Well, it seems that I'll never drop this topic... might as well talk about it when its a hot topic under my radar.
The youngest person at the surgery that requested TOP was only 15 year 4 month. Almost half of the women that requested TOP in this particular surgery were younger than 20. In concordance with national statistics.
Taking us all back to why a large porportion of women asking for termination come from the under 20 age group. Some of them were simply too young. Some of them didnt even practice any contraception prior to falling pregnant. Was'nt that a big issue under public health that need looking into?
Sex in this cases might or might not be consensual [the latter which I wont discuss here]. Despite young women consenting to sex (read: not statutory rape even if illegal sex due to being under age) they should also practice safe sex. With accident (like split condoms etc) that lead to unwanted pregnancy hence TOP, the request in itself can be perceived as a good opportunity for patient education regarding reliable method of contraception.
A thorough discussion about this matter should be made compulsory during the pre-TOP counselling. Current guideline suggest that conraceptive should be prescribed before discharging these women following their abortion.
I rest my case.
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