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Management of Affected Pregnancies (Termination of pregnancy (Surgical…
Management of Affected Pregnancies
The abortion act 1967
Legalised abortion under certain conditions
1990 amendment by Human Fertilisation and Embryology Act
Lowered legal time limit from 28->24 weeks
Legalities
Clause C: the pregnancy has not exceeded the 24th week and the continuance of the pregnancy would involve risk, greater than if the pregnancy were terminated, of injury to the physical or mental health of the pregnant woman =
social
clause
Clause E: there is substantial risk that if the child were born it would suffer from such physical or mental abnormalities as to be seriously handicapped =
medical
termination clause
Termination of pregnancy
A medical termination requires a signature from two medical practitioners
Must be performed by a registered medical practitioner in a NHS hospital or approved place
Surgical abortion
up to 15 weeks
Aspiration
15-24 weeks
Dilation and evacuation (narrow forceps)
Under Clause E can be performed at any age of gestation
Medical abortion
<9 weeks:
Take both drugs at the same time
10-24 weeks
Mifepristone in clinic and 1-2 days later have Misoprostel to induce labour whilst in clinic
22+ weeks
Must perform feticide to stop the heart of the fetus
KCL injectred into heart or umbilical cord
4 condition that women can reject feticide due to lethality after birth
Anencephaly
Lethal skeletal dysplasia
Bilateral renal agenesis
Limb body wall syndrome
Subsequent investigation
Post mortem
Tissue biopsy
Genetic tests
MRI
X-rays