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3 Reproduction and Sexual Health > Unplanned Pregnancy > Flashcards

Unplanned Pregnancy Flashcards

1
Q

who has to approve an aborption before it takes place

A

2 doctors

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2
Q

name the 2 emergency criteria of the abortion act 1967

A

allow an abortion if:

  1. it was necessary to save the life of a woman
  2. it was necessary to prevent grave permanent injury the physical/mental health of the woman
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3
Q

what criterion of the abortion act 1967 is the most commonly used?

A

C
pregnancy <24 weeks and continuance would involve risk of physical/mental health injury greater than abortion risk to the woman

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4
Q

in a TOP clinic, what is assessed?

A 
competency
complete medical history
method of abortion
USS
(STI screen)
bloods
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5
Q

why is USS done in TOP?

A

confirms intrauterine pregnancy

determines gestation

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6
Q

what bloods are done before TOP?

A

FCS
G+S
(BBV screen)

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7
Q

what is a G+S screen?

A

checks rhesus factor

checks blood group

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8
Q

what treatment is given before an abortion?

A

prophylactic antibiotics

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9
Q

NHS Tayside time limit for abortions?

A

under 19 weeks

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10
Q

NHS Tayside time limit for surgical abortions?

A

up to 12 weeks

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11
Q

NHS Tayside time limit for medical abortions?

A

up to 19 weeks

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12
Q

what is classed as an early medical abortion?

A

up to 9 weeks

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13
Q

what is classed as a late medical abortion?

A

9-12 weeks

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14
Q

describe the process of a medical TOP including drug and dose

A
  1. oral mifepristone 200mg given

2. vaginal/oral misoprostol given 24-48hrs later

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15
Q

what is mifepristone and what does it do?

A

anti-progesterone to break down the uterine wall

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16
Q

what kind of drug is misoprostol?

A

synthetic progesterone

17
Q

how does a late/mid-trimester medical abortion differ?

A

they are given repeated doses of misoprostol every 3 hours

18
Q

what is the maximum number of progesterone doses you can take in 24 hours to induce abortion?

A

5

19
Q

can mifepristone be taken at home? if yes, what situations?

A

yes if pregnancy is under 9 weeks

20
Q

name the 2 types of surgical abortion and when they can be done?

A

vacuum aspiration: 6-12 weeks

dilatation and evacuation: 13-24 weeks

21
Q

when can you give a contraceptive in someone who has had a surgical TOP?

A

straight away, try and do it during the procedure eg inserting an IUD

22
Q

what drug is given before a surgical TOP and why?

A

vaginal prostaglandin

to prime the cervix

23
Q

at what gestation can manual vacuum aspiration be done

A

up to 9 weeks

24
Q

procedural risks of TOP

A 
pain
haemorrhage
infection
rupture
failed abortion
cervical trauma/uterine perforation (surgery)
25
Q

when is a pregnancy done after TOP?

A

2-3 weeks

26
Q

what aftercare should be provided in abortion?

A

give anti-D within 72hrs
pregnancy test
counselling
contraception

27
Q

most contraception can be started immediately after TOP T or F

A

T

28
Q

what is psychosexual dysfunction?

A

disturbance of sexual dysfunction that is psychological/emotional in nature

29
Q

name male examples of psychosexual dysfunction

A

ED
premature ejaculation
delayed ejaculation

30
Q

what is vaginismus and what causes it?

A

involuntary muscle spasms prevent entry to the vagina during sex
- fear of pain of penetration

31
Q

give examples of triggers of psychosexual problems

A 
postnatal period
after gynae problems
menopause
Hx of abuse
menopause
32
Q

what kind of presentations could suggest the patient could have psychosexual dysfunction?

A

loss of desire
non consummation
erectile difficulties
avoiding relationships

33
Q

Tx of psychosexual dysfunction?

A

drugs
hormone replacement
surgical
physiotherapy

34
Q

what structure should you use when you present a consultation?

A 
setting
referral
opening words
appearance of patient
what were you thinking/feeling

3 Reproduction and Sexual Health (51 decks)

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