Abortion Services in New Zealand

Counties-Manukau DHB

Manukau City, Papakura District, Franklin District

Licensed institutions

Middlemore Hospital

Street Address: Hospital Road, Otahuhu, Auckland 3
Postal Address: Private Bag 93311
Phone: (09) 276 0000
Facsimile: (09) 270 4714

Services provided

Middlemore Hospital is a base hospital which provides full gynaecology services. The provision of abortion services is apparently under discussion. However the information given below is the best available to date.

First trimester

All patients requesting first trimester termination are referred directly to the Epsom Day Unit by their GPs.

Second trimester - all grounds, other than fetal anomaly

Women requesting termination on the grounds of serious adverse effect on mental health are initially referred by their GP or family planning doctor for options counselling with a senior social worker at Counties Manukau District Health Board (CMDHB). The referral information and the social worker summary is assessed by the Clinical Director and the Gynaecology Service Coordinator. A decision is made as to whether the referral meets the CMDHB funding criteria for this procedure. If the referral meets the criteria, the Social Worker contacts the woman to discuss the procedure and follow up care. Contraceptive options are explored and if requested referrals are made for sterilisation.

The procedure is funded by CMDHB's provider arm and the service is provided by a group of private gynaecologists (see Auckland area - second trimester surgical service) who ultimately make the final decision. Follow up care is with the General Practitioner.

Second trimester - fetal anomaly

Appointments

Patients are referred to the gynaecology service at the Counties-Manukau DHB. The woman is assessed by the gynaecologist. If after counselling, the woman decides to proceed with termination, a multi-discipline team approach to care is provided.

Certification

This is provided in the gynaecology service by the gynaecologists who are certifying consultants.

Counselling

Options counselling is provided by the senior social worker, and the woman and her family are introduced to Bereavement Care for support.

The procedure

The method used is a medical induction of labour, using mifepristone (Mifegyne®) and misoprostol (Cytotec®). A multi-discipline team approach is provided with the gynaecology care nurse-in-charge managing the procedure.

Follow-up

Provided by gynaecology team.

Cost

The service is free for eligible patients. Non-NZ-residents should enquire directly about the cost to them.

DHB responsibilities

All District Health Boards are required to provide termination of pregnancy services "for those women who meet the criteria provided by the Crimes Act 1961 and the Contraception, Sterilisation, and Abortion Act 1977". See Ministry of Health. However they may not necessarily provide the services themselves. Accessing accurate, up-to-date and informative details about how individual District Health Boards provide these services, has been extremely difficult. The information provided here is the best that we have been able to obtain for this district to date. We will continue to update the website as we obtain further information.

Last Updated: 14 October 2008