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Are Adolescents Good Candidates for RU 486 as an Abortion Method?

Published online by Cambridge University Press:  29 April 2021

Extract

There is little experience with, and virtually no documentation of, adolescents’ use of RU 486 as a means of terminating pregnancy. While this void is understandable presently, it must be filled in order to determine how best to apply this new medical method to a special population—teenagers. It is imperative to know how adolescents might react differently from older women physiologically and psychologically, how they would accept this method of abortion and how health service providers should respond to their special needs. Counseling, for example, is particularly important for adolescent use of any family planning or abortion service.

Although it is not possible to review directly adolescent experience with RU 486, it is instructive to examine related attitudinal and behavioral patterns to assess the potential for adolescent use of a medical method of abortion. Documented experience with contraception and surgical abortion underscores the major challenges—present and new—for adoption of a new approach.

Type
Patient Perspectives
Copyright
© 1992 American Society of Law, Medicine & Ethics

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References

Henshaw, S.K. and Van Vort, J., “Teenage Abortion, Birth and Pregnancy Statistics: An Update”, Family Planning Perspectives, 21 (Mar./Apr. 1989): 8588.CrossRefGoogle Scholar
Zelnik, M. and Shah, F., “First Intercourse Among Young Americans”, Family Planning Perspectives, 15 (Mar./Apr. 1983): 6469; Clark, S.D. Jr., Zabin, L.S. and Hardy, J.B., “Sex, Contraception and Parenthood: Experience and Attitudes Among Urban Black Young Men”, Family Planning Perspectives, 16 (Mar./Apr. 1984): 77–82; Hyche-Williams, H.J. and Waszak, C., School Based Clinics: Update 1990 (Washington: Center for Population Options, 1990).Google Scholar
Sonnenstein, F.L., Plack, J.H. and Ku, L.C., “Sexual Activity, Condom Use and AIDS Awareness Among Adolescent Males”, Family Planning Perspectives, 11 (Jul./Aug. 1989): 152158; National Center for Health Statistics, National Survey of Family Growth 1988, special tabulations for the NICHHD.CrossRefGoogle Scholar
Zabin, L.S. and Clark, S.D. Jr., “Institutional Factors Affecting Teenagers' Choice and Reasons for Delay in Attending a Family Planning Clinic”, Family Planning Perspectives, 15 (Jan./Feb. 1983): 2529.10.2307/2134537CrossRefGoogle Scholar
Sonnenstein, F.L., Pleck, J.H. and Ku, L.C., supra note 4, at 152158; Baldwin, Wendy, “Adolescent Pregnancy and Childbearing: Rates, Trends and Research Findings from the Center for Population Research of the NICHHD,” (Mar. 1989).Google Scholar
Westoff, C.F., “Contraceptive Paths Towards the Reduction of Unintended Pregnancy and Abortion”, Family Planning Perspectives, 20 (Jan./Feb. 1988): 412.Google Scholar
Jones, E.F. et al., Teenage Pregnancy in Industrialized Countries, (New Haven: Yale University Press, 1986).Google Scholar
Zabin, L.S., Kantner, J.F. and Zelnik, M., “The Risk of Adolescent Pregnancy in the First Months of Intercourse”, Family Planning Perspectives, 11 (Jul./Aug. 1979): 215226.CrossRefGoogle Scholar
Henshaw, S.K. and Van Vort, J., supra note 1, at 8588.Google Scholar
Henshaw, S.K. et al., Teenage Pregnancy in the United States: The Scope of the Problem and State Responses (New York: Alan Guttmacher Institute, 1989).Google Scholar
Henshaw, S.K., Forrest, J.D. and Van Vort, J., “Abortion Services in the United States, 1984 and 1985”, Family Planning Perspectives, 19 (Mar./Apr. 1987): 6370.10.2307/2135051CrossRefGoogle Scholar
Ory, H.W., “Mortality Associated with Fertility and Fertility Control: 1983”, Family Planning Perspectives, 15 (Mar./Apr. 1983): 5763.CrossRefGoogle Scholar
Institute, Guttmacher Alan, Teenage Pregnancy: The Problem That Hasn't Gone Away (New York: AGI, 1981).Google Scholar
Jones, E.F. et al., supra note 8.Google Scholar
Kisker, E.E., “Teenagers Talk About Sex, Pregnancy and Contraception”, Family Planning Perspectives, 17 (Mar./Apr. 1985): 8389; Furstenberg, F.F. Jr. et al., “Contraception Continuation Among Adolescents Attending Family Planning Clinics”, Family Planning Perspectives, 15 (Sep./Oct. 1983): 211–217; Chamie, M. et al., “Factors Affecting Adolescent Use of Family Planning Clinics”, Family Planning Perspectives, 14 (May/Jun. 1982): 126–139; Silverman, J., Torres, A. and Forrest, J.D., “Barriers to Contraceptive Services”, Family Planning Perspectives, 19 (May/Jun. 1987): 94–101; Zabin, L.S., Stark, H.A. and Emerson, M.R., “Reasons for Delay in Contraceptive Clinic Utilization”, Journal of Adolescent Health, 12 (May 1991): 225–232; Zabin, L.S. and Clark, S.D. Jr., supra note 5, at 2529.Google Scholar
Zabin, L.S., Stark, H.A. and Emerson, M.R., supra note 16, at 225232; Kisker, E.E., supra note 16, at 8389.Google Scholar
Zabin, L.S., Stark, H.A. and Emerson, M.R., supra note 16, at 225232; Kisker, E.E., supra note 16, at 8389.Google Scholar
Silverman, J., Torres, A. and Forrest, J.D., supra note 16, at 94101; Kisker, E.E., supra note 16, at 8389; Zabin, L.S., Stark, H.A. and Emerson, M.R., supra note 16, at 225232.Google Scholar
Zabin, L.S., Stark, H.A. and Emerson, M.R., supra note 16, at 225232.Google Scholar
American Health Consultants, Contraceptive Technology Update, 11 (Nov. 1990): 161164.Google Scholar
Kisker, E.E., supra note 16, at 8389; Zabin, L.S., Stark, H.A. and Emerson, M.R., supra note 16, at 225232.Google Scholar
Kisker, E.E., supra note 16, at 8389.Google Scholar
Zabin, L.S. and Clark, S.D. Jr., supra note 5, at 2529.Google Scholar
Zabin, L.S., Hirsch, M.B. and Boscia, J.A., “Differential Characteristics of Adolescent Pregnancy Test Patients: Abortion, Childbearing and Negative Test Groups”, Journal of Adolescent Health Care, 11 (Mar. 1990): 107113; Torress, A. and Forrest, J.D., “Why Do Women have Abortions?” Family Planning Perspectives, 20 (Jul./Aug. 1988): 169–181; Cates, W. Jr., “Adolescent Abortions in the United States”, Journal of Adolescent Health Care, 1 (Sep. 1980): 18–25; Henshaw, S.K., “Characteristics of U.S. Women Having Abortions, 1982–1983”, Family Planning Perspectives, 19 (Jan./Feb. 1987): 5–8; Henshaw, S.K. et al., “A Portrait of American Women Who Obtain Abortions”, Family Planning Perspectives, 17 (Mar./Apr. 1985): 90–95; Lewis, C., “A Comparison of Minors' and Adults' Pregnancy Decisions”, American Journal of Orthopsychiatry, 50 (July 1980): 446–453; Henshaw, S.K. and Silverman, J., “The Characteristics and Prior Contraceptive Use of U.S. Abortion Patients”, Family Planning Perspectives, 20 (Jul./Aug. 1988): 158–168.10.1016/0197-0070(90)90018-WCrossRefGoogle Scholar
Zabin, L.S., Hirsch, M.B. and Boscia, John A., supra note 26, at 107113.Google Scholar
Torres, A. and Forrest, J.D., supra note 26, at 169181.Google Scholar
Cates, W. Jr., supra note 26, at 1825.CrossRefGoogle Scholar
Marecek, J., “Counseling Adolescents with Problem Pregnancies”, American Psychologist, 42 (Jan. 1987): 8993.Google Scholar
Cates, W. Jr., “Adolescent Abortions in the United States”, Journal of Adolescent Health Care, 1 (Sep. 1980): 1825, citing McCormick, E.P., Attitudes Towards Abortion (Lexington, MA: Lexington Books, 1975).Google Scholar
Lewis, C.C., “Minors' Competence to Consent to Abortion”, American Psychologist, 42 (Jan. 1987): 8488; Committee on Adolescence, Group for the Advancement of Psychiatry, Crisis of Adolescence, Teen Pregnancy: Impact on Adolescent Development (New York: Bronner/Mazel, 1986); Hatcher, S.L.M., “The Adolescent Experience of Pregnancy and Abortion: A Development Analysis”, Journal of Youth and Adolescence, 2 (Jan. 1973): 73–78.Google Scholar
Interdivisional Committee on Adolescent Abortion, American Psychological Association, “Adolescent Abortion: Psychological and Legal Issues”, American Psychologist, 42 (Jan. 1987): 7378.CrossRefGoogle Scholar
Interdivisional Committee on Adolescent Abortion, supra note 33, at 7378.Google Scholar
Marecek, J., supra note 30, at 8993.Google Scholar
Lewis, C.C., supra note 26, at 446453.Google Scholar
Lewis, C.C., supra note 32, at 8488.CrossRefGoogle Scholar
Lewis, C.C., supra note 32, at 8488.Google Scholar
Hatcher, S.L.M., supra note 32, at 5385.Google Scholar
Cates, W. Jr., supra note 26, at 1825.CrossRefGoogle Scholar
Cates, W. Jr., Schulz, K.F. and Grimes, D.A., “The Risks Associated with Teenage Abortion”, New England Journal of Medicine, 309 (Sep. 15, 1983): 621624.CrossRefGoogle Scholar
Mosher, W.D. and Horn, M.C., “First Family Planning Visits by Young Women”, Family Planning Perspectives, 20 (Jan./Feb. 1988): 3341.Google Scholar
Mosher, W.D. and Horn, M.C., supra note 42, at 3341.Google Scholar
Henshaw, S.K. and Silverman, J., supra note 26, at 158168.Google Scholar
Jones, E.F. et al., supra note 8.Google Scholar