P218 A full sTOP : Providing a fully integrated sexual health service for women attending termination services

Abstract

Background/introduction Traditionally Pregnancy Advice Services (PAS) stood apart from Family Planning and Genito-Urinary Medicine services. Since 2011 Abertawe Bro Morgannwg Health Board deliver an Integrated Sexual Health service. Aim(s)/objectives To demonstrate the benefits of integrated an service Methods A case note review of all women attending PAS from 1 st to 29 th February 2016. Results 145 case notes of women accessing PAS were reviewed; median age was 25 years (16–43). 137/145 (94%) had a termination procedure, 1 found not be pregnant, 1 miscarried, 3 transferred to BPAS as >18 weeks pregnant, 3 decided to continue pregnancy. At time of initial consultation, 89/145 (61%) had no form of contraception, 30/145 (21%) used condoms only, 20/145 (14%) were using the Combined Oral Contraception (COC) and 6/145 (4%) the Progesterone Only Pill (POP). At the time of discharge, 77/139 (55%) started a new method of Long Acting Reversible Contraception (LARC). 16/139 (11.5%) were prescribed COC, 25/139 (18%) POP and 1/139 (0.5%), contraceptive patch. 5/139 (4%) declined contraception, 15/139 (11%) wanted to access their GP for future contraception. 144/145 (99%) were offered Sexually Transmitted Infections (STIs) screening, 133/144 (92%) accepted dual Nucleic Amplification Assay Tests (NAATs), 7/133 (5%) had chlamydia, 1/133 (0.8%) had gonorrhoea. All 74/144 (51%) tested negative for syphilis and HIV. Discussion/conclusion This holistic model of care provides women a more immediate opportunity to address their future contraceptive and sexual health needs, with a 55% increase in uptake of LARC and >5% identification of untreated STIs.