Abortion

Question 1

what is the most commonly perforated gynae procedure in the UK

Answer 1

abortion

Question 2

an unplanned pregnancy has poorer outcomes for mother and baby true/false

Answer 2

true - less likely to attend antenatal appointments, reduced breast feeding rates etc

Question 3

how many clauses are there that an abortion can come under

Answer 3

5

A-E

Question 4

how many doctors must sign off for an abortion under clauses A-E

Answer 4

2

Question 5

how many doctors must sign off an emergency abortion under clauses F-G

Answer 5

1

Question 6

what does clause A state

Answer 6

abortion as risk to mothers life if pregnancy continues

Question 7

what does clause B state

Answer 7

termination required to prevent grave injury to physical/mental health of the mother

Question 8

what does clause C state

Answer 8

continuation risks physical and mental health more than termination

Question 9

what does clause D state

Answer 9

continuation risks the health of other children more than termination

Question 10

what does clause E state

Answer 10

risk that if child was born it would suffer severe genetic/physical/mental abnormalities

Question 11

what is the most common clause for TOPs to be certified under

Answer 11

C

Question 12

what is conscientious objection

Answer 12

a clause made in 1967 stating that healthcare professionals have the right to refuse participation in abortion care

Question 13

what are the 3 circumstances that conscientious objection does not apply to

Answer 13

emergency/life-threatening situations
should not prevent patients accessing the care they need
does not apply to indirect tasks associated with TOP such as admin

Question 14

what is the gestational limit for a TOP under clause C

Answer 14

24 weeks

Question 15

what is the gestational limit for a TOP under clause E

Answer 15

no limit

Question 16

what are the 2 main types of TOP

Answer 16

medical

surgical

Question 17

in scotland, when is a surgical TOP available until

Answer 17

14 weeks

Question 18

what are the 2 medications involved in a medical TOP

Answer 18

mifepristone
misoprostol
in that order

Question 19

what does mifepristone do

Answer 19

anti-oestrogen which stops the viability of the pregnancy

Question 20

what does misoprostol do

Answer 20

prostaglandin which relaxes the cervix allowing the pregnancy to pass

Question 21

an EMAH (early medical abortion at home) gives the woman what drugs

Answer 21

mifepristone
misoprostol 
anti-emetic 
analgesia 
antibiotics for STI
contraception (6 months of POP)
low sensitivity pregnancy test

Question 22

what are the two surgical TOP methods available in scotland before 14 weeks

Answer 22

electric vacuum aspiration under GA

manual vacuum aspiration up to 10 weeks under LA

Question 23

what is the method of surgical TOP in scotland between 14 and 20 weeks

Answer 23

dilatation and evacuation

Question 24

what are the main complications of abortion

Answer 24

bleeding, especially in surgical 
failed abortion
infection due to foreign bodies 
uterine perforation 
cervical trauma - reduced with cervix priming

Question 25

how quickly is fertility restored after abortion

Answer 25

ovulation occurs in 90% of people within 1 month after TOP

Question 26

if contraception is started within __ days it is immediately effective

Answer 26

5 days

Question 27

what form of contraception is contraindicated until normal female anatomy is restored after TOP q

Answer 27

diaphragm