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Which of these is NOT a form of contraception?
Oral Contraceptive Pills
Termination of Pregnancy
Reproductive Rights include:
The basic right of all couples and individuals to decide freely and responsibly the number, spacing and timing of their children
The right to attain the highest standard of sexual and reproductive health
Right to make decisions concerning reproduction free of discrimination, coercion and violence
All of the above.
The following describes medical abortion EXCEPT:
Cramping may be severe, NSAID analgesics should be given prn.
Takes time to complete the abortion (hours to days).
Surgical intervention required in small percentage.
Needs sedation and anaesthesia.
The following is true about the current situation in Malaysia:
Unsafe abortions lead to 30% of Maternal Deaths in Malaysia
There is an increasing trend of unsafe abortion practices via online sales of medical abortion pills via non-skilled providers
Mifepristone (RU486) is registered for use in Malaysia
The majority of TOPs in Malaysia are performed in hospitals of the Ministry of Health.
The following describes surgical abortion EXCEPT:
Typically an invasive procedure
Time to completion is predictable
Very small percentage may require re- evacuation
Success rate is 79% by skilled personnel
The following are TRUE of the United Nations Sustainable Development Goals EXCEPT:
Goal 3 includes ensuring universal access to sexual and reproductive healthcare services, including for family planning, information and education, and the integration of reproductive health into national strategies and programmes.
Nations aim to reduce the global maternal mortality ratio to less than 70 per 100,000 births by 2030.
Malaysia has not agreed to the SDGs for implementation via national policy.
The following criteria allows doctors to provide TOPs in Malaysia:
The medical practitioner registered under the Medical Act 1971 terminates the pregnancy of a woman
Continuance of the pregnancy would involve injury to the physical and mental health of the pregnant women
Continuance of the pregnancy would involve risk to the life of the pregnant woman
All of the above
The following statements describe Termination of Pregnancies in Malaysia:
It is confined to procedures to remove an embryo or fetus where the pregnancy is less than 22 weeks of gestation.
If the gestation is unknown, it is where the fetus is estimated to be less than 500 gms.
It must be provided by a medical doctor using WHO recommended methods appropriate for the pregnancy duration.
All of the above.
The following are TRUE about TOP complications, when performed by trained, experienced clinicians:
There is a high risk of uterine rupture and massive haemorrhage
There is a high risk of damage to the external cervical os at the time of surgical abortion
There is a low risk of uterine perforation - 1 in 1000 abortions
Prophylactic antibiotics are not recommended as it does not decrease risk of infections after a surgical procedure.
Abortion is Legal in Malaysia.
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