T2 L16 Termination of pregnancy Flashcards

1
Q

How can we be involved in abortion?

A
Provision of information
Carrying out tests for foetal anomalies
Counselling as part of decision-making process
Signing forms
Writing prescriptions
Pre-operative care
Performing procedure
Offering after-care
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2
Q

What is ground A of the abortion act?

A

Continuation of pregnancy would involve risk to life of pregnant woman greater than if pregnancy were terminated

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3
Q

What is ground B of the abortion act?

A

Termination is necessary to prevent grave permanent injury to physical or mental health of pregnant woman

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4
Q

What is ground C of the abortion act?

A

Pregnancy hasn’t exceeded the 24th week and that continuation of pregnancy would involve risk, greater than if the pregnancy was terminated of injury to physical or mental health of pregnant woman

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5
Q

What is ground D of the abortion act?

A

Pregnancy hasn’t exceeded the 24th week and that continuation of pregnancy would involve risk, greater than if the pregnancy was terminated, of injury to physical or mental health of any existing children of family of pregnant woman

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6
Q

What is ground E of the abortion act?

A

Substantial risk that if the child were born it would suffer from such physical or mental abnormalities as to be seriously handicapped

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7
Q

What is ground F of the abortion act?

A

In an emergency to save the life of the pregnant woman

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8
Q

What is ground G of the abortion act?

A

In an emergency to prevent grave permanent injury to the physical or mental health of the pregnant woman

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9
Q

What is there the 24th week law?

A

Pregnancy isn’t considered viable before 24 weeks

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10
Q

Why are abortion rates increasing?

A

Rising rates of terminations or better collection of data

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11
Q

Describe the doctor’s right to choose

A

No person shall be under any duty to participate in any treatment authorised by this act to which he has a conscientious objection, provided that in any legal proceedings, the burden of proof of conscientious objection shall rest on the person claiming to rely on it

Nothing shall affect any duty to participate in treatment which is necessary to save the life or prevent grave permanent injury to the physical or mental health of a pregnant woman

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12
Q

Give examples of some licensed clinics that carry out abortions

A

NHS clinic
BPAS
Marie Stokes
Brook

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13
Q

What form of surgical abortion is carried out between 12 and 14 weeks?

A

Vacuum aspiration

GA or local anaesthetic

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14
Q

When is dilation and evacuation carried out?

A

Over 14 weeks

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15
Q

Describe medical abortion

A
Progesterone antagonist (mifepristone) to stop the pregnancy
Combined with misoprostol to start uterine contractions
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16
Q

What is misoprostol?

A

Prostaglandin E1 analogue

17
Q

What are the risks with abortions?

A
Mortality
Failure
Incomplete abortion
Excessive bleeding
Uterine damage
Infection
18
Q

What consequences doesn’t abortion cause?

A
Ectopic pregnancy
Infertility
Placenta praevia
Preterm birth
Psychological side effects