SARASWATI COLLEGE OF NURSING

UDAIPUR,RJ

MICROTEACHING ON

Provision of the MTP Act

SUBMITTED TO: Mr. C.G Goswami SUBMITTED By: Shabnam Amin

Asst. Prof. MSc Nursing 1st year
OBG department OBG specialty,
(SCON) (SCON )

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 Identification Data

Name of Student teacher SHABNAM AMIN

Class MSc nursing 1st year

Subject obstetrical and gynecological nursing

Venue MSc 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

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S.NO SPECIFIC TIME CONTENT MATTER TEACHING A.V EVALUATION
OBJECTIVES LEARNING AIDS
ACTIVITIES
1.) Establish 2 min. • Self introduction
rapport with • Roll call
the group • Assess previous knowledge
members.
2.) Discuss 1 min. DEFINITION LECTURE Black Can you define
the Medical termination of pregnancy is process of induction CUM board medical
definition of abortion by a registered medical practitioner in the DISCUSSION termination of
of interest of mother’s health and life. pregnancy
medical
termination of
pregnancy
3.) Describe the 1 min. Provision of the MTP act :- LECTURE Black Can you explain
provision of a.) When pregnancy involves serious risk of life or CUM board the provision of
MTP Act grave injury to physical and mental health of DISCUSSION MTP Act
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

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 Explain the Indications of termination under MTP act :- to
4.) indications of 3 min. save the life of the mother LECTURE Flash Can you enlist
termination of  Severe cardiac decompensation which responds CUM cards the termination
pregnancy poorly to treatment DISCUSSION 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.

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5.) Explain the 3 min. Recommendation :- LECTURE Can you explain
recommendatio • A registered medical practitioner is qualified to CUM the
n of medical perform MTP if DISCUSSION recommendation
termination of  One has assisted in at least 25 MTPs in an of medical
pregnancy. authorized Centre termination of
 One has 6 month house surgeon training pregnancy?
in obstetrics and gynecology
 One has diploma or degree in obstetrics
and gynecology.
• 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. Husband’s 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

services of the state in the prescribed form.

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6.) Describe the 2min. Method of termination :- LECTURE Handout Can you
methods of  First trimester ( upto 12 weeks ) CUM s describe the
termination. • Menstrual regulation DISCUSSION methods of
• Suction, evacuation and curettage termination.
• 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

7.) Enlist the 1 min. COMPLICATIONS LECTURE chart Can you enlist
complications CUM the
of medical 1. Anesthesia :- drug reaction, allergies, circulatory DISCUSSION complications
termination of collapse, seizures, cardiac damage, fluid overload, of medical
pregnancy embolism termination of
2. Cervical dilation :- cervical laceration, cervical
pregnancy
tear, hemorrhage, future infertility,
future cervical incompetence
3. Incomplete evacuation :- leading to heavy
bleeding, cramping, rise of temperature and
uterine tenderness
4. Uterine perforation
5. Postabortal haematometra
6. Uterine atony
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 7. Sustained temperature over 101.5
degree F
8. Other complications :-  Amniotic
fluid embolism
• Uncontrolled bleeding
• Undiagnosed molar pregnancy
• Undiagnosed twine
9. Long term complications :-
• Repeated miscarriage due to cervical
incompetence
• Infertility as a result of pelvic infection
• Psychiatric disorder and
sexual dysfunction

8.) Summarize the 1 min.

SUMMARIZATION
topic .
• Definition of medical
termination pregnancy
• Provision of MTP ACT
• Indications for termination of pregnancy 
Recommendation of MTP.
• Methods of termination
• Complications of MTP.

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9.) Recapitalize the 1 min. RECAPTUALIZATION
topic.
Ask questions

Clarify doubts

10.) BIBLIOGRAPHY

• Dutta D.C, “Textbook of obstetrics”7th

edition, published by hiralal Konar
• Jacob annamma, “ A comprehensive
textbook of midwifery” 2nd edition,
published by jaypee brothers