Contraception, Teenage Pregnancy And Teratogenicity Risks
Description General and supportive measures Medicine treatment Referral ICD- 10 Code: Z30.9 DESCRIPTION Adolescents are at risk for both sexually transmitted diseases and unintended pregnancy. Healthcare workers need to be supportive of adolescents regardless of whether they are abstinent or sexually active. The foetus may be at risk for teratogenic effects of chronic medications taken by a pregn
General and supportive measures
ICD- 10 Code: Z30.9
DESCRIPTION
Adolescents are at risk for both sexually transmitted diseases and unintended pregnancy. Healthcare workers need to be supportive of adolescents regardless of whether they are abstinent or sexually active.
The foetus may be at risk for teratogenic effects of chronic medications taken by a pregnant adolescent. Examples of potential teratogenic medicines include some members of the following classes, e.g. anticonvulsants, antiretrovirals, anticoagulants, antithyroids, chemotherapy, and radiation.
GENERAL AND SUPPORTIVE MEASURES
- Offer sex education (risk of pregnancy and sexually transmitted infections) early and at every opportunity in adolescence.
- Counsel pregnant adolescent females about the risks of teratogenicity.
- Offer psychosocial support through a multidisciplinary team to pregnant teenagers.
MEDICINE TREATMENT
For contraception, refer to the Standard Treatment Guidelines and Essential Medicines List for Primary Healthcare 2020, Introduction to Contraception. Where necessary, adolescents should have access to the full range of contraception options.
Seek expert advice for pregnant teenagers on potential teratogenic medicine.
REFERRAL
- All pregnant teenagers with significant disease requiring chronic medicine.
- Refer a pregnant adolescent at risk for teratogenicity for early foetal ultrasonography.
Standard Treatment Guidelines And Essential Medicines List For South Africa, Hospital Level, Paediatrics, 2023 Edition
Chapter 24 Adolescence, 24.2 Contraception, Teenage Pregnancy And Teratogenicity Risks