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Discussant David A. Grimes, MD

JAMA. 1999;282:1169-1175.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

INTRODUCTION

DR Daley: Ms B is a 26-year-old student and part-time worker seeking to terminate a pregnancy. She lives near Boston with her parents. Her health insurance is through public assistance in Massachusetts. She receives her primary care from Dr K, a house officer at Beth Israel Deaconess Medical Center.

The patient is a primigravida who has been sexually active in a monogamous relationship for the past 6 years. After she and her partner received counseling about the use and efficacy of various forms of contraception, they chose to use the rhythm method. Her last menstrual period was March 24, 1999. On May 6, she sought medical attention after her period was late and a home pregnancy test result was positive. She noted breast tenderness and generalized fatigue.

Citing cultural and family prohibitions to having a child while unmarried, she asked for counseling and a referral . . . [Full Text of this Article]

MS B: HER UNDERSTANDING AND PERCEPTIONS

DR K: HER UNDERSTANDING AND PERCEPTIONS

PATIENT FOLLOW-UP

AT THE CROSSROADS: QUESTIONS TO DR GRIMES

Problems With Access

Characteristics of Patients Having Abortions

Unintended Pregnancies in the United States

Medical Abortion in Early Pregnancy

Psychological Aspects of Abortion

Primary Care Physicians and Abortion

New Developments

Summary

QUESTIONS AND DISCUSSION

Author Affiliation: Dr Grimes is Clinical Professor, Department of Obstetrics and Gynecology, University of North Carolina School of Medicine, Chapel Hill.

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