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TEPSS is a GP provider of medical termination of pregnancy (MTOP) up to 9 weeks gestation or less than 63 days. We have set up this service to increase the availability and options open to women in Tasmania reflecting on the experiences of our patients as local General Practitioners.
Medical termination of pregnancy is a relatively low risk procedure.
- There is a 2-7% chance the treatment may not be fully effective.
- There is a 1-3% chance that surgery is required to manage ongoing or heavy bleeding.
- There is a 0.1-0.2% chance of requiring blood transfusion due to haemorrhage.
- Serious infections are very rare but can be life threatening.
- There is a 0.2% chance of an ongoing pregnancy. If the pregnancy continues and the woman decides to keep the pregnancy foetal malformations relating to use of Misoprostal may occur. The effect of mifepristone on the foetus is not known.
The medication used has been licenced around the world for almost 30 years. Its use is rapidly increasing and surgical terminations of pregnancies under 9 weeks falling. It has proven to be safe and effective for in excess of 1.5 million women around the world to date. It is licenced in Australia by Marie Stopes (MS health) and is available on the PBS.
A prescription is provided only if medically appropriate after a comprehensive assessment including counselling, physical and sexual health assessment. Patients are provided with analgesia and Anti-D if required. If a patient is considered higher risk e.g. recent new partner, they will be provided with empirical azithromycin, and all patients screened for Chlamydia.
Patients have access to a 24-hour nurse support line funded by MS Heath which can be accessed on 1300 515 883 in addition to support via our service during usual working hours. Patients are also registered (with consent) for support via text message. All patients leave with a plan for contraception and follow-up appointment in 2 weeks with arrangements for a repeat quantitative BHCG blood test prior.
We aim to follow up in person all women we see however accept there may be occasions when women present to their GP. We would very much value your assistance in this instance and please contact us if we can help in any way. We can be reached via Phone (03) 6124 2103, or fax (03) 6251 3110.
If you would like to refer a patient to us we would very much like to hear from you, we accept patients up to 8+6 at time of appointment/prescription, we offer appointments Tuesdays to Fridays and aim to offer an appointment within 72 hours of contact. Whilst we are happy to receive referrals, the responsibility for making an appointment rests with the patient. We feel it is important the woman makes an active decision to schedule the appointment rather than passively be offered an appointment.
If you are referring a patient it would be very helpful if you could arrange bloods including full blood count, group and antibodies, quantitative BHCG and urine screen for chlamydia and gonorrhoea PCR, please copy us in on results.
It is also necessary for us to exclude ectopic pregnancy and confirm intrauterine pregnancy prior to prescribing. An ultrasound confirming dating would be helpful but not essential as we will perform point of care bedside ultrasound prior to prescribing. We can be reached via Phone (03) 6124 2103, or fax (03) 6251 3110.