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Repro > Unplanned Pregnancy > Flashcards

Unplanned Pregnancy Flashcards

1
Q

How many annual unplanned pregnancies occur?

A

80 million

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2
Q

How many abortions occur annually?

A

50 million

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3
Q

What are causes of an unplanned pregnancy?

A

Failure/poor use of contraception
Rape, domestic abuse
trafficking

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4
Q

What age group receive the highest number of abortions?

A

20-24 year olds

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5
Q

When can an abortion take place?

A

When two registered medical practitioners are in the opinion that an abortion is justified within the act

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6
Q

What act effects abortions?

A

The Abortion Act 1967

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7
Q

Where must an abortion take place?

A

In an NHS hospital or approved place

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8
Q

What form is the HSA1?

A

Signed by two doctors prior to the abortion

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9
Q

What is the HSA2 form?

A

Completed by the doctor within 24 hours of an emergency abortion

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10
Q

What is the HSA4 form?

A

Must be completed and sent to the Chief Medical Officer within 7 days of the abortion

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11
Q

Name 5 issues that would bring about an ethical issue if present in an abortion case

A 
Under 16
Learning disability
HIV positive
Patient confidentiality 
Domestic abuse
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12
Q

Can a doctor deny a patient an abortion?

A

Yes, as long as they refer them to a doctor who will and not in the case of an emergency

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13
Q

How quickly on average should it take for a patient referral regarding an abortion?

A

2 weeks

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14
Q

What is the legal limit of gestation for a social termination of pregnancy?

A

23 weeks 6 days

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15
Q

What is the legal limit of gestation for an abortion due to a fetal anomaly?

A

Any gestation

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16
Q

When would surgical termination be offered in NHS Tayside?

A

Up to 12 weeks

17
Q

When would medical termination be offered in NHS Tayside?

A

Up to 18 weeks and 6 days

18
Q

What are the time categories regarding a medical termination?

A

Early - up to 9wks
Late - 12 wks
Mid-trimester - 12-24 wks

19
Q

What are the stages of a medical termination?

A
  1. Oral Mifepristone 200mg (anti-progesterone)

2. 24-48 hrs later - vaginal (or oral) prostaglandin e.g. misoprostol, gameprost

20
Q

How often can repeated doses can be given in a late/mid-trimester termination?

A

3 hours (max 5/24 hours)

21
Q

What are the methods of surgical termination?

A

Vacuum aspiration - 6-12 wks

Dilatation and evacuation- 13-24 wks

22
Q

Which method of surgical termination is not available in Scotland?

A

Dilatation and Evacuation

23
Q

What is surgical TOP?

A

Cervical priming using prostaglandin
Electric vacuum aspiration technique
LARC fitting

24
Q

What is MVA?

A

Manual Vacuum Aspiration
Newer alternative for early gestation
Can be performed under LA

25
Q

What are complications of TOP?

A 
Pain
Haemorrhage
Infection
Incomplete/failure
uterine perforation
Cervical trauma
26
Q

What should a urine pregnancy test be carried out following TOP?

A

2-3 weeks

27
Q

What drugs can be used as emergency contraception?

A

Levonelle - up to 72hrs post UPSI

EllaOne - up to 120hrs post UPSI

28
Q

What non drug based technique can be used as an emergency contraception?

A

Copper IUD

29
Q

What is the mode of action of Levonelle?

A

Inhibits ovulation

30
Q

What is the mode of action of EllaOne?

A

Inhibits/delays ovulation

31
Q

What can levonelle interact with?

A

Enzyme inducers

32
Q

What can ellaOne interact with?

A

Antacids

33
Q

When should a urine pregnancy test be carried out after emergency contraception?

A

After 3 weeks

34
Q

What is cheaper, Levonelle or ellaOne?

A

Levonelle - £5.11

ellaOne - £16.95

35
Q

When can the copper IUD be used as an emergency contraception?

A

Up to 120hrs post UPSI

36
Q

What should high risk women be screened for prior to copper IUD insertion?

A

STI’s

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