Special considerations in pregnancy prevention for the mentally subnormal adolescent female

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6 Citations (Scopus)

Abstract

Eight retarded teenage girls are presented whose cases highlight some of the considerations in pregnancy prevention for this population. Their mean age was 15.8 years, and 7 were considered to be educable (IQ 50-70) and 1 of borderline intelligence. Presenting complaints included pregnancy, sexual molestation, salpingitis, and a request for contraception in 2 patients each. pelvic examination with no anesthesia was accomplished after multiple educational sessions in 7 patients. Contraceptive choices included an intruterine device (2 patients), postcoital estrogen (1 patient), abstinence (1 patient), no contraception (2 patients). Of the 2 pregnant teenagers, 1 elected to continue and 1 to terminate. Unique considerations were the need current curent information about consent, alternatives to sterilization, specific risks of contraception for the retarded with medical problems, and communication skills for eliciting sexual information and attitudes. The 8 patients presented reflect the special features posed by the interaction of adolescence, sexuality, and retardation.

Original languageEnglish (US)
Pages (from-to)46-49
Number of pages4
JournalJournal of Adolescent Health Care
Volume1
Issue number1
StatePublished - 1980

Fingerprint

Pregnancy
Contraception
Salpingitis
Gynecological Examination
Sexuality
Contraceptive Agents
Intelligence
Estrogens
Anesthesia
Communication
Equipment and Supplies
Population

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Public Health, Environmental and Occupational Health

Cite this

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abstract = "Eight retarded teenage girls are presented whose cases highlight some of the considerations in pregnancy prevention for this population. Their mean age was 15.8 years, and 7 were considered to be educable (IQ 50-70) and 1 of borderline intelligence. Presenting complaints included pregnancy, sexual molestation, salpingitis, and a request for contraception in 2 patients each. pelvic examination with no anesthesia was accomplished after multiple educational sessions in 7 patients. Contraceptive choices included an intruterine device (2 patients), postcoital estrogen (1 patient), abstinence (1 patient), no contraception (2 patients). Of the 2 pregnant teenagers, 1 elected to continue and 1 to terminate. Unique considerations were the need current curent information about consent, alternatives to sterilization, specific risks of contraception for the retarded with medical problems, and communication skills for eliciting sexual information and attitudes. The 8 patients presented reflect the special features posed by the interaction of adolescence, sexuality, and retardation.",
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