A new online abortion service aims to fill the gap solve the "postcode lottery" problem for women in regional areas.
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Wagga's leading reproductive rights advocates have supported the move.
Dr Emma Boulton began trialling a tele-abortion service through her Sydney clinic shortly after the closure of Tabbot Foundation, which she said had left a "big gap".
"There is little abortion care in Wagga and surrounding areas and it is depriving women of a basic human right which is access to affordable healthcare," she said.
Julie Mecham from the Wagga Women's Health Centre said any opportunity to increase access is fundamental since the laws have been changed.
"We need to be making a difference for rural and regional women," she said.
Ms Mecham said she hopes to see the service eventually covered by Medicare to ensure that women struggle financially are not discriminated against.
Liz Marmo, spokesperson for We Need Reproductive Rights Rural NSW, has been advocating for a centre in Wagga and said this is an essential step in the process.
"It is such a positive and forward step for folks in regional NSW, particularity for a town like Wagga," she said.
"For those who might have concerns, I would like to point there are strict requirements, and it is very well policed."
How does the service work?
Dr Boulton said medical abortion by telehealth is a safe and effective option for early-stage pregnancy termination.
Medical abortions are only available to women who are less than nine weeks pregnant.
After the woman has undergone an ultrasound and a blood test, she can be prescribed the two drugs used in a medical abortion. The first drug is Mifepristone, and the second drug taken one to two days later is Misoprostol.
A follow-up consultation is then required to ensure the drugs have worked.
Dr Boulton added there is overwhelming evidence to support its efficacy, though in approximately five per cent of cases it is not straightforward.
"This is why we have strict suitability testing, and professional consultation and care both before and after the procedure is imperative, to ensure both the immediate and long term health of our client," she said.
"Tele-abortion is particularly suitable for women who cannot access face to face abortion care in their local community.
"Our tele-abortion clients meet with highly skilled and experienced abortion care providers remotely by phone or video consultation."
Dr Boulton said their consultants would guide patients through the process, and if after testing the client is deemed suitable for tele-abortion, they can undergo the procedure in the privacy of their own home.
"Though abortion has finally been decriminalised in NSW, there is a long way to go in order to provide women all across Australia with comprehensive abortion care," she said.
"Abortion is a straightforward medical intervention, ideally delivered in a community setting.
"It is a normal part of healthcare, and it is a basic human right to have access to health care services - women deserve the right to determine what happens to their own bodies.
"In Australia, there is a great deal of variation in the legal status of abortion between the states, so access to basic health care services such as abortion becomes a postcode lottery."
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Who provides this service?
Dr Boulton said clinicians who are highly experienced in all aspects of abortion care run the service from Clinic 66 in Sydney and it is supported by a 24/7 emergency helpline run by MSHealth, the distributors of the medication.
"Our clients do need to meet strict suitability criteria, such as being under nine weeks gestation at the time of taking the medication, being over 16 years old and within a two-hour drive of emergency care, to name just a few," she said.
What is the cost?
Dr Boulton said there is no medicare or health insurance rebate for this service."The Tele-abortion consultations will cost $395 in two instalments," she said.
"This fee covers the entire medical abortion process, which includes three online consultations, but does not include the cost of investigations such as blood tests, ultrasound or the medication."
Dr Boulton said she hopes to see the service covered, at least partially, by Medicare and health insurance companies to make it more accessible to women.
She added that some telehealth sessions, albeit with certain parametres, had recently been put onto the Medicare scheme meaning there was recognition of its effectiveness.
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