1. POSITION PAPER on
Provision of Termination of Pregnancy & enhanced Reproductive Care within the existing General Practice & Maternity Hospital setting.

2. And you may ask yourself, well How did I get here?

3. PROGRESS TO DATE
April Doctors TFY Repeal the 8th WhatsApp / Meeting in UCC
25th May Repeal of 8th Amendment
START Thurs 31st May meeting post Referdum and name change
Regular meetings throughout summer.
Thursday 19th July- Educational meeting
What do we do with all this information
Mid August proposal for Position Paper
10 Authors, 2 editors, 12 drafts

4. WHAT WE NOW KNOW
General Practice is suitable for most Early Medical Abortions (EMA, LMP < 63 days). Over 63 days will need to be in secondary care.
A 24/7 telephone helpline staffed by trained personnel will be an essential service to co-ordinate care, arrange appointment with providers, avoid obstructers, give reassurance or referral during TOP
Most pregnant people who attend for TOP are sure of their decision.
Most pregnant people who attend for TOP are sure of their dates.
Ultrasound is not generally needed pre 63 days
Anti-D is not needed pre 63 days

5. First visit Involved not complicated Discuss decision making process
Decision made without coercion, informed consent
Confirmation of dates, abdominal NOT bimanual exam
Invx Haemoglobin essential, others (serum HCG, Blood group+ antibodies)
STI screening
Prescribing and dispensing medication
Safety net
Contraceptive plan

6. 6

7. NONE OF THIS CAN BE DONE WITHOUT SECONDARY CARE