What Next?

If you wish to make an appointment please ring (03) 6124 2103 and ask for an assessment appointment with one of our Doctors, our service is confidential and a referral from your GP is not required. We are available 8.30am to 5.30pm Monday to Friday.

Before you call.

Have a think about when the first day of your last period (LMP in medical terms) and work out how far along your pregnancy has progressed (the gestation). There are several webpages that can help you work this out or we can help you if needed.

If you are certain of your dates but you are very early in the pregnancy, it may be too soon to confirm the location of the pregnancy on Ultrasound. It is important we do this prior to proceeding with the medical abortion to exclude an ectopic pregnancy. We would suggest making an appointment once your pregnancy has progressed to about 5 and half weeks from the 1st day of your last period.

You must be less than 9 weeks pregnant at the time of your appointment to be eligible for a medical abortion. If you are unsure of your dates (particularly if you suspect you may be more than 9 weeks pregnant) we would suggest an urgent Ultrasound to clarify this. We can help you arrange this via one of the local Radiology providers prior to your appointment with us but we will also perform an ultrasound scan during your assessment appointment.

If we discover that your pregnancy is beyond 9 weeks at your assessment appointment we will be unable to proceed with the medical abortion and will refer you to a provider of surgical abortions however you will still be liable for an assessment fee (but with reduced out of pocket fee) by TEPSS.

When you call.

We work from within a GP practice – Brighton Doctors Surgery. The receptionists here will handle your call. Please ask for a TEPSS assessment appointment. The receptionist will ask you some further details so we can arrange the next steps. Please also have available your Medicare card handy as we will need your Medicare number.

We need your name, address, date of birth and Medicare number. We will also request a phone number we can reach you on in case we need to get hold of you urgently and also to confirm your appointment on the day.

You will require a blood test and urine test prior to your appointment. Our receptionists will ask which Pathology centre you will be attending and arrange for a request form to be sent there in your name. We recommend Hobart Pathology as their results are easily available to local hospitals in the rare situation you require additional hospital care.  

We appreciate your understanding but our reception team are unable to answer clinical questions.

Please take a note of the time and day of your appointment. Please also make a note of our address 1 Bedford Street, Brighton. MetroTas buses service Brighton hourly.

Before your appointment

We recommend doing your blood test the day prior to your appointment so the results are available in a timely manner, it can be possible to process the blood tests urgently if you attend on the same day as your assessment appointment but we would ask you avoid this unless absolutely necessary. If this is the case please let the Phlebotomist (who takes the blood tests) know that the results are required urgently. If you have a Medicare card your blood tests will be bulk-billed. The results of your blood tests are transferred to us electronically so they are available at the time of your assessment appointment.

Please ring to confirm your appointment time on the morning.

You will have an Ultrasound scan to assess the pregnancy as part of your assessment appointment. Please drink 600ml of water 1 hour before your appointment time and hold your bladder, this gives us clearer views with the Ultrasound.

If you take any regular medication please make a note of the names and doses and bring this list with you.

You may wish to bring a support person with you although they may not come into the assessment with your Doctor as we will wish to talk to you in private.

Have a think about what option for ongoing contraception might suit you best? There is more information here

During your appointment

Initially we will confirm your pregnancy and how many weeks it has progressed.

We will take some details about your health and wellbeing to decide if it is medically safe for you to proceed.

We will counsel you to help you decide if proceeding with the abortion is right for you.

We will explain the process and ensure you have written instructions to take away.

We will sign you up for additional text message support if you agree.

We will help you decide on a form of contraception and make arrangements for you to start using it.

You will leave with a prescription for the medication.

You will leave with a form for a repeat blood test and your review appointment booked.

After your appointment

Please follow the written instructions about how to take the medication.

If your bleeding doesn’t start within 24 hours of the second medication please contact us urgently.

If you saturate two (or more) sanitary pads per hour for two consecutive hours this could be “problem bleeding” requiring additional medical treatment. If you are worried about your bleeding please contact the MS Health After-care telephone service on 1300 515 883 or your treating doctor. If you have any concerns the MH health telephone service is available 24/7. You will receive additional text message support if you consented to this.

Please have your repeat blood tests as directed by your doctor.

Your follow up appointment

Whilst you have had vaginal bleeding, there is a small chance the pregnancy hasn’t been expelled and it is very important that you attend your follow-up assessment to confirm the pregnancy has been terminated. We will review your experience. We will discuss your blood results. We may perform a further Ultrasound. Please drink 600ml of water 1 hour before your appointment time and hold your bladder in case a repeated ultrasound is necessary. We will review your contraception choice. If you have opted for a Mirena or Copper coil as contraception we will arrange a further appointment for this to be fitted (usually 4-6 weeks after the abortion).

Emergency care

Please remain within 1 hour of Emergency care for 24 hours, and avoid particularly rural or remote areas where you may not be able to easily access healthcare for the next 14 days. This would usually be the Royal Hobart Hospital or Hobart Private. If your bleeding doesn’t start within 24 hours of the second medication please contact us urgently. If you saturate two (or more) sanitary pads per hour for two consecutive hours this could be “problem bleeding” requiring additional medical treatment. If you are worried about your bleeding please contact the MS Health After-care telephone service on 1300 515 883 or your treating doctor (please be aware your Doctor may be consulting with other patients so not able to speak to you instantly). If you feel unwell, have a fever, abdominal pain or have continuing heavy bleeding beyond 24 hours please call us during working hours or the MH health telephone service on 1300 515 883 (24 hrs).

If you have any concerns the MS Health telephone service 1300 515 883 is available 24 hours.