W10_10 Pregnancy termination

Question 1

note: maternal death rates from legal abortions are 1000x greater in subsaharan africa than in legal abortion

Answer 1

ok

Question 2

which provinces don’t have abortion clinics?

Answer 2

PEI, Yukon, NWT, Nunavut, NS, SK;
clinics not funded in NB

Question 3

note: the majority (75%) of abortions are <16 weeks GA

Answer 3

ok

Question 4

what’re the three surgical abortion methods?

Answer 4

T1: MVA, suction D+C;
T2: dilation and evacuation

Question 5

dilation and evacuation technique can be used for fetuses up to which week of GA?

Answer 5

23 weeks in Canada

Question 6

medical abortions can be used up to which time?

Answer 6

8 weeks GA

Question 7

what are the two approved methods of medical abortion?

Answer 7

mifepristone (RU486) (not in canada) and misoprostol

Question 8

how does mifepristone work?

Answer 8

anti-progestin, and increases prostaglandin levels too

Question 9

how does misoprostol work?

Answer 9

induces uterine contractions; it’s a synthetic prostaglandin

Question 10

how does methotrexate work?

Answer 10

anti-folate, which prevents trophoblast growth

Question 11

after 24 weeks, how to terminate (fetal anomalies)?

Answer 11

induction of labour

Question 12

note: minor complications of abortions at 1-5%; major at 0.1-2%

Answer 12

ok

Question 13

what are immediate complications of surgical abortion?

Answer 13

uterine perforation, hemorrhage, cervical laceration

Question 14

note that ongoing pregnancies are more common in <6 weeks GA abortions (1.3/1000)

Answer 14

ok