Termination of Pregnancy Flashcards

1
Q

List some common causes of unplanned pregnancy

A

Incorrect/failed contraception
Rape
Domestic abuse
Trafficking
Lack of knowledge/motivation
Lack of planning

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2
Q

What is the most commonly performed gynaecological procedure in the UK?

A

Termination of pregnancy

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3
Q

How many medical practitioners are required to sign off on an abortion under the 1967 act?

A

2

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4
Q

Ground for non-emergency termination of pregnancy rank A-E. What is ground A?

A

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

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5
Q

Ground for non-emergency termination of pregnancy rank A-E. What is ground B?

A

Termination if necessary to prevent grave, permanent injury to physical/mental state of woman

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6
Q

Ground for non-emergency termination of pregnancy rank A-E. What is ground C?

A

Pregnancy has not exceed 24th week of gestation and continuation of pregnancy would involve risk of injury to physical/mental state of woman

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7
Q

Ground for non-emergency termination of pregnancy rank A-E. What is ground D?

A

Pregnancy has not exceed 24th week of gestation and continuation of pregnancy would involve risk of injury to physical/mental state of existing children of pregnant woman

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8
Q

Ground for non-emergency termination of pregnancy rank A-E. What is ground E?

A

Substantial risk that if child is born it will suffer from physical or mental abnormality and be seriously handicapped

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9
Q

Ground for emergency termination of pregnancy rank F-G. What is ground F?

A

It was necessary to save the life of the woman

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10
Q

Ground for emergency termination of pregnancy rank F-G. What is ground G?

A

It was necessary to prevent grave injury to the physical/mental state of the woman

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11
Q

List some ethical factors that might come into play during termination of pregnancy

A

Under 16
Learning disability
HIV +ve
Patient confidentiality
Evidence of abuse

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12
Q

Can a doctor opt out of termination of pregnancy?

A

Yes if he/she has conscientious objection due to personal/moral/religious beliefs

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13
Q

What are some important points for a doctor to remember if objecting to performing a termination of pregnancy?

A

Avoid discrimination of patient
Ensure patient’s treatment is not delayed or denied
Prompt referral to colleague
Treatment must be given in emergency setting

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14
Q

What is the legal limit for social termination of pregnancy?

A

24 weeks (23 weeks and 6 days)

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15
Q

What is the legal limit for termination of pregnancy due to fetal anomaly?

A

Any point of gestation

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16
Q

Medical termination can be given early, late or mid-trimester. What is the cut-off for each?

A

Early: up to 9 weeks
Late: 9-12 weeks
Mid-trimester: 12-24 weeks

17
Q

What are the 2 stages involved in medical termination of pregnancy?

A

Oral mifepristone (anti-progesterone)
Vaginal/oral prostaglandin 24-28hrs later (Misoprostol)

18
Q

If someone undergoes early medical termination (before 9 weeks), they can undergo the 2nd stage (prostaglandin) at home. True/False?

A

True
Need to do pregnancy test after 2-3 weeks to make sure though

19
Q

What surgical methods can be used to terminate a pregnancy?

A

Vacuum aspiration
Dilation and evacuation (not used in Scotland)

20
Q

What are the indications for emergency contraception?

A

Unprotected sex
Missed pills
Late Depo injections
Expelled IUD/IUS

21
Q

What are the 3 methods of emergency contraception available?

A

Levonelle pill up to 72hrs post-UPSI
ellaOne pill up to 120hrs post-UPSI
IUD

22
Q

Which has the greater failure rate - Levonelle or ellaOne?

A

Levonelle