Unplanned Pregnancy Flashcards
what law permits abortion?
the abortion act 1967
when does clause C of the abortion act allow abortion?
up to 23+6 weeks if there is a maternal risk
when does clause E of the abortion act allow abortion?
no gestational limit if there is substantial risk to the child
what two medications are involved in a medical abortion?
mifepristone
misoprostol
what dose of mifepristone is given in a medical abortion?
200mg PO
what does of misoprostol is given in a medical abortion?
800mcg PV/SL
when is misoprostol given in a medical abortion?
mifepristone
how is a medical abortion done if <12 weeks gestation?
early medical abortion at home (EMAH)
what is given in an EMAH if they are not bleeding within 4 hours and are <10 weeks gestation?
another 400mcg misoprostol
how is a medical abortion done if >12 weeks gestation?
inpatient procedure
what is the procedure of a medical abortion >12 weeks gestation?
800mcg misoprostol PV
then 400mcg 3 hourly PV/PO/SL up to four times
what age group is EMAH not recommended in?
under 16’s
what is included in an EMAH pack?
mifepristone 200mg misoprostol 800mcg + additional 400mcg anti emetics analgesia antibiotics 6/12 POP
what is required prior to surgical abortion?
cervical priming via misoprostol or osmotic dilators
what are the options for surgical abortion under 14 weeks gestation?
electric vacuum aspiration
manual vacuum aspiration
what anaesthetic is needed for surgical abortion by EVA?
GA
what anaesthetic is needed for surgical abortion by MVA?
LA
when can surgical abortion via MVA be done?
up to ten weeks
what increases the risk of complications from abortion?
increasing gestation
what are some possible complications of abortion?
haemorrhage
failed/incomplete abortion
infection
what are some possible complications of surgical abortion?
uterine perforation
cervical trauma
which patients are given antibiotics when undergoing TOP?
surgical TOP
MTOP with increased STI risk
what are the recommended regimens for antibiotics during abortion?
7 days 100mg doxycycline BD
what VTE prophylaxis should be given for high risk individuals during abortion?
LMWH for 1 week after abortion
what VTE prophylaxis should be given for very high risk individuals during abortion?
LMWH before abortion and continuing for 6 weeks
what contraception is usually immediately provided after an abortion?
LARC
when should intrauterine contraceptives be avoided after abortions?
post abortion sepsis
when can intrauterine methods be inserted after abortion?
immediately after STOP
once expulsion confirmed in MTOP
when can hormonal contraceptives be started after abortion?
anytime after TOP
