Unplanned Pregnancy Flashcards
(41 cards)
What are the options available for pregnancy?
- continue with the PREGNANCY and keep baby
- ABORTION
- continue and have the baby ADOPTION
Termination of pregnancy commonly seen in which age group?
20-24 yr group
What is the mortatility rate from abortion?
0.6/100000
When can an abortion take place according to the Abortion Act 1967?
- only if 2 registered medical practitioners are present
According to the Abortion Act 1967, who can terminate pregnancy?
- registered medical practitioner
What is the abortion form of HSA 1 (Certificate A) require?
- 2 doctors are REQUIRED to sign the HSA1 form
When should the HCA2 (Cert. B) form be completed by?
- completed by the doctor within 24hrs of an emergency abortion
When should the HSA4 form be completed by and who should it be send to ?
- completed by the doctor and send to the CMO within 7 days of the abortion
Which situation does certificate A apply?
- continuance of pregnancy would involve RISK to life of pregnant woman GREATER than if the pregnancy were terminated
When does the certificate B apply ?
- when termination is necessary to PREVENT permanent injury to Physical and mental health of women
Certificate C applies to ______?
- when pregnancy has NOT exceeded ts 24th week and continuance of pregnancy is risky! (greater than if preg. was terminated/ or when there injury to physical/mental health)
Certificate E?
- when there is a SUBSTANTIAL risk that if a child were born, it would suffer from physical and mental abnormalities
What are ethical aspects should be considered with abortion?
- UNder 16?
- Learning disability of the kid
- HIV positive
- Patient confidentiality
- Domestic abuse
Are doctors allowed to “opt out” of certain procedures because of personal values/beliefs?
- YES
- according to the Abortion Act they can opt out if they have a “conscientious objection”
How may a doctor handle a situation where he doesn’t want to engage in because it conflicts with his/her religious and molar beliefs?
- as it may affect the RX and ADVICE he/she may give to the pt; the doctor would have to EXPLAIN (with suff. information) to the patient that they have the right to see another doctor
- —-make arrangements for another suitably qualified colleague
What points should be considered when a doctor makes a conscientious objection to treating a pt?
- respect the pt’s DIGNITY and views
- do NOT IMPOSE views on others (explain your view; if INVITED)
- ensure the pt’s rx is NOT DELAYED /denied
- timely onward referral to a colleague
When may a conscientous objection be rejected?
- when treatment is in the event of an EMERGENCY
What does the initial consultation entail at TOP clinic?
~1hr
- certainty to discuss alternatives
- USG (confirm IUP, determine gestation)
- complete MEDICAL hx
- discussion of methods for TOP
What is required prior to TOP?
- written CONSENT for procedures and fetal remains
- Bloods (FBC/-BBV/G&S+)
- screening for STI
- prophylactic antibiotics
- counselling for ongoing contraception
What is the LEGAL limit for SOCIAL termination of pregnancY?
23 weeks and 6 days
Legal limit for fetal anomaly termination?
- any gestation
Up till when may a pregnancy be terminated surgically? (NHS Tayside)
- up to 12 weeks
When may medical termination be allowed to occur up to?
- up to 18 weeks and 3 days
When is it considered to be LATE termination?
- 9-12 weeks
