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Chapter 3 - Teenage Pregnancy

from Section 1 - Obstetric Aspects of Antenatal Care

Published online by Cambridge University Press:  23 February 2023

Amira El-Messidi
Affiliation:
McGill University, Montréal
Alan D. Cameron
Affiliation:
University of Glasgow
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Summary

A 16-year-old primigravida at 16+5 weeks’ gestation, confirmed two days earlier by dating sonography, is sent by her school nurse to your tertiary center’s teen-pregnancy clinic. She presents accompanied by her mother, whom she prefers to be present during your encounter. Early fetal anatomy appeared normal without sonographic markers suggestive of aneuploidy. Urine pregnancy testing was initiated by her school nurse, who was concerned when the patient recently complained of increasing bloating and nausea over the past two months. The nurse assures you she had addressed the possibility of pregnancy with the teenager prior to urine testing.

Type
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Information
OSCEs in Obstetrics and Maternal-Fetal Medicine
An Evidence-Based Approach
, pp. 31 - 41
Publisher: Cambridge University Press
Print publication year: 2023

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References

Suggested Readings

ACOG Committee Opinion No. 735: Adolescents and long-acting reversible contraception: implants and intrauterine devices. Obstet Gynecol. 2018;131(5):e130–e139.Google Scholar
Apter, D. International perspectives: IUDs and adolescents. J Pediatr Adolesc Gynecol. 2019;32(5S):S36S42.CrossRefGoogle ScholarPubMed
Workowski KA, Bachmann LH, Chan PA, et al. Sexually Transmitted Infections Treatment Guidelines, 2021. MMWR Recomm Rep. 2021;70(4):1–187. Accessed August 12, 2022.Google Scholar
Faculty of Sexual and Reproductive Healthcare of the Royal College of Obstetricians and Gynaecologists (FRSH) Clinical Guideline: contraceptive choices for young people (March 2010, amended May 2019). Available at www.fsrh.org/standards-and-guidance/documents/cec-ceu-guidance-young-people-mar-2010/. Accessed February 8, 2021.Google Scholar
Fleming, N, O’Driscoll, T, Becker, G, et al. Canadian Paediatric and Adolescent Gynaecology and Obstetricians (CANPAGO) Committee: adolescent pregnancy guidelines. J Obstet Gynaecol Can. 2015;37(8):740756.Google Scholar
Lanjouw, E, Ouburg, S, de Vries, HJ, et al. 2015 European guideline on the management of chlamydia trachomatis infections. Int J STD AIDS. 2016;27(5):333348.Google Scholar
Leftwich, HK, Alves, MV. Adolescent pregnancy. Pediatr Clin North Am. 2017;64(2):381388.Google Scholar
McCarthy, FP, O’Brien, U, Kenny, LC. The management of teenage pregnancy. BMJ. 2014;349:g5887.CrossRefGoogle ScholarPubMed
Peterson, SF, Goldthwaite, LM. Postabortion and postpartum intrauterine device provision for adolescents and young adults. J Pediatr Adolesc Gynecol. 2019;32(5S):S30S35.CrossRefGoogle ScholarPubMed
Public Health England. Collection on teenage pregnancy. Available at www.gov.uk/government/collections/teenage-pregnancy. Accessed February 8, 2021.Google Scholar

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