Question

1. Susan, a medical assistant in an obstetrics and gynecology practice in Maryland, is scheduling an obstetric work-up for a 15-year-old patient, Joan. As Susan takes her medical history, she realizes that Joan is seeking medical help without her parents’ knowledge, despite the fact that she lives at home. It is clear to Susan that this patient knows the importance of seeking medical care at the onset of pregnancy and understands the proper use of birth control. Despite this, Joan says that she chose to become pregnant. Should Susan contact Joan’s parents? What can Susan do to encourage trust and ensure that medical care will continue for this mother and her fetus?

Answer 1

Ans) Susan should contact Joan's parents:

- Most unmarried teens don't plan on becoming pregnant, and they're often terrified when it happens. Many, particularly younger teens, keep the news of their pregnancies secret because they fear the anger and disappointment of their parents. Some might even deny to themselves that they are pregnant — which makes it even more important for parents to step in and find medical care for their teen as early in the pregnancy as possible. Younger teens' pregnancies, in particular, are considered high risk because their bodies haven't finished growing and are not yet fully mature.

- Reduce the risk of pregnancy complications. Following a healthy, safe diet; getting regular exercise as advised by a health care provider; and avoiding exposure to potentially harmful substances such as lead and radiation can help reduce the risk for problems during pregnancy and promote fetal health and development.