Unplanned pregnancy Flashcards Preview

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Flashcards in Unplanned pregnancy Deck (19):
1

causes

contraception - non use, failure, incorrect use
rape
domestic abuse
trafficking
lack of knowledge/motivation/planning
mistaken belief

2

who do the highest rates of abortion occur in

20-24 year olds

3

how many people are needed to sign the form and why

2 medical practitioners - abortion is justified within the terms of the act

4

who can terminate the pregnancy

a medical practitioner

5

where should the termination occur

in an NSH hospital or approved premises

6

what is the form called

HSA1

7

what is HSA2

to be completed by a doctor within 24 hours of an emergency abortion

8

HSA4

mut be completed by the doctor and sent to the chief medical officer within 7 days of the abortion taking place
done with both HSA1 and HSA2

9

grounds for termination both emergency and non emergency

continuance would risk life of mother
necessary to prevent permanent injury to mother
has not exceeded 24 weeks and continuing can risk injury/death of mother
pregnancy has not exceeded 24 weeks and continuing can lead to injury to existing children
risks with child - handicap/mental abnormalities

necessary to save mothers life
necessary to prevent grave perm injury to the physical or mental health of the pregnant woman

10

NHS tayside -TOP till when
surgical termination
medical termination

18 weeks and 6 days
up to 12 weeks
18 weeks and 6 days

11

medical TOP stages
what option is there for early TOP
what is given in late/mid trimester

oral mifepristone 200mg
24-48 hours later vaginal/oral prostaglandin - misoprostol, gemeprost

option to complete second part at one

repeated doses of prostaglandin 3 hourly

12

early
late
mid trimester

up to 9 weeks
9-12
12-24

13

surgical types

6-12 weeks vacuum aspiration

dilatation and evacuation 13-24 weeks - not available in scotland

14

how is surgical TOP done

cervical priming - vaginal prostaglandin

day case, under GA, electric vacuum aspiration technique
LARC fitting

15

complications of TOP

pain, haemorrhage, infection, incomplete/failed procedure, uterine perforation, cervical trauma, anaesthetic complications, ongoing pregnancy, uterine rupture

16

after care

preg test at 2-3 weeks
risk of ongoing preg/retained tissue
counselling
contraception

17

emergency contraception

oral - levonelle up to 72hours post UPSI, ella one up to 120 hours post UPSI
intra uterine - copper IUD

18

cautions/interactions of levonelle
ellaone

enzyme inducers
antacids

19

copper IUD

mode of action

insertion

screen

should be offered to all eligible woman requesting EC

pre and pos - fertilisation effects
toxic to sperm/ovum, anti-implantation

up to 120 hours post UPSI
up to 5 days after earliest expected date of ovulation

+/- high risk women for STI prior to insertion