Sexual and reproductive health Flashcards
(27 cards)
How many unsafe abortions are estimated to be performed annually around the world?
25 million
What is the incidence of nausea, vomiting, chills, diarrhoea and fever following Misoprostol?
1 in 10
How long can women expect to have abdominal cramping and bleeding following a medical termination of pregnancy?
Abdominal cramping on and off for up to around a week
Bleeding for two to three weeks
What is the risk of continuing pregnancy with MTOP and with STOP?
1-2 in 100 for MTOP
1 in 1,000 for STOP
What is the risk of needing further intervention following MTOP pre and post 14 weeks?
70 in 1,000 pre 14 weeks
13 in 100 post 14 weeks
What is the risk of needing further intervention following STOP pre and post 14 weeks?
35 in 1,000 pre 14 weeks
3 in 100 post 14 weeks
Which is the risk of cervical injury from dilation and manipulation at STOP?
1 in 100
What are the contraindications to medical abortion?
Known or suspected ectopic pregnancy
Previous allergic reaction to Mifepristone or Misoprostol
Severe uncontrolled asthma
Chronic adrenal failure
Inherited porphyria
Above what gestation should rhesus status be determined when performing surgical abortion?
Above 12 weeks
What is the most effective regimen for MTOP prior to 12 weeks gestation?
Mifepristone 200mg PO followed by Misoprostol 800 micrograms PV/PO
followed by Misoprostol 400 micrograms 4 hours later if the pregnancy has not been passed
What is the most effective regimen for MTOP after 12 weeks gestation?
Mifepristone 200mg PO followed by admission for Misoprostol 800 micrograms.
Misoprostol 400 micrograms every 3 hours should be given after the first dose of Miso
Til when should FSH testing be delayed for women who have had injectible contraceptives?
12 months post injection
What is the effectiveness of the contraceptive diaphragm with optimum usage?
92-96%
i.e. 6% failure rate
What is the rate of perforation during insertion of Mirena?
1-2 in 1,000
What is the rate of pregnancy within 1 year of insertion of a copper IUD?
8 per 1,000
What is the risk of failure of male sterilisation?
1 in 2,000
What is the rate of expulsion of copper IUD over 5 years?
1 in 20
When is it safe to use the diaphragm for contraception postpartum?
After 6 weeks
(this is due to cervical changes making the diaphragm less effective)
What is the effectiveness of female condoms with perfect use?
95%
Which contraceptive is effective for women on enzyme-inducing drugs?
Medroxyprogesterone IM injection
What is the effect of breastfeeding on the risk of uterine perforation by copper IUCD?
The perforation rate is 6 times higher in breastfeeding women compared to non-breastfeeding women
When should the contraceptive diaphragm be removed after sex?
6 hours after
What are the 6 causes of abnormal sexual development in utero?
- Sex chromosome abnormalities
- Anatomical or biochemical testicular failure
- End organ insensitivity due to 5-alpha reductase deficiency or androgen receptor abnormalities
- CAH
- Deficient mullerian inhibitory factor resulting in genetically male fetus developing mullerian structures
- True hermaphrodism
A woman presenting with symptoms and phenotype of PCOS in the postmenopausal stage of life should have what condition considered?
Ovarian hyperthecosis
