Abortion and contraception

discussion

Finding out you are pregnant is different for everyone. For some pregnant people, making a decision to have an abortion may be clear; for others the decision may feel difficult or confusing and at times overwhelming, with many factors impacting on the decision. You have the right to make your own decision based on your own feelings, values and beliefs. Sometimes there is no perfect option, but an option that best fits your situation.

Need immediate advice or help?

There is information and guided decision-making tools available online through:

Find an abortion service:

1800 My Options can help you find an abortion service. Phone or search on their website.

Call them on 1800 696 784  (weekdays 9am – 5pm).

Getting an abortion in Victoria (1800myoptions.org.au)

Pregnancy is known to be a time when women are:

  • at risk of violence for the first time
  • at risk of increased violence when there has already been violence in a relationship.

Women in relationships where the partner (or others) use violence and/or control often say that these relationships affect them and their decision-making when pregnant. This is likely to be difficult and confusing. 1800RESPECT and Safe Steps both provide 24/7 support and information, including options for professional help and safety.

If you are considering an abortion

Each woman will be the best judge as to how she will cope and what she needs to assist her. Many women find that when they have made a considered and informed decision, and have been supported in making that decision, then they feel more positive. Some women report feeling mixed emotions, such as relief as well as a sense of sadness and loss after the procedure.

Accurate information about your options and supportive non-judgemental counselling can help you decide what’s best for you. 

There is information and guided decision-making tools available online through the Women's, Better Health Channel and Children by Choice1800 My Options also offers an independent phone service and database of abortion, options counselling, contraception and other sexual health services.

Abortion is a health issue 

In 2008 the Victorian Parliament passed the Abortion Law Reform Act, which aligns the law with clinical practice and community support for health professionals to offer abortion as part of comprehensive, high-quality women’s health care. 

This law reform means abortion is legally available to women up to 24 weeks gestation, and in certain circumstances beyond this. However, in reality, there are very few services that provide abortion. For women considering an abortion, the sooner you can seek help and advice the more options you may have. A great place to start, and to discuss your options, is 1800 My Options.

Abortion methods

Abortion is one of the safest procedures available in the health system when it is performed by qualified health professionals.

The Women’s offers medical and surgical methods of abortion. The options available to you will depend on the gestation of pregnancy (counted from the last menstrual period or measured by ultrasound) as well as your individual circumstances and preferences. 

A surgical abortion is usually performed under a general anaesthetic (with the woman asleep) and as a day procedure.

A medical abortion uses drugs given in doses over two or more days that induce miscarriage-like symptoms for pregnancies up to 9 weeks. The medical abortion occurs at home. Find out more about early medical abortion.

Comparing abortion experiences

 Medical abortion Surgical abortion
Used up to 63 days of pregnancy (9 weeks from last normal period) Can be performed later in the pregnancy
Avoids surgery Depends on an abortion service being available
Can feel like a miscarriage Can be done under anaesthetic with patient asleep
Medicine is taken at home with a support person available The abortion takes place in an operating room in a hospital
Takes time to complete abortion, and the timing may not be predictable The surgery is quick, recovery time up to 3 hours
Bleeding and cramping are expected, average bleeding time is 16 days Usually less bleeding and cramping  
Follow up is important to be sure the abortion is complete Usually no follow up needed
May need to return to clinic for follow up contraception, such as an IUD insertion IUD or implant contraception can be inserted at the same time as procedure
Safe. Severe complications are rare.  Safe. Severe complications are rare. 

Contraception

Contraception and abortion services at the Women’s are offered as part of our comprehensive sexual and reproductive healthcare service. The Women’s specialise in long acting reversible contraception methods (intra-uterine device and implant) insertion and removal procedures and advice and supply of all methods of contraception.

Abortion is an ideal opportunity to discuss your contraception needs and explore your options. At the medical consultation, you can talk to your doctor about your ongoing contraception needs.


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