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Flashcards in Unplanned pregnancy Deck (15):
1

Legal aspects of TOP?

- Two registered medical practitioners are of the opinion that an abortion is suitable

- Only registered med pract. can carry out TOP

- Must happen in NHS hospital or approved premises

2

Which form is used to certify abortion?

HSA1: two doctors must sign

3

What is a HSA 2 form?

When emergency abortion has been carried out, only require one doctor, can be done retrospectively.

4

What is a HSA4?

A notification to the chief medical officer that an abortion has been carried out, must be sent within 7 days.

5

What is meant by conscientious objection?

A doctor has the right to opt out of certain procedures because of personal beliefs or values

6

How does conscientious objection work in emergency situations

Emergency treatment may not be denied on grounds of conscientious objection

7

What is covered in initial TOP consultation?

Certainty to proceed
US
History
Discuss methods
Bloods
STI screening-optional
Counselling re ongoing contraception

8

Legal gestation limits?

Social termination- 23 weeks 6 days

Fetal anomaly- Any

9

Tayside gestation limits?

Surgical- 12 weeks

Medical- 18 weeks 6 days

10

Medical TOP method?

Oral Mifepristone 200mg (anti progesterone)

24-28 hrs later oral or vaginal Prostaglandin eg misoprostol

11

Methods of surgical termination

Vacuum aspiration

Dilatation and evacuation (not available in Scotland)

12

Surgical TOP method

Cervical priming w/ vaginal prostaglandins

Daycase, vacuum aspiration + LARC fitting

13

Methods of emergency contraception?

Levonelle up to 72 hours post UPSI

ellaOne- up to 120 hours post UPSI

Copper IUD

14

Mode of action of levonelle and ellaOne?

Levonelle- ?Inhibits ovulation

ellaOne- Inhibits/delays ovulation

15

Mode of action of Copper IUD?

Toxic to sperm and ovum

Anti implantation