Unintended Pregnancy Flashcards

1
Q

Tier 1 birth control options (99% efficacy)

A

The implant
Hormonal IUD
Non-hormonal IUD
Sterilization

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2
Q

Tier 2 birth control options (92% efficacy)

A

The pill
The patch
The ring
The shot

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3
Q

Tier 3 birth control options (20% failure rate)

A

Withdrawal
Fertility awareness
Internal condom
Condom

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4
Q

Early surgical abortions

A
Suction aspiration (D&C)
Takes 5-8 minutes
Local anaesthetic +/- sedation
Up to 14 weeks gestational age
Manual vacuum aspirator vs electrical pump aspirator
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5
Q

Surgical abortion over 14 weeks

A

Dilation and evacuation
Almost half of these are fetal indications
Cervical preparation is essential! (dilators, misoprostol)
Induction of fetal demise the day prior if > 18 weeks
Fragmentation of fetus with removal so cannot hold after

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6
Q

Early medical abortion

A

Mifepristone and misoprostol
Mife to stop fetus from growing
Miso 24 hours later to induce miscarriage
Can use methotrexate instead of mife if needed

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7
Q

Late medical abortion

A

Induction medical abortion
Minimum 16 weeks but usually over 18
Fetal demise induced prior to induction (KCl, digoxin)
Misoprostol and mifepristone after

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