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Clinical Crossroads
September 22/29, 1999

A 26-Year-Old Woman Seeking an Abortion

Author Affiliations

Author Affiliation: Dr Grimes is Clinical Professor, Department of Obstetrics and Gynecology, University of North Carolina School of Medicine, Chapel Hill.

 

Clinical Crossroads at Beth Israel Deaconess Medical Center is produced and edited by Thomas L. Delbanco, MD, Jennifer Daley, MD, and Richard A. Parker, MD; Erin E. Hartman, MS, is managing editor. Clinical Crossroads section editor: Margaret A. Winker, MD, Deputy Editor, JAMA.

JAMA. 1999;282(12):1169-1175. doi:10.1001/jama.282.12.1169

DR Daley: Ms B is a 26-year-old student and part-time worker seeking to terminate a pregnancy. She lives near Boston with her parents. Her health insurance is through public assistance in Massachusetts. She receives her primary care from Dr K, a house officer at Beth Israel Deaconess Medical Center.

The patient is a primigravida who has been sexually active in a monogamous relationship for the past 6 years. After she and her partner received counseling about the use and efficacy of various forms of contraception, they chose to use the rhythm method. Her last menstrual period was March 24, 1999. On May 6, she sought medical attention after her period was late and a home pregnancy test result was positive. She noted breast tenderness and generalized fatigue.

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