Introducing early medical abortion in Australia: there is a need to update abortion laws
Caroline M. de Costa A F , Darren B. Russell B , Naomi R. de Costa C , Michael Carrette D and Heather M. McNamee EA Department of Obstetrics and Gynaecology, James Cook University School of Medicine, Cairns Campus, Cairns, Qld 4870, Australia.
B Sexual Health Clinic, Cairns Base Hospital, Cairns, Qld 4870, Australia.
C PO Box 833, Edge Hill, Qld 4870, Australia.
D Visiting Medical Officer, Cairns Base Hospital, Cairns, Qld 4870, Australia.
E Visiting Medical Officer, Sexual Health Clinic, Cairns Base Hospital, Cairns, Qld 4870, Australia.
F Corresponding author. Email: caroline.decosta@jcu.edu.au
Sexual Health 4(4) 223-226 https://doi.org/10.1071/SH07035
Submitted: 18 May 2007 Accepted: 17 July 2007 Published: 28 September 2007
Abstract
Recent changes to Federal Therapeutic Goods Administration legislation have seen the limited introduction of the drug mifepristone to Australia for the purpose of early medical abortion. At the same time it has become evident that both methotrexate and misoprostol, licenced and available for other indications, are being used safely and appropriately for early abortion by Australian medical practitioners. Early medical abortion is widely practiced overseas where its safety and effectiveness are well supported by current evidence. However, abortion law in many states is still contained within the Criminal Codes and does not reflect current evidence-based abortion practice. In other states and territories restrictions on where abortions may be performed pose potential barriers to the introduction of mifepristone for medical abortion. There is an urgent need for abortion law to be clarified and made uniform across the country so that the best possible services can be provided to Australian women.
[1] Grimes DA, Creinin MD. Induced abortion – an overview for internists. Ann Int Med 2004; 140 620–6.
| PubMed | [verified 28 August 2007].
[9] Cheng AC, Robinson PM, Harvey K. Off-label use of medicines: consensus recommendations for evaluating appropriateness. Med J Aust 2007; 186 379–80.
| PubMed | [verified 28 August 2007].
[17] de Costa C, Russell D, de Costa N, Carrette M, McNamara H. Early medical abortion in Australia 2007. Med J Aust 2007; 187 171–3.
| PubMed | [verified 18 May 2007].
[21]
[22]
[23]
[24] De Crespigny LJ, Savulescu J. Abortion: time to clarify Australia’s existing laws. Med J Aust 2004; 181 201–3.
| PubMed |
[25] de Costa CM, de Costa NR. Medical abortion and the law. Uni NSW Law 2006; 12 13–16.
[26] Nickson C, Smith AM, Shelley J. Travel undertaken by women accessing private Victorian pregnancy termination services. Aust N Z J Public Health 2006; 30 329–33.
| Crossref | GoogleScholarGoogle Scholar | PubMed |