2: Unplanned pregnancy and psychosocial problems Flashcards Preview

Reproduction Week 2 2018/19 > 2: Unplanned pregnancy and psychosocial problems > Flashcards

Flashcards in 2: Unplanned pregnancy and psychosocial problems Deck (41)
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1

How many abortions are carried out in the UK every year?

200,000

2

Failure of what is a common reason for abortion?

Failure of contraception

3

Apart from failure of contraception, what are some other reasons women choose to have an abortion?

Pregnancy as a result of abuse

Lack of knowledge about implications of pregnancy, family planning

4

If you become pregnant, what are your three options?

1. Continue with the pregnancy and keep the baby

2. Continue with the pregnancy and put the baby up for adoption

3. End the pregnancy via termination

5

The rates of abortion are highest in which age group?

20 - 24

6

Having an abortion is (safer / more dangerous) than carrying a baby to term.

safer

7

Abortion rates are strongly associated with which social factor?

Deprivation

8

Which legal act was written to regulate abortions?

Abortion Act (1967)

9

Under the Abortion Act, who has to approve an abortion before it occurs?

Two registered medical practioners

10

Under the Abortion Act, where do abortions have to take place?

NHS hospitals or NHS-approved centres

11

Under the Abortion Act 1967, which forms need to be filled out

a) by two medical practitioners for a planned abortion

b) by one medical practitioner for an emergency abortion?

a) Certificate A

b) Certificate B

12

In general, when is abortion acceptable?

When risks (physical / mental) of carrying baby to term are greater than the benefits for mother or existing children

When baby would be born with severe physical or mental abnormalities

13

After which week in gestation can an abortion NOT be performed?

Week 24

14

When is an emergency abortion acceptable?

When abortion is necessary to save the life of, or prevent serious physical / mental harm to, the pregnant women

15

Can abortions be performed for under 16s?

Yes - if they are assessed to be competent

16

As a doctor, which term is used to describe opting out of any procedures related to abortion?

Conscientious objection

17

If you conscientiously object to carrying out procedures related to abortion or giving advice to patients, what must you do?

Hand patient over to a qualified medical practitioner who can look after them instead

18

Treatment in the event of an ____ may not be denied on the grounds of conscientious objection.

emergency

19

How long after being referred will patients expect to be seen in a termination of pregnancy clinic?

2 weeks

20

What happens at the first appointment in the TOP clinic?

Discussion of abortion and certainty to proceed

Ultrasound abdomen to make sure pregnancy is uterine i.e not ectopic

Full medical history

Discussion of abortion methods

21

While an abortion is being arranged, patients may be screened for which diseases?

STIs

22

Which drugs may patients be given in the time between their initial consultation and termination of pregnancy?

Contraception

Prophylactic antibiotics

23

In terms of gestational age, when is the cutoff for abortion?

24 weeks

24

The legal cutoff for abortion is 24 weeks.

What does this mean practically?

Abortion needs to be carried out by 23 weeks 6 days

25

The legal cutoff for abortion is 24 weeks.

What is the exception to this law?

Foetal abnormalities

If present, abortion is legal at any gestational age

26

The legal cutoff for abortion is 24 weeks.

When is the NHS Tayside cutoff?

19 weeks (medical abortion)

12 weeks (surgical abortion)

27

Which drugs are used in medical termination of pregnancy?

1. Mifepristone - anti-progesterone which causes the endometrium to become unviable for pregnancy

2. Then misoprostol 1-2 days later - prostaglandin which causes uterine contractions, expelling the pregnancy

28

Misoprostol is given every ___ hours until abortion occurs.

three hours

29

If a medical abortion fails, what may have to be carried out?

Surgical abortion

30

Surgical abortion may be carried out up to which point in gestation?

12 weeks

Or in an emergency e.g following failed medical abortion