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Question 629
Clinical Management → Clinical Practice
Classification
Question
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Contraceptive advice in a young person
Question Stem
A 15-year-old understands contraceptive advice, cannot be persuaded to involve her parents, is likely to continue sexual intercourse, and her health is likely to suffer without treatment. Which additional criterion completes the Fraser conditions listed?
Options
A
She must previously have used contraception
B
Her parents must subsequently be informed
C
Her best interests require contraceptive advice or treatment without parental consent
D
She must already have had sexual intercourse
E
A court must confirm her competence
Explanation
There are five Fraser conditions. In addition to understanding the advice, inability to persuade the young person to involve parents, likely continuation of intercourse, and likely harm to health without treatment, the clinician must consider that the young person’s best interests require contraceptive advice, treatment or supplies without parental consent.
Option Validity
A) Previous use of contraception is not one of the Fraser conditions listed.
B) The condition is that the young person cannot be persuaded to involve parents or allow the clinician to do so; later parental notification is not required.
D) The criterion requires likelihood of beginning or continuing intercourse, not proof that intercourse has already occurred.
E) Court confirmation is not listed as a Fraser condition.
Further Reading
Saxena MRCOG-1 Basic Sciences — Principles of Clinical Practice, printed pp. 3–4.