Podcast
Questions and Answers
What is considered therapeutic abortion?
What is considered therapeutic abortion?
- Spontaneous abortion due to congenital anomalies.
- Any abortion occurring without consent.
- Abortion done legally for the sake of the mother's life. (correct)
- Abortion performed illegally for personal reasons.
Which classification of abortion indicates that all fetal tissue has been expelled and the cervix has closed?
Which classification of abortion indicates that all fetal tissue has been expelled and the cervix has closed?
- Complete abortion (correct)
- Threatened abortion
- Incomplete abortion
- Inevitable abortion
In the context of induced abortion, what is a major factor that can influence the method used?
In the context of induced abortion, what is a major factor that can influence the method used?
- The time of day
- The mother's age alone
- The cultural background of the woman (correct)
- The location of the hospital
Which of the following can be a complication resulting from an illegal abortion?
Which of the following can be a complication resulting from an illegal abortion?
What is an indicative symptom of a threatened abortion?
What is an indicative symptom of a threatened abortion?
What characterizes a missed abortion?
What characterizes a missed abortion?
Which of the following statements about criminal abortion is correct?
Which of the following statements about criminal abortion is correct?
Which method of abortion involves a surgical procedure to remove the contents of the uterus?
Which method of abortion involves a surgical procedure to remove the contents of the uterus?
Flashcards
Abortion Definition
Abortion Definition
The expulsion of the contents of a pregnant uterus before term (280 days, ten lunar months or absence of ten cycles).
Why is abortion relevant in medico-legal cases?
Why is abortion relevant in medico-legal cases?
A woman might claim abortion after receiving certain trauma. A woman might try abortion after illegal pregnancy. A woman may claim abortion after receiving certain medical management
Spontaneous Abortion
Spontaneous Abortion
Abortion that occurs naturally due to disease or congenital abnormalities.
Induced Abortion
Induced Abortion
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Accidental Abortion
Accidental Abortion
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Therapeutic Abortion
Therapeutic Abortion
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Criminal Abortion
Criminal Abortion
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Common Methods of Criminal Abortion
Common Methods of Criminal Abortion
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Study Notes
Abortion Definition
- Medico-legally, abortion is the expulsion of the contents of a gravid uterus before term (280 days, or roughly ten lunar months or ten menstrual cycles).
Medico-Legal Importance
- A woman may claim abortion after trauma.
- A woman may seek abortion following an illegal pregnancy.
- A woman may claim abortion after medical treatment.
Classification
- Spontaneous: Caused by disease or congenital anomalies.
- Induced: Includes therapeutic and criminal abortions.
- Accidental: Resulting from accidents like falls or trips.
Gynecological Classification
- Threatened: Vaginal bleeding, minor abdominal or lower back discomfort, usually in early pregnancy, and the opening of the cervix (os) is closed.
- Inevitable: Similar to threatened but with more severe pain and an open cervix (os).
- Incomplete: Similar to inevitable, but only part of the pregnancy contents are expelled from the uterus.
- Complete: All of the pregnancy material expelled, and the cervix (os) closes.
- Missed: The pregnancy is lost inside the uterus, with few or no symptoms.
Therapeutic Abortion
- Legally induced abortion for the mother's life.
- Requires strong medical indication.
- Consent needed from the woman and her husband (if applicable).
- Must be performed in a well-equipped public government hospital.
- Performed by two expert obstetricians.
- A detailed report must be documented by all attendees (including the doctor). The report should include all procedures including pre, during and post-operative details.
Criminal Abortion
- Induced abortion performed illegally, and not for the mother's life.
- Records kept in the hospital's secret files.
Methods
- Abortion methods depend on three key factors:
- The woman's cultural background.
- Available methods.
- Stage of pregnancy (term).
- Common methods include:
- Violence directed at the pelvis.
- Strenuous exercise.
- Substances injected into the vagina or uterus (uterine enema).
- Dilating the cervix (e.g., using objects, herbs, or tablets).
- Evacuating the uterus.
- Induction methods.
- Laparotomy or caesarean section.
Complications and Mechanisms of Death
- Bleeding
- Severe pain and shock
- Embolism (air, blood clots, fat, or substances used in abortion)
- Infection (and septicemia)
- Subfertility
- Poisoning
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