Week 3: Abortion and Sterilization Flashcards
What is the most commonly used form of contraception?
Where can you get an abortion in New Mexico?
Womens right to abortion
Intended pregnancies
Legal abortion and saving lives
Contraception and abortion
Title X
- federal program that provides contraception to people of limited means
Contraception and abortions
Question 1
B. Liposuction
Is legal abortion safe?
Procedural abortion vs birth complications
Pregnancy options counseling
Epidemiology of abortions
Poor women and abortion
When do most abortions occur?
Where in the US can you get an abortion?
Worldwide legal status of abortion
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
Steps to abortion or miscarriage
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
Dilation and evacuation
osmotic dilators (lamineria dehydrated seaweed) opens cervix
Considerations of Medical method of abortion and pregnancy
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
Hysteroscopic sterilization
Counseling considerations for permanent contraception
Salpingectomy
Permanent contraception for men
Vasectomy considerations
Vasectomy
Question
Question
Question
Post-abortion admittance
