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UNEXPECTED PREGNANCY

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I might be pregnant...

If you’ve already had unprotected sex (or the condom broke) during your fertile time, but you didn't expect (or don’t want) to be pregnant, first – DON’T PANIC. You have more than five options.  

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  • Emergency contraception (there are three different types)

  • Medical termination of pregnancy 

  • Surgical termination of pregnancy

  • Continuing the pregnancy & adopting

  • Continuing the pregnancy & parenting

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It's also probably a good time to consider a sexual health check.

 

What is emergency contraception? 

Emergency contraception is not contraception: it may prevent a pregnancy in the event of unprotected sex, but it won’t necessarily cover you for the rest of your cycle, or ongoing.

MORNING AFTER PILL

ULIPRISTAL

COPPER INTRAUTERINE DEVICE

Click for further conception and pregnancy info & longer term contraceptive options.

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How your doctor can help

If you are pregnant and don’t want to be – my place as a medical doctor is NOT to evaluate you and your decision making, other than to ensure you feel safe and comfortable with the understanding of what is happening.

 

YOU are in charge of what happens next.

 

If you don’t know what to do, that’s totally understandable, and you wouldn’t be the first woman (nor the last). Children By Choice have excellent resources & services on their website to help you make decisions.

 

In brief, if/when you find out you are pregnant, see a doctor – either your GP, another family doctor or family planning service (e.g. True Relationships). 

 

These GPs have the ability to help you directly, or they might refer you on to other services, either your local public hospital gynaecology department, a sexual health clinic, or other private services.

 

You’ll need an ultrasound to assess at what stage the pregnancy is.  You’ll also need blood tests. These determine the options going forward, and the sooner you can get to these, the more options you have. 

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In some circumstances, your doctor may need to speak with someone to make sure you are safe moving forward.  But rest assured that your information is always treated as confidential. 

It is not unusual for women and their partners to experience mixed emotions about what to do if they have an unplanned pregnancy.

 

This ranges from excitement, to weighing up options, or deciding to end the pregnancy. Some women might decide to continue on with the pregnancy (or be forced to). 

 

Others might have to sift through feelings of guilt or shame, navigate family or social opinions and expectations, religious beliefs and all-round judgement.

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Don’t forget, everyone has an opinion, and sometimes you don’t even need to ask them!

 

Speak with those you feel comfortable with to support you to make the decision that is right for you at that moment. 

 

It is natural and normal for couples to feel grief if they decide not to proceed with a pregnancy – or indeed, if that decision is made for them because the pregnancy is non-progressive (spontaneously miscarries).

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If you have been pregnant in the last twelve months, you are able to access three free counselling sessions with a psychologist.

 

This can be useful if you have difficulty integrating the experience of pregnancy, and what it all means for you and your partner.

 

See your GP to access these under the Medicare system.

It’s worth noting that not all sex is wanted nor consensual.

 

Even if you agree but you’ve been coerced or pressured into it, it can still be an assault, even though in the eyes of the law, consent negates the rape. 

 

It’s a horrible feeling to be left with the physical (vaginal tears, STIs), psychological (feeling used, losing trust), and other repercussions (such as questioning your sexuality or avoiding intimate relationships).

 

There is a LOT to work through if you find yourself on the receiving end of unwanted sex – how you played out the steps in its (complete) set-up is utterly confronting, not to mention the physical outplay.

It’s a burden that many try to carry alone, but often this compounds the problem(s). 

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If the world makes you silent for your safety, you are then compliant and complicit to whatever else may come.

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You shouldn’t be silenced from seeking help that can allow you to explore that YOU ARE NOT TOUCHED.

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Within you remains a core so sacred and delicate that no matter what brutality may come your way, it remains. This is essential to connect to which, in time, allows you to let go all the anger, desire for revenge, wanting to change others or the world, and the stigma, shame, and any unanticipated consequences.

In truth, you are never given anything to deal with that you can’t handle. 

 

And if it seems insurmountable, so evidently unjust, so heinous the crime - it points to the fact of the lengths that will be gone to, to ensure you are suppressed instead of being in your full power.

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In the event of an emergency, go to your nearest public hospital's Emergency Department.

 

Seek medical care as soon as practical otherwise (pregnancy tests, STI screening, counselling). 

 

And psychological support can help you recover (if not rediscover) the essence of your inherent richness from the depravity – remember, it’s always been (and remains) inside of you. See resources below.

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More info

See 'for you' at Children by Choice.

 

This interactive map provides details of where you can access abortion and contraception services in Queensland.

 

Info for other Australian states can be found here.

 

Some services, like Marie Stopes, even offer a phone service for pregnancy terminations.

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See also our seeing your doctor section and/or contact​ Dr Stephanie.

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RESOURCES

Here's everything you need to know about sexual assault.

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1800 RESPECT (sexual assault)

1800 737 732

24 hours, 7 days

https://1800respect.org.au (webchat counselling also available)

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DV Connect (sexual assault)

1800 010 120

7.30am -11.30pm, 7 days

https://www.dvconnect.org/sexual-assault-helpline/

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Bravehearts (child sexual abuse)

1800 272 831

Mon-Fri: 8.30am - 4.30pm (AEST) (hours vary on public holidays)

https://bravehearts.org.au/what-we-do/counselling-and-support/

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Kids Helpline (Ages 5-25)

1800 551 800

24 hours, 7 days

https://kidshelpline.com.au/get-help/webchat-counselling

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QLife (LGBTI)

1800 184 527

Mon-Sun: 3pm - 12am (AEST)

https://www.qlife.org.au

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DV Connect

1800 811 811 (domestic violence)

24 hours, 7 days

https://www.dvconnect.org

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Lifeline (crisis counselling)

13 11 14

24 hours, 7 days

https://www.lifeline.org.au

REFERENCE LIST

Australian Medicines Handbook (2021). Emergency Contraception. Accessed from https://amhonline-amh-net-au.ezproxy.library.uq.edu.au/chapters/obstetric-gynaecological-drugs/drugs-contraception/emergency-contraception on 12 May 2021.

 

Hamoda, H. & Templeton, A. (2010). Medical and surgical options for induced abortion in first trimester.  Best Practice & Research Clinical Obstetrics and Gynaecology, 24:  503-16.  Retrieved on 14 June 2021 from https://www.climate.edu.au/pluginfile.php/1235/mod_resource/content/3/1st_trimester_TOP.pdf

 

Weisberg, E. (1999). Progestogen-only methods of contraception. NPS MedicineWise. Accessed from https://www.nps.org.au/australian-prescriber/articles/progestogen-only-methods-of-contraception on 18 June 2021.

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WHO (2020). Family planning/contraception methods. Accessed on 26 May 2021 from https://www.who.int/en/news-room/fact-sheets/detail/family-planning-contraception.

 

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