Termination of Pregnancy Flashcards
What is the legal paper relating to this issue?
Abortion Act 1967
What needs to happen in HSA1 form?
2 medical professional signatures
What is needed for the HSA2 form?
1 signature from a medical professional within 24hrs of a medical abortion
What is needed for the HSA4 form?
To be completed by a doctor and sent to the chief medical officer for confirmation - within 7 days of the abortion
How long does it take to be referred for TOP?
2 weeks
What happens at the TOP clinic consultation?
Confirmation about why TOP
USS to confirm pregnancy and gestation
Full medical history
Counselling on the types of TOP available
When is TOP available until?
23 weeks and 6 days or at any time for foetal abnormality (where the foetus will not survive outwith the mother) or maternal life is at risk
How will TOP be carried out if <9 weeks gestation?
Medically - with a dose of mifeprestone (oral) and then oral/vaginal misoprostol 24-48hrs later (can be administered at home)
How will TOP be carried out if 7-13 weeks gestation?
Can be medical but also this is the time frame for surgical removal through vacuum suction. This can be done under LA or GA and will only take about 5-10 minutes. Should expect to bleed for a few days afterwards
How will TOP be carried out if 9-18 weeks and 6 days gestation?
Medically - with a dose of mifeprestone (oral) given then 24-48hrs admitted to hospital for misoprostol dose(s). This can take 6-12 hrs to expel uterine contents - may require multiple doses of misoprostol and overnight stay. Can expect to bleed for 7-10 days.
Pain can be controlled with medication but will vary dependent on gestation.
What is mifeprestone?
This is an anti-progesterone which will act on the uterus to make it unsuitable for a foetus to grow.
What is misoprostol?
This will induce contraction of the uterus to increase expulsion of foetal products and uterus lining
What should be offered after TOP
Contraception
