Experienced Registered Nurse counsellors can help you in your decision making about an unplanned pregnancy.
The counsellor will discuss all of your options including pregnancy termination and contraception options. It is important to be able to make responsible and informed consent about your body and reproductive health. The EastCoast Women's Centre counsellors will help you to reach these decisions.
You will see a counsellor on the day of your appointment for pregnancy testing, decision making and counselling.
- Pregnancy assessment
- Post termination check ups
- Breast checks
- Pap smears
- Treatment of abnormal pap smears
- Colposcopy and treatment
- Diathermy of genital warts
- Share Care antenatal visits
- Assistance with Menopause
Termination of Pregnancy
The EastCoast Women's Centre provides legal, safe surgical and medical terminations of pregnancy. We strive to support our patients, protect their personal dignity and privacy, and respect their choices during such a difficult and stressful time.
All patients are treated with individualised, personalised care. A medical history is obtained to alert the doctor to medical conditions and any allergies. An ultrasound is performed to determine the gestation. We check patients vital signs, pathology testing is performed to verify the pregnancy and to check a patients blood group and antibodies (if this has not already been performed by a patients GP). Warm courteous professional Registered Nurse counsellors counsel each patient extensively on the benefits, risks and alternatives of the procedure.
Surgical termination is a very simple and safe procedure.
Surgical termination to 16 weeks gestation can be completed in one day. The actual procedure takes about 15 – 45 minutes.
Fast acting anaesthesia is administered intravenously (IV) in the arm by a GP anaesthetist. Consciousness returns quickly when the procedure is over.
It is a legal requirement that after an anaesthesic patients must not drive or make important decisions for twenty four hours, therefore, you will require an escort to drive you home.
Medical termination involves using two medications to terminate a pregnancy up to nine weeks, or 63 days, from last menstrual period, confirmed by ultrasound. The first medication Mifepristone (RU486 or "Abortion Pill") is a drug that blocks the progesterone that is needed for the pregnancy to continue. The second medication, Misoprostol, causes the uterus to contract and expel the pregnancy. A miscarriage will generally happen within 24 hours, most will experience a miscarriage within the first 4 hours.
The most common side effects of a medical termination is caused by misoprostol. Bleeding and cramping are a normal part of the process. The bleeding can be heavier than a
normal period. Bleeding and spotting usually lasts from 9-16 days In addition to cramps and bleeding, early side effects may include: headache, nausea, vomiting,
diarrhoea, fever, chills, or fatigue. If a woman experiences flu-like symptoms or abdominal pain more than 24 hours after using misoprostol, she is advised to call
the clinic. Our Doctor will instruct you on how to manage any of these side effects.
Two to three appointments are then needed for medical termination
Eligible women who choose medical termination need to visit our Licensed Practitioner for a consultation to prescribe and discuss.
What should I expect at my visit.
After the initial paperwork, ultrasound, Pathology work, and examination are completed, final instructions and information are given to the patient prior to administering the "Abortion Pill". This oral medication (Mifepristone) begins the abortion process prior to leaving the clinic. During the next 36-48 hours (at the discretion of the patient), 4 small tablets (Misoprostol) are inserted orally between the cheek and gums, which then completes the procedure at home. A mandatory follow-up visit at 1 to 2 weeks following the procedure is required to confirm the success of the procedure.
In order to receive Mifepristone, you:
- must be less than 63 days (nine weeks) from the first day of your last menstrual period
- must agree to have a surgical termination if the medical termination fails
- must be able to receive phone calls from us
- must have carer at home
- must agree to return to us for a repeat ultrasound in two weeks
Medications are administered under our Practitioner's close supervision, because there are a small percentage of women (approximately 0.5-2%) for whom the combination of medical drugs is not effective to produce complete termination. A follow-up surgical procedure is sometimes needed.
In about 1% of cases or fewer, the medications do not work and the embryo continues to grow. In these cases, a suction procedure (surgical termination) must be done to empty the uterus and complete the termination. Deciding to continue the pregnancy to term is not an option after taking the first medication because the medications can cause birth defects in the pregnancy.