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GP > Termination of Pregnancy > Flashcards

Termination of Pregnancy Flashcards

1
Q

What is another name for the termination of pregnancy form in GP?

A

the blue form

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2
Q

How can patients access abortion provideers?

A

can get GP referral or blue form signed OR can self-refer themselves to the abortion providers

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3
Q

If a GP has a conscientious objection to abortion what should be done if a patient requesting one attends?

4 things they can do

A
  • Should arrange for patient to see another Dr ASAP who doesn’t hold same objections
  • Can self-refer to abortion providers without needing GP referral/blue form so can let them know this
  • Can make it clear by using leaflet too
  • Can also make it clear on the website they have a conscientious objection so patients have choice not to book to see them
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4
Q

What is the duty of doctors if a patient presents with a complication of abortion but the Dr has a conscientious objection?

A

P now has a duty of care to the woman and is obliged to see and manage her case

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5
Q

When seeing a patient who would like a TOP, what are 8 questions to ask them about?

A
  1. LMP
  2. Contraception
  3. Sexual health included UPSI, STI risk, consensual sex
  4. Obstetric history
  5. Medications
  6. Allergies
  7. General anaesthetic risk
  8. General health
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6
Q

If a patient attends requesting TOP what are 2 things you can refer on to (if you’re not a CO)?

A
  1. Direct to termination services if confident they want it
  2. Pregnancy counselling services, especially if unsure

present these options to them

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7
Q

What are 4 areas of the patient’s feelings should you explore with them when they’re thinking about TOP?

A
  1. Check if considered other options such as adoption
  2. If worries about finances - would she like to explore further, direct to services
  3. Explore worries about postnatal depression - support around currently, who to access help from now
  4. Ask about actual feelings and beliefs about abortion (sensitivitely) - may have faith background
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8
Q

What are 3 management options for TOP?

A
  1. medical - medication orally or vaginally to cause abortion. if <9 weeks can go home to complete abortion
  2. Surgical: suction vacuum up to 14 weeks
  3. >14 weeks: dilatation of cervix and evacuation under GA
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9
Q

What are 6 general risks of TOP?

A
  1. Pain - usually cramping
  2. Bleeding - common up to 2 weeks after but may be severe/need transfusion
  3. Retained products needing more medication/ surgical intervention
  4. Continuing pregnancy
  5. Infection
  6. VTE
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10
Q

What is advisable following TOP to test for continuing pregnancy?

A

Pregnancy test at 2 weeks

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11
Q

What is done prior to TOP to reduce the risk of infection?

A

tested for STIs prior

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12
Q

What are 2 risks specific to surgical TOP?

A
  1. Uterine perforation
  2. Cervical trauma
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13
Q

What is a possible long term risk following tOP?

A

increase in preterm labours of future pregnancies

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14
Q

What are 2 good sources of information on TOP for the patient?

A
  1. NHS choices
  2. Patient.info
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15
Q

According to the Abortion Act, if you choose to complete a blue form to refer the patient, what else will she need to have before she is legally able to have an abortion?

A

In all cases, 2 clinicians need to confirm that they believe in good faith that the pregnant woman meets at least 1 of the criteria for an abortion

space for 2 signatures at bottom of blue form

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16
Q

What should you offer to discuss with a patient in the future following abortion?

A

contraception - make sure she knows option and is aware of emergency contraception

17
Q

What are the 5 situations when abortion is considered acceptable according to the Abortion Act?

A
  • A: continuance would involve risk to life of pregnant woman greater than if pregnancy termianted
  • B: termination necessary to prevent grave permanent injury to physical or mental health of pregnant woman
  • C: pregnancy has not exceeded 24th week and continuance would involve risk, greater that if terminated, of injury to physical or mental health of pregnant woman
  • D: pregnancy has not exceeded 24th week and continuance of pregnancy would involve risk greater than if termined of injury to physical or mental health of any existing children of the family of the pregnant woman
  • E: there is substantial risk that if child were born it would suffer frmo such physical or mental abnormalities as to be seriously handicapped
18
Q

What are the 2 situations when there is a 24 week cut off point for abortion?

A
  • C: risk of injury to physical or mental health of pregnant woman (as opposed to grave permanent injury or risk to life)
  • D: risk to existing children
19
Q

What is an example of a group in Birmingham which can provide signposting to organisations that help with post-abortion counselling?

A

Healthy Minds

GP (43 decks)

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