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1 results

  • Chapter 17 - Adolescent Pregnancy, Confidentiality, and Culture

  • from Part V - The Unspeakable/Unassailable
  • Edited by Paul J. Ford, The Cleveland Clinic Foundation, Cleveland, Denise M. Dudzinski, University of Washington School of Medicine, Seattle
  • Book:
    Complex Ethics Consultations
    Published online:
    17 May 2025
    Print publication:
    05 June 2025, pp 139-143

  • Summary

    In this chapter of Complex Ethics Consultations: Cases that Haunt Us, the author describes a 14-year-old girl who presents with an ectopic pregnancy. She and her family are immigrants and although the girl speaks English, many of her family members do not. She fears her family would be disgraced if the news of her pregnancy is discovered and adamantly declines suggestions to enlist her mother. The author was asked about the permissible bounds to deceive the patient’s mother in order to protect the adolescent’s confidentiality. The patient might need help with the medication and clinical follow-up. The mother was told they were treating the patient’s pain, but she doubted the team’s veracity. The author reflects on balancing truth-telling, adolescent autonomy, and respecting cultural values.