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Feminism: Sex and gender discussions

Your views on draft NICE guidance on abortion provision

11 replies

FeminismandWomensFights · 22/04/2019 11:31

Open until 31 May for responses.
Individuals can respond and groups too.
Not been through everything but it looks sensible- advocating for women to be offered an appointment to discuss options within one week, then abortion treatment appointment within one week if that is the decision. The draft guidance was developed with doctors from Royal College Obs and Gynae.

You can respond here: www.nice.org.uk/guidance/indevelopment/gid-ng10058/consultation/html-content

Other context about it: www.nice.org.uk/news/article/offer-women-a-choice-of-procedure-to-terminate-their-pregnancy

Also news coverage:
www.bbc.co.uk/news/health-47895716

OP posts:
TheInebriati · 22/04/2019 11:37

Clicky links -

Consultation;
www.nice.org.uk/guidance/indevelopment/gid-ng10058/consultation/html-content

news coverage:
www.bbc.co.uk/news/health-47895716

FeminismandWomensFights · 22/04/2019 11:40

Thanks- sorry about links Blush

This one too. www.nice.org.uk/news/article/offer-women-a-choice-of-procedure-to-terminate-their-pregnancy

OP posts:
TheInebriati · 22/04/2019 11:45

You don't have to apologise, I assumed you were on a mobile device Smile

That last link is good, its in plain English and a bit easier to understand seeing it laid out like that.

they suggest that '' women should be able to refer themselves to termination of pregnancy services, rather than having to book an appointment with their doctor first.''

I agree with this, doctors who have certain personal beliefs can stop women from accessing an abortion.

TheInebriati · 22/04/2019 11:49

Theres also a guideline here which might help;

www.nice.org.uk/guidance/GID-NG10058/documents/draft-guideline

butteryellow · 22/04/2019 12:06

I agree with this, doctors who have certain personal beliefs can stop women from accessing an abortion.

Yes, In my case the first doctor I saw excused herself and had me see a colleague (who then went to a 3rd doctor for the sign off) - so she clearly had beliefs that prevented her helping me, but at least didn't obstruct me. I've heard horror stories though of doctors having a go at women, refusing to refer them to other doctors etc. ie being extremely obstructive to women.

LassOfFyvie · 22/04/2019 12:37

Thanks- sorry about links

It might not apply to all platforms and devices but if I start a thread using a phone and include a link the link it is not clickable.

If I post a "reply" to my thread, using the exact same link, the link on the "reply" is then clickable.

I have no idea why this should be the case.

Melroses · 22/04/2019 14:12

It does seem to be a good idea to self-refer. There is no value in waiting for a GP appt to refer, especially as it can take so long these days. If it is counselling, that is probably better in a specialist setting.

FloralBunting · 22/04/2019 16:35

Can I ask how self referral works?

Prequelle · 22/04/2019 16:38

We have self referral in our area and I'm glad as women shouldn't have to wait for a GP appointment that can take weeks.

FeminismandWomensFights · 22/04/2019 17:01

Self referral to NHS abortion services or the charitable ones like Marie Stopes or BPAS (with the costs to the woman covered by the NHS) means that you can go straight to the specialist service and start talking to an informed person who can talk you through all the options (including continuing with the pregnancy). Usually this is someone with counselling skills too and the specialist service can offer emotional support and separate counselling sessions as needed.

While you could have only a very basic chat about this with a GP it would be very rushed, and the GP would be referring the woman on to the specialist provider in any case to have a similar chat. So time is added which can make a difference to the choice of treatments that are possible if the woman does want to end the pregnancy.

GPs also don’t always know what modern termination of pregnancy services offer- so a GP may not always be able to talk through options very knowledgeably. (like that the law has very recently changed to allow women in England the chance to take the second part of the early medical abortion treatment- which effectively starts the uterus to expel the pregnancy- at home.... making this a more realistic option for women who have to travel a long way to get to the specialist service premises, or have other caring commitments, or a limited budget to afford travel- since she’ll no longer be required to make two visits, close together, to the abortion services so that she can be given the first and then the second part of the treatment.

This update to the service combined with self referral probably means that more women at an early enough stage in pregnancy can have more treatment choice than they would otherwise have had.
That means that if they wish, they can avoid a more physically invasive surgical abortion treatment and anaesthetic risk. (Low risk relatively but this may be important to some women). Some women may just prefer to be at home to pass the pregnancy.

OP posts:
FloralBunting · 22/04/2019 17:09

Yes, I can see that being better, given that the GP step just seems like an odd tick box exercise more than anything. Literal gate keeping, nothing more.

My only concerns would be safety aspects (while I can certainly see the sense in women being able to be at home, I do worry that without medical supervision, there are risks) and I'm still a bit skittish about the possibility of coercion by partners and access to fully rounded counselling. But clearly, the GP adds nothing to affect those issues, so yes, self referral seems like a sensible way of cutting unnecessary layers of hoop jumping.

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