Flashcards
Week 6
Flashcards do conjunto (20)
- 1Describe the legal status of termination of pregnancy (TOP)-Abortion act came in 1967
-Offences against the person act in 1861 is still applicable for abortions performed outside legal provision (eg. online). Punishable by life imprisonment - 2What are the legal requirements for TOP?-Carried out in accordance to provisions of the abortion act 1967
-Dr taking responsibility has to legally notify CMO within 14 days of the termination
-2 Drs must agree that 1/4 of the grounds apply - 3Describe section 1(1)(a)-Pregnancy has not exceeded 24 weeks
-Continueing the pregnancy will involve risk greater that if it was terminated
-Risk to physical/mental health of pregnant women or any existing children she may have
-Most common ground used - 4Describe section 1(1)(b)Termination is necessary to prevent grave permanent injury to the physical and mental health of the pregnant woman
- 5Describe section 1(1)(c)Continuance of the pregnancy would involve risk to the life of the pregnant woman greater than if the pregnancy were terminated
- 6Describe section 1(1)(d)There is substantial risk that if the child were born it would suffer from physical/mental abnormalities as to be seriously handicapped
- 7How are most TOPs carried out now?Paid for by NHS, but performed in private clinics
- 8What is feticide used for?-Potassium chloride
-Ends life of foetus before termination is performed
-Reduces the risk of infants surviving termination - 9What reasons are given for TOP in the first trimester?-Panic
-Fear of someone finding out
-Contraceptive failure
-Inability to care for the child
-Result of rape/incest
-Social factors
-No supportive partner - 10What reasons are given for TOP in the second/third trimester?2: relationship changes, awaiting foetal screening
3: foetal handicap - 11Describe conscientious objection-Provided for under section 4
-Must refer to another doctor
-Exceptions are 1(1)(b/c) where you must participate to prevent grave permanent injury/death to mother
-Only applies to the relevant HCPs involved - 12Describe primary data-Collected by direct observation
-Expensive
-Time consuming
-Quality is controlled
-Tailored to research question - 13Describe routinely collected data-Captured for oversight by government
-Data has usage restrictions to protect confidentiality
-Not tailored to research question so may not be of good quality
-Los cost - 14What are lower level super output areas?Neighbourhoods around 1000-3000 people. Smallest unit of geography used by health researchers
- 15What is a output area and super output area?Output area: lowest geographical level where census estimates are provided. They are socially homogenous and constrained by major roads.
Super output area: built up from groups of output areas - 16Describe the Townsend score-Measure of deprivation in an area (low score=few deprived people)
-Based on census data so if often out of date
-Variables (4): unemployment, non-car/home ownership, household overcrowding - 17What are the 4 variables of the Carstairs score?-Low social class
-Lack of car ownership
-Overcrowding
-Male unemployment - 18What is the Jarman score?-A social/medical index used for deprivation
-Determines relative primary care needs of a population - 19Describe the Health Survey for England-Large population survey since 1991
-Measures health/health-determinants - 20Describe the British Household Panel Survey-Follows members of stratified samples of British households
-Monitors life course variables: income, employment, education and use of health services