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Ethical Challenges and Guidance Related to Adolescent Pregnancy

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Abstract

An emergency team was challenged with ethical issues while managing an unmarried adolescent girl who presented with an acute abdomen wherein a ruptured ectopic pregnancy was suspected. Consent remained at the center of this dilemma given the age of the patient and the nature of the issues. Herein, we deliberate upon the challenges faced by the treating team in accessing the reproductive history, obtaining consent for performing pregnancy tests and for therapeutic interventions.

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References

  1. Joseph JT. Comprehensive sexuality education in the Indian context: Challenges and opportunities. Indian J Psychol Med. 2023;45:292–6.

    Article  PubMed  Google Scholar 

  2. World Health Organization. Adolescent Pregnancy. Accessed on Mar 24, 2024. Available from: https://www.who.int/news-room/fact-sheets/detail/adolescent-pregnancy

  3. The Protection of Children From Sexual Offences Act, 2012. Accessed on Mar 24, 2024. Available from: https://www.indiacode.nic.in/bitstream/123456789/9318/1/sexualoffencea2012-32.pdf

  4. Tunick M. State authority, parental authority, and the rights of mature minors. J Ethics. 2023;27:7–29.

    Article  PubMed  Google Scholar 

  5. Ludewigs S, Narchi J, Kiefer L, Winkler EC. Ethics of the fiduciary relationship between patient and physician: The case of informed consent. J Med Ethics. 2022;23:jme–2022108539.

    Google Scholar 

  6. Ministry of Health and Family Welfare, Government of India. Guidelines & Protocols: Medico-legal Care for Survivors/Victims of Sexual Violence. Accessed on Mar 24, 2024. Available from: https://main.mohfw.gov.in/sites/default/files/953522324.pdf

  7. Dayal R, Gundi M. Assessment of the quality of sexual and reproductive health services delivered to adolescents at Ujala clinics: A qualitative study in Rajasthan, India. PLoS One. 2022;17:e0261757.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  8. Kaushik JS, Narang M, Agarwal N. Informed consent in pediatric practice. Indian Pediatr. 2010;47:1039–46

    Article  PubMed  Google Scholar 

  9. Larcher V. Consent, competence, and confidentiality. BMJ 2005;330:353–6.

    Article  PubMed  PubMed Central  Google Scholar 

  10. Ott MA. Confidentiality in primary care pediatrics. Pediatr Clin N Am 2024; 71:49–58.

    Article  Google Scholar 

  11. Katz AL, Webb SA, AAP Committee on Bioethics. Informed Consent in Decision-Making in Pediatric Practice. Pediatrics. 2016;138:e20161485.

    Article  PubMed  Google Scholar 

  12. Reis LF, Surkan PJ, Atkins K, Garcia-Cerde R, Sanchez ZM. Risk factors for early sexual intercourse in adolescence: A systematic review of cohort studies. Child Psychiatry Hum Dev. 2023 Mar 25:1–14. Online ahead of print. Accessed on Mar 24, 2024. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10039773/pdf/10578_2023_Article_1519.pdf

    Google Scholar 

  13. Sharma SK, Vishwakarma D. Transitions in adolescent boys and young men’s high-risk sexual behaviour in India. BMC Public Health. 2020;20:1089.

    Article  PubMed  PubMed Central  Google Scholar 

  14. Ehrlich JS. From age of consent laws to the “Silver Ring Thing”: The regulation of adolescent female sexuality. Health Matrix Clevel. 2006 Winter;16:151–81.

    PubMed  Google Scholar 

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Funding: None

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Contributions

Contributors: SL: Conceptualized the article, drafted content for the initial manuscript, and reviewed and revised the manuscript for intellectual content; NG, BD, SR, RPM: Contributed to the content for the initial manuscript, and reviewed and revised the manuscript for intellectual content. All authors approved the final manuscript and agreed to be accountable for all aspects of the work.

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Correspondence to Sanjiv Lewin.

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Competing Interests: None stated.

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Gupta, N., Dhingra, B., Raha, S. et al. Ethical Challenges and Guidance Related to Adolescent Pregnancy. Indian Pediatr 61, 482–485 (2024). https://doi.org/10.1007/s13312-024-3138-8

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  • DOI: https://doi.org/10.1007/s13312-024-3138-8

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