TOP Flashcards
What percentage of pregnancies are unplanned?
30-50%
What percentage of unplanned pregnancies end in abortion?
30-40%
In countries where proportion of abortions that are unsafe is much higher in countries where laws are more restrictive. Unsafe abortion accounts for 8 deaths per hour. True/false?
True
What act permits abortion in Scotland, England and Wales?
Abortion Act 1967 - did not legalise abortion but made it not an offence
Abortion (Northern Ireland) (No.2) Regulations 2020 allows abortion up to when?
available up to 11weeks & 6 days, beyond 12 weeks lawful in specific circumstances or in foetal abnormality
Form HSA1 AKA Certificate A must be signed by how many doctors for an abortion to be carried out?
2 doctors
What are the 2 emergency clauses and how many doctors can sign this?
Clauses F and G and only 1 doctor needs to sign if mothers life at risk
All abortions need to be reported to CMO via what form?
HSA4
What does Clause C of HSA1 form allow with regards to termination?
Termination up to 23wks + 6 days where continuing pregnancy would involve risk of injury to physical or mental health of pregnant woman
What does Clause E of the HSA1 form allow in regards to termination?
Allows termination at no gestational limit if there is substantial risk that if child were born it would suffer from such physical/mental abnormalities that would make it seriously handicapped
Conscientous objection does not apply in what situations?
does not apply in emergency or life-threatening situations, should not delay/prevent patient’s access to care and does not apply to indirect tasks associated with abortion e.g. administrative
What is patient journey prior to termination?
self-referral/referral, approx 5 days between referral and consultation, <2 weeks between consultation and procedure
Up to what day can early vacuum aspiration be carried out?
<49 days
Electric or manual vacuum aspiration with large-bore cannula can be carried out between what weeks?
wk 7-14
Dilatation and evacuation can be carried out between what weeks?
Wk 13 - 24
Medical abortion can be carried out at any point of gestation. This involves taking mifepristone and one dose of misoprostol. After how many days does this change to mifepristone and multiple doses of misoprostol?
After day 63 patient needs multiple doses