{"id":232,"date":"2017-03-26T09:32:45","date_gmt":"2017-03-26T09:32:45","guid":{"rendered":"http:\/\/papergp.com\/index.php\/sexual-health\/top\/"},"modified":"2023-01-24T11:25:26","modified_gmt":"2023-01-24T11:25:26","slug":"top","status":"publish","type":"page","link":"https:\/\/papergp.com\/index.php\/womens-health\/sexual-health\/top\/","title":{"rendered":"TOP"},"content":{"rendered":"<div class=\"content-box-blue\">\n<h4>Data gathering<\/h4>\n<ul>\n<li>Red flags &#8211; abdo pain, fever<\/li>\n<li>Others &#8211; LMP, consent, spoken to someone about this, alternatives (counselling, adoption), pressurised, DV<\/li>\n<li>Examine &#8211; BP, BMI, abdominal examination<\/li>\n<\/ul>\n<\/div>\n<p>&nbsp;<\/p>\n<div class=\"content-box-blue\">\n<h4>Clinical management<\/h4>\n<ul>\n<li>Investigations\n<ul>\n<li>Pregnancy test<\/li>\n<li>Urine NAAT &#8211; chlamydia<\/li>\n<li>Bloods &#8211; rhesus<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<ul>\n<li>Explanation \/ Treatment\n<ul>\n<li>counselling &#8211; pregnancy advisory service<\/li>\n<li>different types depending on how far the pregnancy is (usually woman&#8217;s choice)<\/li>\n<li>Medical TOP &#8211;\n<ul>\n<li>up to 9 weeks &#8211; attend hospital on two separate days, given medications that block the pregnancy from continuing and that make your womb contract to cause the products of pregnancy to be expelled<\/li>\n<\/ul>\n<\/li>\n<li>Surgical TOP &#8211;\n<ul>\n<li>7-15 weeks &#8211; suction tube to remove womb contents<\/li>\n<li>&gt; 15 weeks &#8211; dilatation and evacuation &#8211; neck of womb is dilated and contents expelled<\/li>\n<\/ul>\n<\/li>\n<li>Refer for TOP clinic<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<ul>\n<li>Follow Up\n<ul>\n<li>post TOP counselling and contraception<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<ul>\n<li>Safety Net\n<ul>\n<li>see dr if abdo pain, fever, or heavy PV bleeding (complications &#8211; infection, bleeding, injury)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<\/div>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Data gathering Red flags &#8211; abdo pain, fever Others &#8211; LMP, consent, spoken to someone about this, alternatives (counselling, adoption), pressurised, DV Examine &#8211; BP, BMI, abdominal examination &nbsp; Clinical management Investigations Pregnancy test Urine NAAT &#8211; chlamydia Bloods &#8211; rhesus Explanation \/ Treatment counselling &#8211; pregnancy advisory service different types depending on how far &hellip; <a href=\"https:\/\/papergp.com\/index.php\/womens-health\/sexual-health\/top\/\" class=\"more-link\">Continue reading <span class=\"screen-reader-text\">TOP<\/span><\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"parent":216,"menu_order":102,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-232","page","type-page","status-publish","hentry"],"jetpack_sharing_enabled":true,"_links":{"self":[{"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/pages\/232","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/comments?post=232"}],"version-history":[{"count":6,"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/pages\/232\/revisions"}],"predecessor-version":[{"id":1988,"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/pages\/232\/revisions\/1988"}],"up":[{"embeddable":true,"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/pages\/216"}],"wp:attachment":[{"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/media?parent=232"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}