Flashcards in Unplanned Pregnancy Deck (12):
What age group has the highest rates of TOP?
What is the HSA1 (certificate A in Scotland) form?
Two doctors required to sign
What is the HSA2 (certificate B in Scotland) form?
To be completed by the doctor within 24hours of an emergency abortion
What is the HSA4 form?
Must be completed by the doctor and sent to the CMO within 7 days of the abortion taking place
How long is the time from referral to the TOP clinic to treatment?
What is the legit limit for social TOP and fetal anomaly?
Social: 23 weeks 6 days
Anomaly: Any gestation
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
How is surgical TOP carried out?
Vacuum aspiration 6-12wks
Dilatation and evacuation 13-24 wks (not available in Scotland)
What is required for surgical TOP?
Cervical priming- vaginal prostaglandin
Procedure: daycase, GA, electric vacuum aspiration technique, routine USS not required, LARC fitting
What are some complications of TOP?
What aftercare is required for TOP?
Follow up- usually urine PT at 2-3wks