Unplanned Pregnancy

Question 1

what law permits abortion?

Answer 1

the abortion act 1967

Question 2

when does clause C of the abortion act allow abortion?

Answer 2

up to 23+6 weeks if there is a maternal risk

Question 3

when does clause E of the abortion act allow abortion?

Answer 3

no gestational limit if there is substantial risk to the child

Question 4

what two medications are involved in a medical abortion?

Answer 4

mifepristone

misoprostol

Question 5

what dose of mifepristone is given in a medical abortion?

Answer 5

200mg PO

Question 6

what does of misoprostol is given in a medical abortion?

Answer 6

800mcg PV/SL

Question 7

when is misoprostol given in a medical abortion?

Answer 7

mifepristone

Question 8

how is a medical abortion done if <12 weeks gestation?

Answer 8

early medical abortion at home (EMAH)

Question 9

what is given in an EMAH if they are not bleeding within 4 hours and are <10 weeks gestation?

Answer 9

another 400mcg misoprostol

Question 10

how is a medical abortion done if >12 weeks gestation?

Answer 10

inpatient procedure

Question 11

what is the procedure of a medical abortion >12 weeks gestation?

Answer 11

800mcg misoprostol PV

then 400mcg 3 hourly PV/PO/SL up to four times

Question 12

what age group is EMAH not recommended in?

Answer 12

under 16’s

Question 13

what is included in an EMAH pack?

Answer 13

mifepristone 200mg 
misoprostol 800mcg + additional 400mcg 
anti emetics 
analgesia 
antibiotics 
6/12 POP

Question 14

what is required prior to surgical abortion?

Answer 14

cervical priming via misoprostol or osmotic dilators

Question 15

what are the options for surgical abortion under 14 weeks gestation?

Answer 15

electric vacuum aspiration

manual vacuum aspiration

Question 16

what anaesthetic is needed for surgical abortion by EVA?

Answer 16

GA

Question 17

what anaesthetic is needed for surgical abortion by MVA?

Answer 17

LA

Question 18

when can surgical abortion via MVA be done?

Answer 18

up to ten weeks

Question 19

what increases the risk of complications from abortion?

Answer 19

increasing gestation

Question 20

what are some possible complications of abortion?

Answer 20

haemorrhage
failed/incomplete abortion
infection

Question 21

what are some possible complications of surgical abortion?

Answer 21

uterine perforation

cervical trauma

Question 22

which patients are given antibiotics when undergoing TOP?

Answer 22

surgical TOP

MTOP with increased STI risk

Question 23

what are the recommended regimens for antibiotics during abortion?

Answer 23

7 days 100mg doxycycline BD

Question 24

what VTE prophylaxis should be given for high risk individuals during abortion?

Answer 24

LMWH for 1 week after abortion

Question 25

what VTE prophylaxis should be given for very high risk individuals during abortion?

Answer 25

LMWH before abortion and continuing for 6 weeks

Question 26

what contraception is usually immediately provided after an abortion?

Answer 26

LARC

Question 27

when should intrauterine contraceptives be avoided after abortions?

Answer 27

post abortion sepsis

Question 28

when can intrauterine methods be inserted after abortion?

Answer 28

immediately after STOP once expulsion confirmed in MTOP

Question 29

when can hormonal contraceptives be started after abortion?

Answer 29

anytime after TOP