Termination of Pregnancy Flashcards
(13 cards)
1
Q
Define TOP / Abortion
A
A procedure to end a pregnancy
2
Q
Abortion pill at clinic criteria
A
10 - 24 wks gestation
3
Q
Post TOP f/u pregnancy test
A
Urine preg test 3 wks post TOP
4
Q
What surgical TOP procedure is used for >14wks gestation
A
Cervical dilatation and evacuation (D&E)
5
Q
What surgical TOP procedure is used for <14wks gestation
A
- Vacuum or Suction
6
Q
Termination of Preganancy (TOP) legal framework
A
1967 Abortion Act
7
Q
When should TOP occur in gestation
A
< 24weeks
8
Q
Legal requirements for an abortion (1967 Abortion Act)
A
- 2 registered medical practitioners must sign to agree abortion is indicated
- It must be carried out by a registered medical practitioner in an NHS hospital or approved premise
9
Q
When can TOP be carried out >24weeks according to the 1967 Abortion Act
A
- Continuing the pregnancy is likely to risk the life of the woman
- Terminating the pregnancy will prevent “grave permanent injury” to the physical or mental health of the woman
- There is “substantial risk” that the child would suffer physical or mental abnormalities making it seriously handicapped
10
Q
Medical Abortion Tx
A
- Mifepristone
- Misoprostol 48hours later
11
Q
Anti-D prophylaxis indication in Abortions
A
- Medical TOP: Rh-ve/ >10 wks gestation
- Surgical TOP: Rh-ve
12
Q
TOP complications
A
- infection of the womb (uterus) ( PID)
- some of the pregnancy remaining in the womb
- excessive bleeding
- damage to the womb or entrance of the womb (cervix) Cervical incompetence
- Failure of the abortion (pregnancy continues)
13
Q
Pre TOP Ix
A
- Preg testing to confirm pregnancy
- Assess Rhesus status
- May require blood group, FBC, haemaglobinopathies
- VTE assessment: coagulation screen
- STI screening and give prophylaxis treatment against chlamydia and anaerobes
