Ten years on: a review of medical terminations of pregnancy performed in a sexual health clinic

Downing, Sandra, Cashman, Colette, and Russell, Darren (2017) Ten years on: a review of medical terminations of pregnancy performed in a sexual health clinic. Sexual Health, 14 (3). pp. 208-212.

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Background: Access to medical termination of pregnancy (MToP) services in regional Queensland remains inadequate and it is still possible for women and providers to be criminally prosecuted for accessing or providing abortion. Cairns Sexual Health Service (CSHS) has been providing medical terminations of pregnancy for 10 years, demonstrating that this service can be safely and successfully integrated into a primary healthcare setting.

Methods: A retrospective audit of MToPs performed between 2011 and 2015 was conducted to follow on from our previously reported audit covering 2006–09.

Results: In total, 1859 MToPs have been performed by CHSH since 2006, with 1712 within the 5-year period of 2011–15. Changes in clinical practice over this time have streamlined the service and reduced unsuccessful outcomes from 12.2% between 2006 and 2009 to 0.9% between 2011 and 2015.

Conclusion: The initial provision of MToP through CSHS was anticipated to be a short-term arrangement; however, 10 years on, this service continues with strong community demand. Provision of MToP services through primary healthcare settings can help improve access for women living outside of major metropolitan areas. If moves to decriminalise abortion in Queensland are successful, there is potential for even greater access.

Item ID: 49248
Item Type: Article (Research - C1)
ISSN: 1449-8987
Keywords: medical termination, abortion
Date Deposited: 28 Jun 2017 00:11
FoR Codes: 42 HEALTH SCIENCES > 4203 Health services and systems > 420319 Primary health care @ 100%
SEO Codes: 92 HEALTH > 9205 Specific Population Health (excl. Indigenous Health) > 920507 Womens Health @ 100%
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