Unplanned Pregnancy Flashcards Preview

Reproduction > Unplanned Pregnancy > Flashcards

Flashcards in Unplanned Pregnancy Deck (12):
1

What age group has the highest rates of TOP?

20-24

2

What is the HSA1 (certificate A in Scotland) form?

Two doctors required to sign

3

What is the HSA2 (certificate B in Scotland) form?

To be completed by the doctor within 24hours of an emergency abortion

4

What is the HSA4 form?

Must be completed by the doctor and sent to the CMO within 7 days of the abortion taking place

5

How long is the time from referral to the TOP clinic to treatment?

2 weeks

6

What is the legit limit for social TOP and fetal anomaly?

Social: 23 weeks 6 days
Anomaly: Any gestation

7

How is medical TOP carried out?

1. Oral Mifepristone 200mg
2. 24-48hrs later: vaginal (or oral) prostaglandin e.g. misoprostol, gemeprost
Early (<9wks)- 2nd part at home
Late/mid- repeated doses of prostaglandin 3 hourly (max 5/24hours)
Failed medical may require surgical

8

How is surgical TOP carried out?

Vacuum aspiration 6-12wks
Dilatation and evacuation 13-24 wks (not available in Scotland)

9

What is required for surgical TOP?

Cervical priming- vaginal prostaglandin
Procedure: daycase, GA, electric vacuum aspiration technique, routine USS not required, LARC fitting

10

What are some complications of TOP?

Pain
Haemorrhage
Infection
Incomplete/failed procedure
Uterine perforation*
Cervical trauma*
Anaesthetic complications
Ongoing pregnancy
Uterine rupture

11

What aftercare is required for TOP?

Follow up- usually urine PT at 2-3wks
Anti D
Contraception

12

When can EC be taken?

Levonelle- up to 72hrs post UPSI
ellaOne- up to 120hrs post UPSI
Copper IUD- up to 120 hours post UPSI, or up to 5 days after earliest expected date of ovulation