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S.

NO

SPECIFIC
OBJECTIVES

1.)

Establish
2 min.
rapport with
the group
members.
Discuss
the 1 min.
definition of
medical
termination of
pregnancy

2.)

3.)

4.)

Describe
provision
MTP Act

TIME

the 1 min.
of

Explain
the
indications of 3 min.
termination of
pregnancy

CONTENT MATTER

A.V
AIDS

EVALUATION

LECTURE
DEFINITION
Medical termination of pregnancy is process of induction CUM
of abortion by a registered medical practitioner in the DISCUSSION
interest of mothers health and life.

Black
board

Can you define


medical
termination of
pregnancy

LECTURE
CUM
DISCUSSION

Black
board

Can you explain


the provision of
MTP Act

LECTURE
to save the life of the mother
Severe cardiac decompensation which responds CUM
poorly to treatment
DISCUSSION

Flash
cards

Can you enlist


the termination
of pregnancy

TEACHING
LEARNING
ACTIVITIES

Self introduction
Roll call
Assess previous knowledge

Provision of the MTP act :a.) When pregnancy involves serious risk of life
or grave injury to physical and mental health
of pregnant woman
b.) Eugenic conditions :- Serious congenital
disorder or baby being born with serious
mental and physical handicaps
c.) Social indications :- pregnancy is caused by
rape, both in cases of major and minor girls
and mentally imbalanced women
d.) Pregnancy caused as a result of failure of
contraceptive

Indications of termination under MTP act :-

5.)

Explain
the 3 min.
recommendatio
n of medical
termination of
pregnancy.

Chronic glomerulonephritis
Uncontrolled hypertension
Diabetes with complications of retinopathy and
nephropathy
Certain psychiatric disorder
Intractable hyperemesis gravidarum
Cervical and breast malignancy
Teratogenic drugs or exposure to radiation in
early pregnancy
Rubella infection in first trimester.

Recommendation :

A registered medical practitioner is qualified to


perform MTP if
One has assisted in at least 25 MTPs in an
authorized Centre
One has 6 month house surgeon training
in obstetrics and gynaecology
One has diploma or degree in obstetrics
and gynaecology
Termination can only be performed in hospitals
established or maintained by government or
places approved by government
Pregnancy can only be terminated on the written
consent of woman. Husbands consent is not
required
Pregnancy in a minor girl lunatic cannot be
terminated without consent of parents or legal
guardians
Termination is permitted upto 20 weeks of
pregnancy. When pregnancy exceeds 12 weeks,
opinion of two medical practitioners is required.
The abortion has to be performed confidentially
and to be reported to the director of health

LECTURE
CUM
DISCUSSION

Can you explain


the
recommendatio
n of medical
termination of
pregnancy?

6.)

7.)

Describe the 2min.


methods
of
termination.

Enlist
the 1 min.
complications
of
medical
termination of
pregnancy

services of the state in the prescribed form.


Method of termination :

First trimester ( upto 12 weeks )


Menstrual regulation
Suction, evacuation and curettage
Dilatation and evacuation : rapid method and
slow method
Prostaglandin
Mifepristone
Methotrexate
Second trimester : Intrauterine instillation of hypertonic
solution
Intra amniotic
Extra amniotic
Prostaglandin
Oxytocin infusion
Hysterectomy

LECTURE
CUM
Anaesthesia :- drug reaction, allergies, DISCUSSION
circulatory collapse, seizures, cardiac damage,
fluid overload, embolism
Cervical dilation :- cervical laceration, cervical
tear, haemorrhage, future infertility, future
cervical incompetence
Incomplete evacuation :- leading to heavy
bleeding, cramping, rise of temperature and
uterine tenderness
Uterine perforation
Postabortal haematometra
Uterine atony

COMPLICATIONS
1.

2.

3.

4.
5.
6.

LECTURE
CUM
DISCUSSION

Hando
uts

Can
you
describe
the
methods
of
termination.

chart

Can you enlist


the
complications
of
medical
termination of
pregnancy

7.
8.

9.

8.)

Summarize the 1 min.


topic .

Sustained temperature over 101.5 degree F


Other complications :Amniotic fluid embolism
Uncontrolled bleeding
Undiagnosed molar pregnancy
Undiagnosed twine
Long term complications : Repeated miscarriage due to cervical
incompetence
Infertility as a result of pelvic infection
Psychiatric
disorder
and
sexual
dysfunction

SUMMARIZATION

Definition of medical termination


pregnancy
Provision of MTP ACT
Indications for termination of pregnancy
Recommendation of MTP.
Methods of termination
Complications of MTP.

of

9.)

Recaptulize the 1 min.


topic.

RECAPTUALIZATION
Ask questions
Clarify doubts

10.)

BIBLIOGRAPHY

Dutta D.C, Textbook of obstetrics7th


edition, published by hiralal konar
Jacob annamma, A comprehensive
textbook of midwifery 2nd edition,
published by jaypee brothers

Identification data
Name of teacher

Mandeep Kaur

Class

M.sc nursing 1st year

Subject

obstetrical and gynecological nursing

Venue

M.sc 1st year (obstetric and gynecological nursing-1)

Duration

15 min

Teaching & learning activities

lecture cum discussion

A.v aids

PPTs, chalk board, flashcards

General objectives: - At the completion of the class students will be able to explain about medical termination of pregnancy,
indications, recommendation, methods of termination and complications
Specific objectives: - The student will be able to:

Discuss the definition of medical termination of pregnancy


Describe the provision of MTP Act
Explain the indications of termination of pregnancy
Explain the recommendation of medical termination of pregnancy.
Describe the methods of termination
Enlist the complications of medical termination of pregnancy