Susan, a medical assistant in an obstetrics and gynecology practice in Maryland, is scheduling an obstetric workup for a 15-year-old patient, Joan. As Susan takes her medical history, she realizes that Joan is seeking medical help without her parents’ knowledge, despite the fact that she lives at home. It is clear to Susan that this patient knows the importance of seeking medical care at the onset of pregnancy and understands the proper use of birth control. Despite this, Joan says that she chose to become pregnant.
• Should Susan contact Joan’s parents? Why or why not?
• What can Susan do to encourage trust and ensure that medical care will continue for this mother and her fetus?
