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Chapter 3 - Teenage Pregnancy
from Section 1 - Obstetric Aspects of Antenatal Care
- By Amira El-Messidi, Bianca Stortini
Edited by Amira El-Messidi, McGill University, Montréal, Alan D. Cameron, University of Glasgow
Book:

OSCEs in Obstetrics and Maternal-Fetal Medicine

Published online:

23 February 2023

Print publication:

16 February 2023, pp 31-41
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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.