Unplanned pregnancy Flashcards

(15 cards)

1
Q

Legal aspects of TOP?

A
  • 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
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2
Q

Which form is used to certify abortion?

A

HSA1: two doctors must sign

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3
Q

What is a HSA 2 form?

A

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

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4
Q

What is a HSA4?

A

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

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5
Q

What is meant by conscientious objection?

A

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

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6
Q

How does conscientious objection work in emergency situations

A

Emergency treatment may not be denied on grounds of conscientious objection

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7
Q

What is covered in initial TOP consultation?

A
Certainty to proceed
US
History
Discuss methods
Bloods
STI screening-optional
Counselling re ongoing contraception
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8
Q

Legal gestation limits?

A

Social termination- 23 weeks 6 days

Fetal anomaly- Any

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9
Q

Tayside gestation limits?

A

Surgical- 12 weeks

Medical- 18 weeks 6 days

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10
Q

Medical TOP method?

A

Oral Mifepristone 200mg (anti progesterone)

24-28 hrs later oral or vaginal Prostaglandin eg misoprostol

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11
Q

Methods of surgical termination

A

Vacuum aspiration

Dilatation and evacuation (not available in Scotland)

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12
Q

Surgical TOP method

A

Cervical priming w/ vaginal prostaglandins

Daycase, vacuum aspiration + LARC fitting

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13
Q

Methods of emergency contraception?

A

Levonelle up to 72 hours post UPSI

ellaOne- up to 120 hours post UPSI

Copper IUD

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14
Q

Mode of action of levonelle and ellaOne?

A

Levonelle- ?Inhibits ovulation

ellaOne- Inhibits/delays ovulation

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15
Q

Mode of action of Copper IUD?

A

Toxic to sperm and ovum

Anti implantation

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