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A 17-Year-Old Mother Seeking Contraception

David A. Grimes, MD
JAMA. 1996;276(14):1163-1170. doi:10.1001/jama.1996.03540140051026.
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Dr DALEY:  Ms B is a 17-year-old student and mother of a 3-year-old daughter who desires to avoid pregnancy. She lives in Boston with her mother and attends a high school program for students with children. Her health care insurance is through the Massachusetts Medicaid program.Ms B became sexually active at 12 years of age and presented to her primary care physician, Dr J, within 2 months of becoming sexually active requesting contraception. A combination oral contraceptive (norethindrone [1 mg] and ethinyl estradiol [35 μg]) was prescribed. At age 13, the patient became pregnant and had an uneventful pregnancy resulting in the birth of a healthy daughter. At the first postnatal visit, the patient reported being sexually active and was not using contraception. The same oral contraceptive was again prescribed, which the patient used for only 2 months. The patient was also treated for a cervical chlamydial infection. Depot


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