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HomeQueensland Parliament passes legislation allowing nurses and midwives to prescribe abortion pills

Queensland Parliament passes legislation allowing nurses and midwives to prescribe abortion pills

8 Mar, 2024 | Equity and access, Media

IUDs are the most effective contraception in Australia, being 99.8% effective in stopping unwanted pregnancies, yet uptake is low compared to the rest of the world.  

Currently only 6.3% of women are using hormonal IUDs, and the uptake of copper IUDs is even smaller. 

MSI Australia’s Director of Clinical Excellence Dr Catriona Melville said women could now choose a more cost-effective pain relief option, Penthrox, when choosing to have their IUD inserted or removed at MSI clinics. 

“We take women’s pain extremely seriously,” said Dr Melville.  

“IUD insertion and removal with MSI Australia is often straightforward and minimally painful, with many reporting positive experiences. 

“However, we recognise a considerable number of people feel they are unprepared for the severe pain that can occur when having the procedure, as we have heard through the multiple government inquiries into women’s pain that are occurring throughout Australia.  

“We took this on board and are broadening pain management options within our clinics.  

“We offer IUDs with or without sedation, but we know that the cost of the procedure with sedation can put women out of pocket and they are just not able to pay the price.  

“We’re delighted to announce that from September we are now able to offer Penthrox, also known as the green whistle, to women who choose to have their IUD inserted or removed with us.  

“For only $55, women and people can now opt to use Penthrox as their pain relief at our clinics throughout Australia.” 

MSI Australia’s Clinical Nurse Educator Kara Manser said there have been numerous accounts of traumatic IUD insertion or removal experiences spread through word of mouth and the media, putting off many from undergoing IUD insertion.  

“Our priority is our patients. We don’t ignore or dismiss women’s pain,” said Ms Manser.  

“In fact, over 908% of MSI’s workforce in Australia is women. Women should know they will be safe and informed at our clinics.  

“We have been working on the education package for Penthrox within our clinics for XX months. 

“This has involved x, y z. 

The ‘Green Whistle,’ is a nickname for the medicine Penthrox, which is, under supervision, a self-administered rapid short term pain relief using a hand-held inhaler device. Commonly used in sports medicine, surf lifesaving and dental surgeries. It is now being used for pain relief in IUD insertion and becoming popular in these cases at MSI Australia.  

 If you feel anxious about your pain management at any time in your procedure do not shy away from asking a nurse or doctor about how the medicine can help you.  

Frequently Asked Questions

What is Penthrox (“Green Whistle”)?

Penthrox (methoxyflurane) is a hand-held inhaler device, commonly known as the “Green Whistle,” used for rapid, short-term pain relief. It is typically used in acute trauma situations or for brief, painful procedures like IUD insertion in the MSI clinic setting. It is non-addictive and straightforward to administer, allowing clients to self-administer under supervision. The inhaler has an anti-anxiety effect on patients, not only does it allow you to not feel pain but eases any anxiety in your body, allowing you to fully relax during your procedure.

Read consumer medicine information

How does it work? 

Penthrox consists of the medicine Methoxyflurane, which belongs to a group of anaesthetic agents and reduces pain by making the brain and spinal cord less responsive to excitement and pain. 

How much does it cost? 

At MSI Australia, Penthrox is available for IUD procedures for an additional $55, which is not claimable from Medicare. It is a cost-effective alternative to IV sedation. 

Do I have to decide whether to use Penthrox when making a booking? 

You don’t need to decide this when making a booking, but if you choose to use Penthrox, you cannot drive yourself home. Please arrange alternative transportation, such as taxi, rideshare or public transport alone.  

In a huge win for reproductive rights, Queensland Parliament has passed a law allowing nurses and midwives to prescribe abortion pills.

This decision marks a pivotal shift towards more inclusive, accessible, and compassionate abortion care for Queenslanders.

“Today marks a historic moment for abortion access in Queensland,” states Greg Johnson, Managing Director of MSI Australia.

“By enabling nurses and midwives to prescribe medical abortion pills, we are breaking down barriers to essential healthcare services.

“This legislation and the subsequent training program will mean that more women and pregnant people can access safe and timely abortion care, regardless of their postcode.

“Earlier this week, $41 million was announced specifically for termination of pregnancy care. We anticipate that this funding will make services more affordable and accessible throughout the state and look forward to learning more about its implementation.”

Dr. Catriona Melville, Director of Clinical Excellence at MSI Australia, praised the legislation for its potential to transform abortion care.

“Expanding the scope of practice for nurses and midwives to include the prescribing of medical abortion pills is a game-changer,” she says.

“It also enhances the quality of care for those seeking abortion services by making it more accessible and reducing stigma.”

“We expected this change to improve access to abortion services, especially in rural and remote areas, where doctors are scarce, and services are often limited.

“At MSI Australia, we look forward to supporting nurses and midwives through training and resources to ensure the safe and effective implementation of this new scope of practice.

“We will continue to work alongside the Queensland Government to navigate this positive shift in the provision of abortion care.

“The shift to non-gendered language is welcome, we have been using the terminology women and pregnant people for many years and support the inclusivity this move brings.

MSI Australia is the country’s leading specialised non-profit advocate and provider of abortion and contraception services.

MSI has a Choice Fund to provide support for people experiencing financial hardship or other barriers to abortion and contraception care. Each year we support hundreds of very disadvantaged people in the community to gain access to care. You can donate here.

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For further information contact Anna Jabour on 0428 396 391.

MSI Australia is the only national not-for-profit provider of sexual and reproductive health services including permanent and long-acting reversible contraception and abortion care. For more information on our clinic network visit msiaustralia.org.au