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Old 05-05-2012
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Medicolegal and Ethics Pregnant Teen Ethics

I am confused on this topic:

Say there is a 16 year old teenager who is pregnant and in her first trimester. She wants to keep the baby and go on the "16 and Pregnant" MTV show . But her mother says to abort the baby and brings her to you (the doctor).

What would/should you do ? Do you listen to the girl's mother coz the girl is a minor and go for abortion? I know shes not emancipated because shes just pregnant. To be declared emancipated you either have to be not living alone, married or in the military.

Who makes the decision in this case? (although, I doubt the USMLE is going to throw a case like this at us, but just curious)
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Old 05-05-2012
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As far as I know, the girl has the right to decide whether to keep her pregnancy or not. Other people including parent has no right to decide in this case. We have to assume the baby is part of the girl and all the decisions will solely depend of girl's decision.
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Quote:
Originally Posted by Oung View Post
As far as I know, the girl has the right to decide whether to keep her pregnancy or not. Other people including parent has no right to decide in this case. We have to assume the baby is part of the girl and all the decisions will solely depend of girl's decision.
But since she's a minor she can't make her own medical decisions till shes 18!
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If the girl is underage i.e. under age of 18, regarding to pregnancy, she has the right to decide.

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Originally Posted by Hope2Pass View Post
But since she's a minor she can't make her own medical decisions till shes 18!
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Old 05-05-2012
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the girl makes the decision of her own baby. The mom doesnt count, even if the girl is a minor.
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Old 05-05-2012
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This girl has a right to keep her baby.

I'm just reading FA - Behav.

In a situation like this the say (they give an example of a 15-year-old girl who is pregnant):

"The patients retains the right to make decisions regarding her child even if her parents disagree. Provide information to the teenager about the practical issues of caring for a baby. Discuss the options if requested. Encourage discussion between the teenager and her parents to reach the best decision".

That's FA 2011, p. 59

> She wants to keep the baby and go on the "16 and Pregnant" MTV show .

I feel so old now... when I was sixteen I was ok with just watching MTV and catching my favorite clips
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Thanks guys. That clears my confusion on that topic!
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there are 4 cases in which a minor (someone under 18) does not need to involve their parents and can make their own decisions:

1) prenatal care (abortions, etc)
2) contraception
3) substance abuse
4) STDs

for these 4 issues, minors are considered 'partially emancipated'
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minor who is parent considered emancipated
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A point on some of the answers in the thread about emancipation and Abortions: Fischer Case 78-referenced
Remember its state dependent to determine whether consent of a parent is required for an abortion. The thing is FA is a bit confusing in terms of US law and how a fetus is viewed because while a teen is emancipated after having children they are not actually emancipated while pregnant since a fetus is not considered a child, however legally they are allowed to obtain medical care related to pregnancy. So in some states a female under the age of 18 can not have an abortion without her parents being aware. Therefore a child comes in wanting an abortion always encourage her to speak to her parents.
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