Providing accessible medical abortion services in a Victorian rural community: A description and audit of service delivery and contraception follow up.
Sex Reprod Healthc
; 16: 175-180, 2018 Jun.
Article
em En
| MEDLINE
| ID: mdl-29804763
ABSTRACT
OBJECTIVE:
To describe how a nurse led, MToP service is run in primary care in regional Victoria and investigate the characteristics and contraceptive choices of the women who have attended. STUDYDESIGN:
Descriptive study of the development and implementation of a rural MToP service and a retrospective chart audit of patients attending between January 2015 and September 2016. MAIN OUTCOMEMEASURES:
Characteristics and clinical outcomes for women attending an MToP service in a primary care setting in rural Victoria. Contraceptive usage pre and post attending a rural service for MToP.RESULTS:
There were 229 presentations, representing 223 women, of which 172 women (75.1%; 95%CI 69.0%, 80.6%) had a successful MToP and for two further women, MToP failed, requiring a surgical termination (0.9%; 95%CI 0.1%, 3.1%). At the time of presentation, the mean age of women was 25â¯years, the median length of gestation was 49â¯days and 171 (75%) had not had a previous termination. Data about contraceptive use was available for 195 women, 143 (73.3%) reported no contraception, 2 reported emergency contraceptive pill (1.0%), 10 used condoms (2.1%) and 39 (20.0%) reported hormonal contraception. Among the 156 women using no contraception, condoms or emergency contraception at the time of pregnancy, 113 (72.4%) initiated a reliable form of contraception post presentation to the MToP service.CONCLUSION:
Provision of accessible, affordable MToP through an integrated primary health service is one strategy to address access inequity in regional areas.Palavras-chave
Texto completo:
1
Bases de dados:
MEDLINE
Assunto principal:
Atenção Primária à Saúde
/
População Rural
/
Aborto Induzido
/
Serviços de Saúde Reprodutiva
Tipo de estudo:
Observational_studies
/
Prognostic_studies
Limite:
Adult
/
Female
/
Humans
/
Pregnancy
País/Região como assunto:
Oceania
Idioma:
En
Revista:
Sex Reprod Healthc
Assunto da revista:
ENFERMAGEM
/
MEDICINA REPRODUTIVA
/
OBSTETRICIA
Ano de publicação:
2018
Tipo de documento:
Article