic is given as prophylaxis in termination?

A

Metronidazole

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12
Q

Up to what stage of pregnancy is surgical termination performed?

A

12 weeks

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13
Q

Up to what stage of pregnancy will NHS Tayside perform medical termination?

A

18 weeks + 6 days

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14
Q

What drug is given first in medical termination and how does it work?

A

Oral mifepristone - anti-progesterone

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15
Q

How long following the mifepristone is the second drug given?

A

24-48 hours

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16
Q

In a medical termination, what drug is given second and how does it work?

A

Vaginal/oral misoprostolol - prostaglandin

17
Q

What method of surgical termination is carried out from 6-12 weeks?

A

Vacuum aspiration

18
Q

What is the main advantage of surgical termination?

A

LARC (IUD etc.) can be fitted during procedure

19
Q

What new method of surgical termination can be carried out up to 9 weeks?

A

Manual vacuum aspiration

20
Q

Give some complications of termination

A 
Pain
Haemorrhage
Infection
Uterine perforation
Cervical trauma
21
Q

What aftercare is given following termination?

A

Urine pregnancy test
Anti-D
Counselling
Contraception

22
Q

Which method of contraception should not be started immediately following termination?

A

Depot progesterone

Reproduction (33 decks)

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