Termination of pregnancy

Emergency department referrals

All urgent cases must be discussed with the on call Registrar to obtain appropriate prioritisation and treatment. Contact through:

  • Royal Brisbane and Women's Hospital (07) 3646 8111
  • The Prince Charles Hospital (07) 3139 4000
  • Redcliffe Hospital (07) 3883 7777
  • Caboolture Hospital (07) 5433 8888

Urgent cases accepted via phone must be accompanied with a written referral and a copy faxed immediately to the Central Patient Intake Unit: 1300 364 952.

Consider providing advice that in an emergency situation, medical and clinical staff cannot conscientiously object to providing care following a failed early medical termination.  All Hospital and Health Services will provide services to women who present for emergency care.

If any of the following are present or suspected, refer the patient to the emergency department (via ambulance if necessary) or seek emergent medical advice if in a remote regions.

  • Ectopic pregnancy
  • Ruptured haemorrhagic ovarian cyst
  • Torsion of uterine appendages
  • Acute/severe pelvic pain
  • Significant or uncontrolled vaginal bleeding
  • Severe infection
  • Abscess intra pelvis or PID
  • Bartholin’s abscess / acute painful enlargement of a Bartholin’s gland/cyst
  • Acute trauma including vulva/vaginal lacerations, haematoma and/or penetrating injuries
  • Post-operative complications within 6 weeks including wound infection, wound breakdown, vaginal bleeding/discharge, retained products of conception post-op, abdominal pain
  • Urinary retention
  • Any molar pregnancy
  • Inevitable and/or incomplete miscarriage
  • Hyperemesis gravidarum
  • Ascites, secondary to known underlying gynaecological oncology

Metro North HHS Nurse Navigator – Termination of Pregnancy

Service supporting GPs and women from the point of referral, pre and post termination of pregnancy.

Clinical Advice Line (This is for Metro North GPs only and not open to patients)
Hours: Monday – Friday 8.30am– 3.30pm
Ph: 1800 569 099
Email: metronorthtop@health.qld.gov.au

Does your patient wish to be referred?

Minimum referral criteria

Does your patient meet the minimum referral criteria?

Category 1

Appointment within 30 days is desirable

  • Any patient requesting a termination of pregnancy. For optimum care, an assessment appointment should be offered within 5 days of referral.

NB: Full termination of pregnancy services may not be offered by individual hospitals.  Referral may well be accompanied by a telephone call to the local Hospital and Health Service to establish local guidelines.  This could include discussion with the responsible clinician or delegate. Request for termination service 22+1 weeks have additional complexities and should be discussed with the responsible clinician.

Category 2

Appointment within 90 days is desirable

  • No category 2 criteria

Category 3

Appointment within 365 days is desirable

  • No category 3 criteria

If your patient does not meet the minimum referral criteria

Consider other treatment pathways or an alternative diagnosis.

If you still need to refer your patient:

  • Please explain why (e.g. warning signs or symptoms, clinical modifiers, uncertain about diagnosis, etc.)
  • Please note that your referral may not be accepted or may be redirected to another service

Other important information for referring practitioners

  • In an emergency situation, medical and clinical staff cannot conscientiously object to providing care following a failed early medical termination. All Hospital and Health Services will provide services to women who present for emergency care.
  • A Registered medical practitioner may perform a lawful termination on a woman who is:
    • up to a gestational limit of 22+0 weeks, for any reason
    • 22+1 weeks of gestation or more if two medical practitioners agree that, in all the circumstances, the termination should be performed.
  • Termination of pregnancy is a time sensitive service and that delays impact on the woman or pregnant persons options.
    • An early medical termination that can normally happen at home and is available under the supervision of a GP up to 9 weeks (63 days) gestation
    • From 9 weeks gestation the woman or pregnant person will need to be admitted to hospital to have a termination.
  • Legal requirements if a medical practitioner conscientiously objects to provide termination of pregnancy services.

The Termination of Pregnancy Act 2018 recognises that registered health practitioners have, and may exercise, the right to freedom of thought, conscience and religion. There is a requirement in the Act for a registered healthcare practitioners to inform the woman of their conscientious objection status and refer the woman in a timely manner to alternate, accessible and willing registered healthcare practitioners who can provide the required service.

  • Local Hospital and Health Services provide a limited number of appointments for terminations. Priority appointments for terminations will be given to women with complex health care needs and no ability to have a termination in the private sector where most terminations are performed.
  • Statewide Termination of pregnancy clinical guidelines states under the Clinical Standards that:
    • Ideally, offer an assessment appointment within 5 days of referral
    • Ideally, provide termination within 2 weeks of the decision to proceed being agreed
  • Refer to Healthpathways and/or Queensland Clinical Guidelines
  • Offer referral to other services as appropriate, especially where risk factors are identified (e.g. young women, women with physical or intellectual disabilities, mental illness, rape or sexual assault, domestic violence, fertility issues and cultural beliefs/values).
  • Where a young woman is sixteen years of age or under, greater consideration of an independent and appropriate counsellor / support person being available and engaged should be considered
  • Consider primary health screening or advice. i.e. Cervical Screening, Sexual Health Check, Rubella titre, domestic and family violence or sexual violence, smoking cessation advice.
  • Counsel about pregnancy options and contraceptive advice

Referral requirements

A referral may be rejected without the following information.

  • Summary of relevant circumstances leading up to the request for termination of pregnancy
  • Medical, surgical, obstetric and psychosocial history
  • Menstrual history and last menstrual period (LMP) date (if available)
  • Confirm the diagnosis and gestation of intra-uterine live pregnancy by ultrasound

Additional referral information (useful for processing the referral)

  • BMI
  • Blood group and type
  • Routine antenatal bloods: FBC, rubella antibody, hepatitis B serology, hepatitis C serology, HIV serology, syphilis serology
  • HPV vaccination history
  • STI screen result – endocervical swab or low vaginal SELF SWAB. Also screen for chlamydia +/- gonorrhoea NAA, T vaginalis, M genitalium (highly desirable)
    • STI screen might not be available before referral but is an essential part of the management.
  • History of smoking and alcohol and drug use
  • If pregnancy >11 weeks, Down syndrome screening results – screen at 11 to 14 weeks: fetal ultrasound + serum βhCG + serum PAPP-A (results required if completed, not necessary if thinking of Termination of Pregnancy)

Out of catchment

Metro North Health is responsible for providing public health services to the people who reside within its boundaries. Special consideration is made for patients requiring tertiary care or services that are not provided by their local Hospital and Health Service. If your patient lives outside the Metro North Health area and you wish to refer them to one of our services, inclusion of information regarding their particular medical and social factors will assist with the triaging of your referral.

  • Impact on employment
  • Impact on education
  • Impact on home
  • Impact on activities of daily living
  • Impact on ability to care for others
  • Impact on personal frailty or safety
  • Identifies as Aboriginal and/or Torres Strait Islander
  • To establish a diagnosis
  • For treatment or intervention
  • For advice and management
  • For specialist to take over management
  • Reassurance for GP/second opinion
  • For a specified test/investigation the GP can’t order, or the patient can’t afford or access
  • Reassurance for the patient/family
  • For other reason (e.g. rapidly accelerating disease progression)
  • Clinical judgement indicates a referral for specialist review is necessary
  • Presenting symptoms (evolution and duration)
  • Physical findings
  • Details of previous treatment (including systemic and topical medications prescribed) including the course and outcome of the treatment
  • Body mass index (BMI)
  • Details of any associated medical conditions which may affect the condition or its treatment (e.g. diabetes), noting these must be stable and controlled prior to referral
  • Current medications and dosages
  • Drug allergies
  • Alcohol, tobacco and other drugs use
  • Full name (including aliases)
  • Date of birth
  • Residential and postal address
  • Telephone contact number/s – home, mobile and alternative
  • Medicare number (where eligible)
  • Name of the parent or caregiver (if appropriate)
  • Preferred language and interpreter requirements
  • Identifies as Aboriginal and/or Torres Strait Islander
  • Full name
  • Full address
  • Contact details – telephone, fax, email
  • Provider number
  • Date of referral
  • Signature
  • Willingness to have surgery (where surgery is a likely intervention)
  • Choice to be treated as a public or private patient
  • Compensable status (e.g. DVA, Work Cover, Motor Vehicle Insurance, etc.)

Send referral

Hotline: 1300 364 938

Medical Objects ID: MQ40290004P
HealthLink EDI: qldmnhhs

Metro North Central Patient Intake
Aspley Community Centre
776  Zillmere Road

Health pathways

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13 43 25 84 is a phone line that provides health information, referral and services to the public

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