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Termination of Pregnancy - Coggle Diagram
Termination of Pregnancy
Scope of the Health Act
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- Risk to life or health of pregnant woman
- Complex life-liming foetal conditions
Early Pregnancy
Conditions
- Medical practioner must certify that pregnancy is ≤ 12+0 days gestation
- Certificaition form signed by 1 doctor
- 3 day wait applied
TOP cannot be carried out less than 3 days from certification
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Dating
LMP
Unless
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- Concieved on contraception
- Abdominal palpation inconclusive
- Risk factors / symptoms of ectopic pregnancy
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Risk to Life or Health
Conditions
- Certified by 2 doctors
Obstetrician + revalvent specialty
Criteria
- Risk to life, or serious harm to the health of pregnant woman
- Foetus has not reached viability (23/24 weeks)
- It is appropriate to carry out the termination in order to avert the risk to woman Physical or mental health
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Complications
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- Blood transfusion 0.03-0.1%
- Failure - rate increases with gestation
0.4% at 6 weeks
3% a 12weeks
Surgical Complications
- Bleeding requiring transfusion
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- Failure and ongoing prenancy
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Follow-Up Care
- Information / Safety netting
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- Low sensitivity pregnancy test 2 weeks later
R/o ongoing pregnancy
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