Home > Flashcards > Women's & Gender Studies > Abortion (2)

Details Title: Abortion (2) Description: 4.23.07 Total Flash Cards: 11 Created: 04/28/2007 10:05:23	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 why abortion late in pregnancy? Definition Prenatal diagnosis outcome ; Obstetrical complication; Disenfranchised population Term what are second trimester abortion methods? Definition Instillation; Induction; Dilation and Curettage (D&C) ; (up to 14-15 weeks) Dilation and Evacuation (D&E); Dilation and Extraction (D&X) Term Describe D and E vs amniotic instillation Definition D&E compared to amniotic instillation: < 1/2 risk of major complications with D&E: Hemorrhage; Retained products of conception; Endometritis; Uterine perforation more frequent with D&E Term what is amniotic instillation? Definition Instillation abortion is a rarely-used method of induced abortion. It is most frequently used between the 16th and 24th week of pregnancy. [1] It is performed by injecting a chemical solution consisting of either saline, urea, or prostaglandin through the abdomen and into the amniotic sac. The cervix is dilated prior to the injection, and the chemical solution induces uterine contractions which expel the fetus. [2] Sometimes a dilation and curettage procedure is necessary to remove any remaining tissue. [1] Term D&E vs. labor induction? Definition D&E compared to labor induction: Decreased cost; Decreased time to expulsion; Increased efficacy; Increased safety; Can be performed in the outpatient setting Term During the 2nd trimester, how do you prepare the cervix? Definition either with pharma agents (mifepristone or misoprostol) or with osmotic dialators Term what does Mifepristone and misopristone do to the cervix? Definition Mifepristone: effective if used > 24 hours pre-op Misoprostol effective for 1st trimester procedures mixed results for 2nd trimester procedures increased risk of unanticipated expulsion Term What do osmotic dialators do to the cervix? Definition uterine injury Exert gentle radial pressure on endocervical canal Increases release of prostaglandins in the cervix Placed 4-8 hours pre-op <16 weeks GA Placed 24 hours pre-op >16 weeks GA Term what makes D&E safe? Definition Instruments; Cervical dilation; (Reduces uterine perforation 85%) Surgeon’s experience Term what are special circumstances that may make late abortions necessary? Definition Placenta Previa; Second Trimester inevitable Abortion; Preterm Premature Rupture of Membranes D&E may be the preferred and safer option in these tragic and unsafe situations Term what is Placenta praevia ? Definition Placenta praevia (placenta previa AE) is an obstetric complication that can occur in the second or third trimester of pregnancy. It can some times occur in the latter part of the first trimester. It is a leading cause of antepartum haemorrhage (vaginal bleeding) and is characterised by the implantation of the placenta over or near the top of the cervix.