Unintended Pregnancy Flashcards
Tier 1 birth control options (99% efficacy)
The implant
Hormonal IUD
Non-hormonal IUD
Sterilization
Tier 2 birth control options (92% efficacy)
The pill
The patch
The ring
The shot
Tier 3 birth control options (20% failure rate)
Withdrawal
Fertility awareness
Internal condom
Condom
Early surgical abortions
Suction aspiration (D&C) Takes 5-8 minutes Local anaesthetic +/- sedation Up to 14 weeks gestational age Manual vacuum aspirator vs electrical pump aspirator
Surgical abortion over 14 weeks
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
Early medical abortion
Mifepristone and misoprostol
Mife to stop fetus from growing
Miso 24 hours later to induce miscarriage
Can use methotrexate instead of mife if needed
Late medical abortion
Induction medical abortion
Minimum 16 weeks but usually over 18
Fetal demise induced prior to induction (KCl, digoxin)
Misoprostol and mifepristone after