Abortion Services in New Zealand

Tairawhiti DHB

Gisborne District

Licensed institutions

Gisborne Hospital

Street Address: Ormond Road, Gisborne
Postal Address: Private Bag 7001, Gisborne
Phone: (06) 869 0500

Services provided

Tairawhiti District Health Board provides a limited termination of pregnancy service for Tairawhiti residents only. Where demand exceeds available service or gestation is greater than 13 weeks women are referred to other providers: the Terrace Clinic at Hawkes Bay DHB, the Day Procedure Unit at Wairarapa Hospital in Masterton, AMAC in Auckland or Te Mahoe Unit at Wellington Regional Hospital.

For further information on this service please contact the Community Clinic on 06 868 9005.

First trimester

Appointments

Appointments can be made by the GP, or self-referrals are accepted however termination will not be offered without a GP referral. Patients may come to the Community Clinic for pregnancy counselling and if they would like to consider termination, they can be referred from here to a referring doctor.

Phone: (06) 868 9005
Facsimile: (06) 863 1373

Women are seen within a week of referral. Early referrals are encouraged.

Information required from the referrer

NZ residency and personal details, including contact telephone number; parity and gravidity, previous TOPs; LMP, pelvic exam findings, US scan if performed; investigations (HVS, chlamydia and antenatal bloods); history and indications, contraception use at conception; recommended follow-up contraception.

Certification

Certification is provided in the clinics/hospitals where the abortion procedure is performed.

Counselling

Counselling is provided in the Community Clinic by the trained midwife/counsellor. Follow-up counselling can also be provided.

The procedure

Both surgical termination under local anaesthetic to 13 weeks gestation and medical termination to 63 days gestation are provided.

Follow-up

Women should return to their referring doctors for follow-up within two weeks. However follow-up can be provided in the Community Clinic.

Cost

The service is free for eligible patients. The Community Clinic assessment is free and the DHB pays the costs of treatment by the other clinic/hospital. Assistance is given for travel (petrol vouchers) and one night's accommodation for the woman; the accompanying person will have to pay their own accommodation.

Second trimester - all grounds, other than fetal anomaly

Second trimester abortion services for non-fetal anomaly grounds are provided by referral either to the Auckland group of gynaecologists, only up to 16 weeks, or to Wellington Hospital, up to 19 weeks.

Arrangements for second trimester referrals are made through the Community Clinic as with 1st trimester - see above.

Second trimester - fetal anomaly

Second trimester abortion services for fetal anomaly are provided by the Maternal Fetal Medicine Team at National Women's Hospital. Women are usually assessed by a local obstetrician/gynaecologist and a referral arranged.

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: 21 February 2010