Home > Flashcards > Women's & Gender Studies > Abortion (1)

Details Title: Abortion (1) Description: 4.23.07 Total Flash Cards: 35 Created: 04/28/2007 08:59:30	To study from this set of flash cards, or to create your own your own study flash cards, register HERE. If you are already a registered user, CLICK HERE.
Cards Term Incedence of preganancy and abortion Definition More than six million women become pregnant annually Slightly fewer than two-thirds of these pregnancies result in live births 20% result in abortions The remainder end in miscarriage Term Is a woman who has an unintended pregnancy is more likely to carry it to term than to have an abortion? Definition yes Term what % of unintended pregnancyies end in abortion? Definition Four in 10 of unintended pregnancies end in abortion. Term What # of abortions occurs each year? Definition Each year, about 1.3 million pregnancies are terminated by abortion in the United States. · Some 2.2% of all women aged 15–44 had an abortion in 1997. · Abortion is one of the most common surgical procedures in the United States. By age 20, 1 in 7 women have had at least one abortion; by age 45, 4 in 10 have done so. Abortions per 100 live births = 24.6 (’01, ’02) Term What are top 3 reasons why a woman would terminate? Definition Inadequate finances 21% Not ready for responsibility 21% Woman’s life would be changed too much Term what are top 4 reasons for late term abortion? Definition Woman did not realize she was pregnant 71% Difficulty making arrangements for abortion 48% Afraid to tell parents or partner 33% Needed time to make decision 24% Term Is abortion one of the safest surgical procedures for women? Definition yes Term why is abortion so safe? Definition in part because of the fact that the large majority of procedures are perfored early in pregnancy Term what is most common cause of death during abortion? Definition hemorrhage, nifection, embolism, and anesthesia complication Term When do the majority of women have abortions? Definition 56% of women have abortions in their 20s. Term why have abortion rates for teens been reduced? Definition because of long acting hormonal conrtaaceptives (mainly the injectible) Term why do abortion rates decrease with age? Definition Abortion numbers and rates decline with age because fecundity declines, use of contraceptive sterilization increases and more women are married (which makes it easier to use contraceptives effectively and to continue an unintended pregnancy if it occurs). Term In terms of marital status, wh are most abortion seekers? Definition Most abortions (64%) are obtained by never-married women. Married women account for a lower proportion of abortions (18%), in part because they have low rates of unintended pregnancy; those who do experience an unintended pregnancy are more likely than unmarried women to continue the pregnancy. Term Which group has a high risk of unintended pregancy and abortion? Definition About 20% of abortions occur among women living with a male partner to whom they are not married, although such women make up only about 6% of all women aged 15–44 (not shown). This is a group at very high risk of unintended pregnancy and abortion. Term What % of abortion patients are boreagain christians? Definition 18% Term Name some factors that make it difficult to obtain abortion services? Definition access, medicaid coverage (may be lacking or nonexistant), statewide restricitions on abortion Term What are 2 major abortive procedures for 0-13 weeks? Definition Medical abortion and vacuum aspiration Term what are 2 major methods for 13-28 weeks? Definition induction and D&E Term what 2 meds are used for medical abortion? Definition mifepristone /misoprostol. OR methotrexate/misoprostol, or misoprostol alone Term how does mifepristone act? Definition antiproestin Term how doe mexthotrexat work? Definition antimetabolite Term how does misoprostol work? Definition prostaglandin analogue Term what is Mifepristone's MOA? Definition as an antiprogestin, it increases its progesterone receptor binding affinity. In the presence of progesterone, mifepristone acts as a competitive receptor antagonist at the progesterone receptor (in the absence of progesterone, mifepristone acts as a partial agonist). Term what is Mife a derivative of? How is it different? Definition Derivative of norethindrone Side chains added at the 11-C and 17-C positions Term How does misoprostol work? Definition PGE1 analogue Absorbed from oral, vaginal, buccal, sublingual, or rectal routes Inexpensive Term How does Mife and misoprostol work? What is a mifepristone-induced abortion?) Definition a progesterone blockade forces decidual necrosis, rhythmic uterine contractions, and cervical ripening. This all induces detachement and expulsion, which creats an abortion. Term How does Methotrexate work? Definition It works by prevent implantation: Over 40 years of use in cancer chemotherapy Antimetabolite Blocks dihydrofolate reductase Primary effect is to impede DNA synthesis Affects cytotrophoblast cells—impairs implantation Term what med is associated with TSS? Definition misoprostol Term Describe TSS Definition Abdominal cramping/pain, n/v/d, dysuria No fever, no rash Refractory hypotension and tachycardia Edema, hemoconcentration, leukocytosis Cultures negative Term what causes TSS? Definition clostridium sordelli: Causes sudden death in domestic animals (cattle, sheep, rabbits) Contamination of cardiac and orthopedic allografts Corneal ulcerations IVDU associated infections 10 previously reported pts (8 post-partum, 1 post-Medical AB, 1 miscarriage) Exotoxin pathogenesis enhanced by low pH Term What Tx for TSS? Definition Treatment begins with antibiotics with anaerobic coverage plus removal of infected organs/wound debridement No known “antidote” for preformed toxin Term What is current TX protocol for misoprostol? Definition Planned Parenthood has changed protocols to avoid vaginal use of misoprostol Oral Buccal No changes Term What are 2 methods of surgically aborting during the first trimester? Definition Electric Vacuum Aspiration (EVA) Manual Vacuum Aspiration (MVA) Term Steps to an MVA? Definition 1, cervical dialation. 2. cannula insertion. 3. Term What is involved in post-abortion contraception care? Definition Pregnancy is possible in the first month post abortion Whatever was being used didn’t work Match patient to the method Patients are very open to highly effective contraception IUDs are the most effective form of contraception with equal safety to any other method