Sexual and reproductive health

Question 1

How many unsafe abortions are estimated to be performed annually around the world?

Answer 1

25 million

Question 2

What is the incidence of nausea, vomiting, chills, diarrhoea and fever following Misoprostol?

Answer 2

1 in 10

Question 3

How long can women expect to have abdominal cramping and bleeding following a medical termination of pregnancy?

Answer 3

Abdominal cramping on and off for up to around a week
Bleeding for two to three weeks

Question 4

What is the risk of continuing pregnancy with MTOP and with STOP?

Answer 4

1-2 in 100 for MTOP
1 in 1,000 for STOP

Question 5

What is the risk of needing further intervention following MTOP pre and post 14 weeks?

Answer 5

70 in 1,000 pre 14 weeks
13 in 100 post 14 weeks

Question 6

What is the risk of needing further intervention following STOP pre and post 14 weeks?

Answer 6

35 in 1,000 pre 14 weeks
3 in 100 post 14 weeks

Question 7

Which is the risk of cervical injury from dilation and manipulation at STOP?

Answer 7

1 in 100

Question 8

What are the contraindications to medical abortion?

Answer 8

Known or suspected ectopic pregnancy
Previous allergic reaction to Mifepristone or Misoprostol
Severe uncontrolled asthma
Chronic adrenal failure
Inherited porphyria

Question 9

Above what gestation should rhesus status be determined when performing surgical abortion?

Answer 9

Above 12 weeks

Question 10

What is the most effective regimen for MTOP prior to 12 weeks gestation?

Answer 10

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

Question 11

What is the most effective regimen for MTOP after 12 weeks gestation?

Answer 11

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