Adolescents with negative pregnancy test results: an accessible at-risk group

Article Abstract:

Health care workers may be able to provide family planning services to a large number of teenage girls at the time the girls receive a negative pregnancy test at a clinic. Researchers distributed questionnaires to 2,926 teenage girls who came to one of 52 clinics in 20 states for a pregnancy test. All were 17 years old or younger. Sixty-two percent of the tests were negative. In almost one-third of the girls, the test was their first and was negative. Of those who tested positive, 35% had had a previous negative test, many times at a clinic. Sixty percent of the girls said they wanted the test because they had sex recently and their period was late. These results indicate that many teenage girls who eventually become pregnant could have been counseled when they first presented to a clinic for a pregnancy test and the test was negative. More than 60% of teenage girls prefer to visit clinics for family planning services.

Planning, Services, Prevention, Teenage girls, Teenage pregnancy, Family planning services, Sex counseling

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Is this patient pregnant? Can you reliably rule in or rule out early pregnancy by clinical examination?

Article Abstract:

There is no one sign that can reliably predict whether a woman is pregnant but a combination of signs can indicate the probability that she is. Some signs include a late period, morning sickness, tenderness and swelling of the breasts and an enlarged uterus with a soft cervix. By themselves, these signs do not always indicate pregnancy and their absence does not always indicate non-pregnancy. The most useful physical signs are a bluish color at the vaginal entrance and palpable uterine artery pulsation. Even a home pregnancy test may not be reliable. When in doubt, a urine or blood HCG test should be ordered.

Diagnosis, Pregnancy, Pregnancy diagnosis

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