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Basic investigations should be carried out according to the local care pathway but as a minimum should include:
The following may be performed in primary care, or after referral to secondary care, as per local protocol:
Advise the patient regarding the cervical screening programme and arrange screening if appropriate (this should not delay pregnancy termination)
There are three strategies for dealing with STIs and the choice between these approaches depends on local protocol and the prevalence of infections:
In order to give valid informed consent to termination, the patient should be fully informed about the options available and be given further support and counselling as appropriate to her needs:
When giving the woman the information and counselling:
Offer the patient time to consider their decision, and arrange a review appointment if the patient wishes:
If the woman does want more time to consider the decision, with the woman's agreement consider:
If Patient less than 100% sure to proceed with termination of pregnancy
The TOPS clinic is run by NDDH and referral should be made to the TOP triage service by telephoning: 01271 322602 / 322786
Counselling Services NDDH:
Please be aware BPAS services are available in Devon.
BPAS website - 08457 30 40 30
Other local services are available at RD&E
This guideline has been signed off by the Northern Locality on behalf of NEW Devon CCG.
Publication date: August 2018
Updated: November 2021
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