title: Ten years on: a review of medical terminations of pregnancy performed in a sexual health clinic.
abstract: Background Access to medical termination of pregnancy (MToP) services in regional Queensland remains inadequate and it is still possible for women and providers to be criminally prosecuted for accessing or providing abortion. Cairns Sexual Health Service (CSHS) has been providing medical terminations of pregnancy for 10 years, demonstrating that this service can be safely and successfully integrated into a primary healthcare setting.
  
  
  
  A retrospective audit of MToPs performed between 2011 and 2015 was conducted to follow on from our previously reported audit covering 2006-09.
  
  
  
  In total, 1859 MToPs have been performed by CHSH since 2006, with 1712 within the 5-year period of 2011-15. Changes in clinical practice over this time have streamlined the service and reduced unsuccessful outcomes from 12.2% between 2006 and 2009 to 0.9% between 2011 and 2015.
  
  
  
  The initial provision of MToP through CSHS was anticipated to be a short-term arrangement; however, 10 years on, this service continues with strong community demand. Provision of MToP services through primary healthcare settings can help improve access for women living outside of major metropolitan areas. If moves to decriminalise abortion in Queensland are successful, there is potential for even greater access.
authors.affiliation: College of Public Health, Medical & Veterinary Sciences, James Cook University, McGregor Road, Smithfield, Qld 4870, Australia.
authors.forename: Sandra G
authors.initials: SG
authors.lastname: Downing
authors.affiliation: Cairns Sexual Health Service, Cairns and Hinterland Hospital and Health Service, PO Box 902, Cairns, Qld 4870, Australia.
authors.forename: Colette
authors.initials: C
authors.lastname: Cashman
authors.affiliation: Cairns Sexual Health Service, Cairns and Hinterland Hospital and Health Service, PO Box 902, Cairns, Qld 4870, Australia.
authors.forename: Darren B
authors.initials: DB
authors.lastname: Russell
mesh_terms: D000028:Abortion, Induced / Q000706:statistics & numerical data*; D000328:Adult; D000554:Ambulatory Care Facilities / Q000458:organization & administration*; D005260:Female; D006297:Health Services Accessibility; D006801:Humans; D011247:Pregnancy; D011320:Primary Health Care / Q000458:organization & administration*; D011793:Queensland