Ladies in waiting: the timeliness of first trimester services in New Zealand.

Reproductive Health
Martha SilvaToni Ashton

Abstract

Termination of pregnancy (TOP) services are a core service in New Zealand. However, compared to other developed countries, TOP services are accessed significantly later in the first trimester, increasing the risk for complications. The aim of this study is to examine the timeliness of access to first trimester TOP services and establish the length of delay between different points in the care pathway for these services. Data were collected from all patients attending nine TOP clinics around the country between February and May 2009 (N = 2950). Patient records were audited to determine the timeline between the first point of entry to the health system to the date of termination. In addition, women were invited to fill out a questionnaire to identify personal level factors affecting access to services (N = 1086, response rate = 36.8%). Women waited an average of almost 25 days between the date of the first visit with the referring doctor and the date of their termination procedure. There was a delay of 10 days between the first visit with the referring doctor and the date that the appointment for the procedure was booked, and a further 10 days delay between the date the appointment was booked and the first appointment date. Over ...Continue Reading

References

Sep 1, 1985·American Journal of Obstetrics and Gynecology·J W BuehlerC J Hogue
Apr 16, 2002·Acta Obstetricia Et Gynecologica Scandinavica·Weijin ZhouJørn Olsen
Mar 31, 2004·Obstetrics and Gynecology·Linda A BartlettHani K Atrash
Mar 24, 2005·Psycho-oncology·J BrettJ Austoker

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Citations

Apr 8, 2014·TheScientificWorldJournal·Wendy Abigail, Sheryl de Lacey
Apr 6, 2011·Australian and New Zealand Journal of Public Health·Martha SilvaToni Ashton
Jan 10, 2020·The Australian & New Zealand Journal of Obstetrics & Gynaecology·Suzanne BeltonEdwina Ali
Apr 25, 2021·The Australian & New Zealand Journal of Obstetrics & Gynaecology·Emma HarcourtJoanna Gullam

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