Paeds Cases · adolescent-and-young-adult-medicine
Adolescent pregnancy and parenting OSCE — confirmation, options, safeguarding and postpartum care
Observed structured encounter testing a non-judgemental adolescent pregnancy consultation: confirmation, options counselling, safeguarding, and a postpartum contraception and mood station.
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Study tools
Target exams
RACP General PaediatricsRACP DCEMRCPCH ClinicalRCPSC Pediatrics
Prompt
Station A is a newly pregnant 16-year-old unsure what to do. Station B is a six-week postpartum adolescent mother with low mood and no contraception, bringing her baby for immunisations.
Station objectives
- Confirm and date a pregnancy while excluding an emergency, in a non-judgemental adolescent consultation. [1]
- Deliver non-directive options counselling and a safeguarding review. [2]
- At a postpartum visit, assess mood and contraception and plan to prevent rapid repeat pregnancy. [4] [6]
References8ShowHide
- [1]Leftwich HK; Alves MV Adolescent Pregnancy. Pediatric clinics of North America, 2017.PMID 28292453
- [2]Mann L; Bateson D Teenage pregnancy. Australian journal of general practice, 2020.PMID 32464731
- [3]Ganchimeg T; Ota E Pregnancy and childbirth outcomes among adolescent mothers: a World Health Organization multicountry study. BJOG : an international journal of obstetrics and gynaecology, 2014.PMID 24641534
- [4]Curtis KM; Peipert JF Long-Acting Reversible Contraception. The New England journal of medicine, 2017.PMID 28146650
- [5]Rigsby DC; Macones GA Risk factors for rapid repeat pregnancy among adolescent mothers: a review of the literature. Journal of pediatric and adolescent gynecology, 1998.PMID 9704301
- [6]Dinwiddie KJ; Schillerstrom TL Postpartum depression in adolescent mothers. Journal of psychosomatic obstetrics and gynaecology, 2018.PMID 28574297
- [7]Sipsma HL; Jones KL Breastfeeding among adolescent mothers: a systematic review of interventions from high-income countries. Journal of human lactation : official journal of International Lactation Consultant Association, 2015.PMID 25480018
- [8]Rosenthal MA; McQuillan SK Adolescent contraception. CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne, 2021.PMID 34373270