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Reproduction and sexual health > Termination of pregnancy > Flashcards

Termination of pregnancy Flashcards

1
Q

How many doctors are required to sign the HSA1 form

what is the indication

A

2

elective TOP

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2
Q

How many doctors are required to sign the HSA2 form

what is the indication

A

1

emergency abortion

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3
Q

which form should be signed and sent within 7 days after an abortion

A

HSA4

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4
Q

what is the gestational limit for an abortion

A

24 weeks

20 weeks in Scotland

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5
Q

what is the gestational limit for abortion if the child born would be severely handicapped

A

no gestational limit

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6
Q

what is conscientious objection and when is it not applicable

A

Dr has the right to opt out of certain procedures due to personal belief
not applicable if: emergency, prevents access to care, paperwork

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7
Q

what are methods of terminating a pregnancy

A

medical

surgical

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8
Q

what are the dates for early MTOP

A

0-9 weeks

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9
Q

what are the dates for late MTOP

A

9-12 weeks

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10
Q

what are the dates for mid-trimester MTOP

A

12-24 weeks

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11
Q

what is EMAH and who is it for

A

early medical abortion at home

<10 weeks gestation

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12
Q

how is EMAH carried out

A

PO mifepristone administered at hospital premises

PV misoprostal can be administered at home

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13
Q

when can EMAH not be used

A

live far away
under 16 years old
high risk of complications

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14
Q

what are the 2 stages to MTOP

A

PO mifepristone

PV/SL misoprostal 24-48 hours later

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15
Q

what kind of drug is mifepristone

A

anti-progesterone

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16
Q

what kind of drug is misoprostal

A

prostaglandin

17
Q

what is the gestational limit for abortion in Scotland

A

20 weeks

anything after has to be referred to England

18
Q

what is STOP

A

surgical termination of pregnancy

removal of products of conception via surgery under anaesthesia

19
Q

what is given to prevent cervix from damage in STOP

A

cervical primers

20
Q

which STOP technique is used for <14 weeks gestation

A

vacuum aspiration (electric/manual)

21
Q

which STOP technique is used for >14 weeks gestation

A

dilatation and evacuation

22
Q

dilatation and evacuation procedure is available in Scotland, true or false

A

false, have to refer to England

23
Q

what is given to prevent infection

A

antibiotic prophylaxis to all STOP, and MTOP with high STI risk
7 days doxycycline or 3 days azithromycin

24
Q

when is anti-D prophylaxis offered in TOP

A

all STOP

MTOP > 10 weeks gestation

25
Q

what do you give women at high risk of VTE/PE

A

LMWH

Reproduction and sexual health (46 decks)

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