Week 3: Abortion and Sterilization Flashcards
What is the most commonly used form of contraception?
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Where can you get an abortion in New Mexico?
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Womens right to abortion
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Intended pregnancies
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Legal abortion and saving lives
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Contraception and abortion
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Title X
- federal program that provides contraception to people of limited means
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Contraception and abortions
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Question 1
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B. Liposuction
Is legal abortion safe?
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Procedural abortion vs birth complications
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Pregnancy options counseling
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Epidemiology of abortions
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Poor women and abortion
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When do most abortions occur?
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Where in the US can you get an abortion?
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Worldwide legal status of abortion
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Abortion and miscarriage options
1st trimester
Medications
- Mifepristone + Misoprostol
Procedures
- Uterine aspiration
- Dilation and aspiration
- Suction curettage
- Suction and curettage (D&C)
2nd trimester
Medications
- Mifeprestone + Misoprostol
Procedures
- Dilation and evacuation
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Steps to abortion or miscarriage
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Medications for abotion or miscarriage availability
Before 10 weeks
Procedures for abotion or miscarriage availability
Before 24 weeks
Pros for medications for abortions and miscarriages
- Privacy of home
- like a miscarriage
- Requires follow-up to confirm completion
Pros for procedures for abortions and miscarriages
- Fast and wont see products
- Completion is confirmed the day of procedure
Cons for procedures for abortions and miscarriages
Medical procedure
Cons for medications for abortions and miscarriages
Like a miscarriage (will have to pass at home)
How does uterine evacuation work?
- Dilation and curettage before 14 weeks
- Dilation and evacuation after 14 weeks
- 7.1% of abortions are performed 14-20 weeks
- 1.3% after 21 weeks
Contraindications of uterine evacuation
Inability to access uterine cavity (fibroids, uterine anomaly)
MVA or EVA
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Dilation and evacuation
osmotic dilators (lamineria dehydrated seaweed) opens cervix
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Considerations of Medical method of abortion and pregnancy
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Contraindications of medication abortion
- severe anemia
- bleeding disorder or anticoagulation
- Long-term corticosteroid use
- Chronic renal insufficiency
- Allergy
- Inherited porphyrias
- Ectopic pregnancy, IUD
MIFE AKA
Mifeprestone
Mifeprestone MOA
Competitive progesterone receptor antagonist
Steroid antiprogestogen
- Weak glucocorticoid
- Weaker antiandrogen
causes decidual necrosis
and
prepares cervix for abortion (Mechanism not fully understood)
Indications of Mifeprestone
- Pretreatment for Miscarriage
- abortion
- pretreatment for later demise
MISO AKA
Misoprostol
Misoprostol MOA
- Prostaglandin analogue (PGE1)
- Cervical preparation
- Uterine contractions
Side effects
- GI side effects
- Flu-like symptoms
Side effects of misoprostol
for about 24 hours
- GI side effects
- Flu-like symptoms
Forms of permanent contraception for women
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Hysteroscopic sterilization
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Counseling considerations for permanent contraception
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Salpingectomy
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Permanent contraception for men
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Vasectomy considerations
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Vasectomy
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Question
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Question
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Question
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Post-abortion admittance
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