Download presentation
Presentation is loading. Please wait.
Published byMervyn Wood Modified over 8 years ago
1
Abortion Dr Jacqueline Woodman
2
The Abortion Act 1967: permits termination of pregnancy subject to certain conditions permits termination of pregnancy subject to certain conditions abortions must be performed by a registered practitioner in a National Health Service hospital or in a location that has been specially approved by the Department of Health abortions must be performed by a registered practitioner in a National Health Service hospital or in a location that has been specially approved by the Department of Health Human Fertilisation and Embryology Act 1990 introduced a time limit of 24 weeks for certain indications some indications are without limit introduced a time limit of 24 weeks for certain indications some indications are without limit In a multiple pregnancy it was legal for a doctor to terminate the life of one or more fetuses leaving others alive. In a multiple pregnancy it was legal for a doctor to terminate the life of one or more fetuses leaving others alive. The Abortion Act 1967 and Section 37 of the Human Fertilisation and Embryology Act 1990 do not apply to Northern Ireland.
3
In England, Wales and Scotland abortion is legal under 24 weeks of pregnancy if two doctors agree that it is necessary for one of the following reasons: having the baby would harm the woman's mental or physical health more than having the abortion. having the baby would harm the mental or physical health of any children she already has. An abortion is also legal at any time in pregnancy if two doctors agree that: the abortion is necessary to save the woman's life or prevent serious permanent harm to her mental or physical health, or there is a high risk that the baby would be seriously handicapped.
4
Key Facts 2009 94% of abortions were funded by the NHS (compared to 51% in 2002); of these, over half (60%) took place in the independent sector under NHS contract 94% of abortions were funded by the NHS (compared to 51% in 2002); of these, over half (60%) took place in the independent sector under NHS contract 91% of abortions were carried out at under 13 weeks gestation; 75% were at under 10 weeks 91% of abortions were carried out at under 13 weeks gestation; 75% were at under 10 weeks medical abortions accounted for 40% of the total compared with 35% in 2006 and 19% in 2004 medical abortions accounted for 40% of the total compared with 35% in 2006 and 19% in 2004 2,085 abortions (1%) were under ground E, risk that the child would be born handicapped 2,085 abortions (1%) were under ground E, risk that the child would be born handicapped
5
Early medical abortion first 9 weeks of pregnancy (higher risk of haemorrhage at later gestations). Oral mifepristone 36 to 48 hours later, vaginal prostaglandin. These two drugs end most early pregnancies within the following four hours.
6
Early Methods Vacuum aspiration (known as 'the suction method') Available up to 14/15 weeks of pregnancy. General or local anaesthetic. The cervix (the entrance to the womb at the top of the vagina) is gently stretched to allow a tube to pass through it into the uterus. Once the tube is inserted the pregnancy is removed by suction. Day case procedure
7
Late Methods (after 13 weeks) Medical Vacuum Aspiration Dilatation and evacuation
8
Complications Incomplete evacuation Haemorrhage Cervical injury Cervical injury Perforation Perforation Adherent placenta Adherent placenta Infection
Similar presentations
© 2024 SlidePlayer.com. Inc.
All rights reserved.