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Because theres no judicial definition of serious harm, many doctors are understandably reluctant to become involved in providing termination of pregnancy. If it seems crazy that the abortion pill which accounts for almost 100% of abortions in Norway, and two-thirds in the UK, is only used in 23% of Australian terminations legal restrictions explain why. For medical abortions which is the use of the abortion pill you can only legally access those services if youre before nine weeks gestation, says Marsh of present Queensland law. And outside of [Queenslands] south east corner, there are only two providers of surgical abortions in Rockhampton and Townsville. This isnt just bad news for women in Cairns, or the states vast west, explains Marsh. The services in Rockhampton and Townsville only operate one day a fortnight, because they fly doctors up from Brisbane and sometimes from interstate, depending on who is available. Even for women who identify their pregnancy early, to be able to confirm it with a doctor, access an ultrasound and some of these women in remote communities have to travel just to get an ultrasound and then wait for an available appointment at a clinic, that can push women past the point of the gestational cut-offs imposed at those clinics, which is 15 weeks. There are a couple of clinics (in the south east) that go up to 17 weeks, and there is one clinic on the Gold Coast that goes up to 19 weeks. After that, youre flying to Melbourne. Related: There will never be a 'perfect time' to decriminalise abortion. It has to happen now | Mehreen Faruqi What this means for rural, isolated or Aboriginal and Torres Strait Islander women in remote communities is not only dangerous, but medically, physically, existentially disempowering. Its very much dependent on your local hospital, the individual personnel who staff that hospital and who you talk to when you get there, says Marsh. We have women who have been pregnant as a result of sexual assault, whose local hospital has refused to accept a referral from their GP to assess them. While Children by Choice fundraises to provide access to transport for women in these situations, their resources and their scope to help all who need it is limited. Beyond what her organisation can provide, receiving help, says Marsh, is a postcode lottery of geographical and economic privilege.