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19 Cards in this Set
- Front
- Back
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Define the following abortion...
a. spontaneous b. induced c. unintended pregnancy d. elective |
a. spontaneous expulsion ie miscarriage
b. removal of embryo/fetus by medical or surgical means c. at least 2 yrs before wanted pregnancy d. induced abortion for any other reason |
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Under what law in 1910 was abortion banned?
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49 states--> under comstock (anti-obscenity) laws
exceptions: life of mother, rape or incest, fetal anomalies |
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What state was the first and where was abortion legalization
Roe v wade? |
1967 colorado first state
1973 roe v wade= states cannot limit access to abortion |
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How many pregnancy per year?
Greatest age range of abortions per 1000? |
6.4 million with 1/4 ending in abortion w/ 50% of pregnancies unintended
- 20-24 47 per 1000 |
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What is gestational age vs embryiological age?
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weeks since last menstrual period
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Safety of abortion?
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less than 1/100000 end in death... one of the safest surgeries
10x safer than having the kid |
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RUSSIAN FEDERATION ABORTION RATES DID WHAT AFTER USE OF MODERN CONTRACEPTION ALLOWED
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ABORTION WENT DOWN 50% OVER 10 YRS
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WHAT COUNTRIES in the world have the lowest abortion in the world?
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Belgium, germany, netherland- in Europe
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Definition of unsafe abortion?
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= procedure for terminating an unintended pregnancy carried out wither by persons lacking necessary skills
- terminatoin in an environment that does not conform to minimal medical standards |
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Cost of abortion? 1st trimester?
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avg $350
medicaid 13% of all abortions |
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What are the drugs that cause abortion?
What are the expulsion drugs? |
mifepristone/misoprostol could also use methotrexate
- expulsion caused by misoprostol |
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Other methods non medical of abortion?
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dilation and curettage, and dilation and extraction
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Describe MOA of mifepristone
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anti-progesterone, derives of norethindrone
MOA- binds to progesterone receptor causes disidual necrosis but not only cause of stopping pregnancy (RU-486) |
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Describe Misoprostol MOA
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Cytotec (brand name)
- prostaglandin E1 causes rhythmic uterine contraction and expulsion - stable at room temperature |
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What is the failure rate of medical abortion?
What is the random infection 2 people died from? |
3-5% chance of having maintained products
less than 1% continue pregnancy - clostridium sordellii infectoin |
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Surgical abortion procedure described 1st semester
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instrumentation of uterus with suction cannulae (or sharp curettage)
- utilizes suction to remove pregnancy as early as 4-5 weeks LMP |
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2nd trimester abortion techniques?
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dilation and evacuation- cervical preparation w/ osmotic dilators and prostaglandins
Evacuate with suctiona nd forceps |
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Most commonly induced med?
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misoprostol
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Potential complications mc?
Which is one that causes death/bad things? |
1. Infections less than 2%, prophylact
2. Hemorrhage requires transfusion 1/1000 3. Incomplete abortion 4. perforation- associated with previous pregnancy increased age (death morbitiy) |
