Unplanned Pregnancy Flashcards
Name the 2 medications involved in medical abortion?
MIFEPRISTONE 200mg PO
MISOPROSTOL 800mcg PV/SL (24-48 hours later)
How long is medical termination of pregnancy available in Scotland?
19+6 weeks
>20 weeks require travel to England (BPAS)
Up to how many weeks can you administer mifepristone at home?
<10 weeks gestation
>10 weeks = Inpatient procedure
Surgical abortion options < 14 weeks gestation?
Electric vacuum aspiration (GA)
Manual vacuum aspiration (up to 10wks; LA)
Surgical abortion options >14 weeks gestation?
Dilatation and evacuation
How long is surgical termination of pregnancy available in Scotland?
14 weeks
>14 weeks require travel to specialist centre in England
Complications of abortion
Haemorrhage
Failed/incomplete abortion
Infection
Uterine perforation and cervical trauma (Surgical only)
Antibiotic prophylaxis for patients undergoing STOP or MTOP with increased risk of STI
7-days 100mg doxycycline BD* OR
1 g oral azithromycin +500 mg daily for 2 days
Prophylaxis at time of abortion
Antibiotics for surgical termination
Anti-D Ig to at-risk Rhesus negative woman
LMWH for high risk VTE
Which clause is this referring to?
“Continuing the pregnancy would involve risk of injury to the physical or mental health of the pregnant women or her existing children/family (greater than if the pregnancy were terminated)”
Clause C which has gestational limit of 24 weeks
Which clause is this referring to?
“There is a substantial risk that if the child were born it would suffer from such physical or mental abnormalities as to be seriously handicapped”
Clause E which has no gestational limit
How is gestation assessed?
Clinical
Estimated by LMP +/- date of +ve UPT
Palpable uterus ( > 12 wks)
Ultrasound
Frequently used to confirm gestation
Abdominal or transvaginal (< 6wks)
