unplanned pregnancy Flashcards
what percentage of pregnancies are unplanned ?
30 - 50%
most common gynaecological procedure performed in the UK?
Termination of pregnancy
when does the ‘Green Form (HSA1)’ certificate need to be completed?
certificate A, for every abortion
must be completed by 2 drs
when does the ‘Yellow Form (HSA2)’ need to be completed?
all abortions must be reported to CMO
non- emergency causes A-E must be signed by _ drs?
emergency causes F-G must be signed by _ drs?
2, 1
second most common clause for TOP?
clause E (1%) foetal anomaly resulting in severe handicapped child
most common clause for TOP
clause C (98%) social reasons
gestational limit according to the abortion act 1967 to carry out a TOP under clause C (social reasons)?
24 weeks gestation
gestational limit according to the abortion act 1967 to carry out a TOP under clause E (foetal anomaly)?
no gestational limit
what is ‘conscientious objection’
the right to refuse to participate in TOP
excludes management of life-threatening situations, admin tasks, supervision and must not delay a patient access to care
when can a medical TOP be performed at home?
<12 weeks gestation
which two drugs are involved in at home medical TOP?
200 mg mifepristone (anti-progesterone) taken orally
800 mg misoprostol (prostaglandin analogue) PV/SL 24-48 hours later
when might someone having an at home medical TOP need a second dose of misoprostol?
if they are >10 weeks gestation and did not bleed after the first dose
they should get an additional 400mg dose
when is a medical TOP performed as an inpatient?
> 12 weeks gestation
which drugs are used in an inpatient medical TOP
800mg misoprostol (PV) then 400mg three hourly PV/SL/Oral (up to 4x)
