Unplanned pregnancy Flashcards
causes
contraception - non use, failure, incorrect use rape domestic abuse trafficking lack of knowledge/motivation/planning mistaken belief
who do the highest rates of abortion occur in
20-24 year olds
how many people are needed to sign the form and why
2 medical practitioners - abortion is justified within the terms of the act
who can terminate the pregnancy
a medical practitioner
where should the termination occur
in an NSH hospital or approved premises
what is the form called
HSA1
what is HSA2
to be completed by a doctor within 24 hours of an emergency abortion
HSA4
mut be completed by the doctor and sent to the chief medical officer within 7 days of the abortion taking place
done with both HSA1 and HSA2
grounds for termination both emergency and non emergency
continuance would risk life of mother
necessary to prevent permanent injury to mother
has not exceeded 24 weeks and continuing can risk injury/death of mother
pregnancy has not exceeded 24 weeks and continuing can lead to injury to existing children
risks with child - handicap/mental abnormalities
necessary to save mothers life
necessary to prevent grave perm injury to the physical or mental health of the pregnant woman
NHS tayside -TOP till when
surgical termination
medical termination
18 weeks and 6 days
up to 12 weeks
18 weeks and 6 days
medical TOP stages
what option is there for early TOP
what is given in late/mid trimester
oral mifepristone 200mg
24-48 hours later vaginal/oral prostaglandin - misoprostol, gemeprost
option to complete second part at one
repeated doses of prostaglandin 3 hourly
early
late
mid trimester
up to 9 weeks
9-12
12-24
surgical types
6-12 weeks vacuum aspiration
dilatation and evacuation 13-24 weeks - not available in scotland
how is surgical TOP done
cervical priming - vaginal prostaglandin
day case, under GA, electric vacuum aspiration technique
LARC fitting
complications of TOP
pain, haemorrhage, infection, incomplete/failed procedure, uterine perforation, cervical trauma, anaesthetic complications, ongoing pregnancy, uterine rupture
