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Y3 Reproduction > Unplanned Pregnancy > Flashcards

Unplanned Pregnancy Flashcards

1
Q

what law permits abortion?

A

the abortion act 1967

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2
Q

when does clause C of the abortion act allow abortion?

A

up to 23+6 weeks if there is a maternal risk

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3
Q

when does clause E of the abortion act allow abortion?

A

no gestational limit if there is substantial risk to the child

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4
Q

what two medications are involved in a medical abortion?

A

mifepristone

misoprostol

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5
Q

what dose of mifepristone is given in a medical abortion?

A

200mg PO

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6
Q

what does of misoprostol is given in a medical abortion?

A

800mcg PV/SL

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7
Q

when is misoprostol given in a medical abortion?

A

mifepristone

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8
Q

how is a medical abortion done if <12 weeks gestation?

A

early medical abortion at home (EMAH)

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9
Q

what is given in an EMAH if they are not bleeding within 4 hours and are <10 weeks gestation?

A

another 400mcg misoprostol

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10
Q

how is a medical abortion done if >12 weeks gestation?

A

inpatient procedure

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11
Q

what is the procedure of a medical abortion >12 weeks gestation?

A

800mcg misoprostol PV

then 400mcg 3 hourly PV/PO/SL up to four times

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12
Q

what age group is EMAH not recommended in?

A

under 16’s

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13
Q

what is included in an EMAH pack?

A 
mifepristone 200mg 
misoprostol 800mcg + additional 400mcg 
anti emetics 
analgesia 
antibiotics 
6/12 POP
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14
Q

what is required prior to surgical abortion?

A

cervical priming via misoprostol or osmotic dilators

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15
Q

what are the options for surgical abortion under 14 weeks gestation?

A

electric vacuum aspiration

manual vacuum aspiration

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16
Q

what anaesthetic is needed for surgical abortion by EVA?

A

GA

17
Q

what anaesthetic is needed for surgical abortion by MVA?

A

LA

18
Q

when can surgical abortion via MVA be done?

A

up to ten weeks

19
Q

what increases the risk of complications from abortion?

A

increasing gestation

20
Q

what are some possible complications of abortion?

A

haemorrhage
failed/incomplete abortion
infection

21
Q

what are some possible complications of surgical abortion?

A

uterine perforation

cervical trauma

22
Q

which patients are given antibiotics when undergoing TOP?

A

surgical TOP

MTOP with increased STI risk

23
Q

what are the recommended regimens for antibiotics during abortion?

A

7 days 100mg doxycycline BD

24
Q

what VTE prophylaxis should be given for high risk individuals during abortion?

A

LMWH for 1 week after abortion

25
Q

what VTE prophylaxis should be given for very high risk individuals during abortion?

A

LMWH before abortion and continuing for 6 weeks

26
Q

what contraception is usually immediately provided after an abortion?

A

LARC

27
Q

when should intrauterine contraceptives be avoided after abortions?

A

post abortion sepsis

28
Q

when can intrauterine methods be inserted after abortion?

A

immediately after STOP

once expulsion confirmed in MTOP

29
Q

when can hormonal contraceptives be started after abortion?

A

anytime after TOP

Y3 Reproduction (49 decks)

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