title: Childhood pregnancy as a result of incest: a case report and literature review with suggested management strategies.
abstract: BACKGROUND
  Childhood pregnancy presents multiple challenges, which are compounded when the pregnancy is a result of abuse. While there is ample information regarding the psychological manifestations of childhood sexual abuse, a review of the literature provides modest information on childhood pregnancy, as distinct from teen pregnancy.
  
  
  METHODS
  A 10-year-old pregnant female reports for medical care at 28-30 weeks gestation.
  
  
  CONCLUSIONS
  Sensitivity to the patient's and family's needs and having a care team who followed a well defined care plan appeared to be the key to optimizing the management of this patient. Although decisions should be based on medical standards, the psychological, social, and, at times, criminal concerns must be considered in every aspect of the patient's care and variations from established patterns of care should be allowed when needed.
authors.affiliation: University of Medicine and Dentistry of New Jersey, Eric B. Chandler Community Health Center, New Brunswick, New Jersey, USA. stechnsb@umdnj.edu
authors.forename: Sharon B
authors.initials: SB
authors.lastname: Stechna
mesh_terms: D002648:Child; D002650:Child Abuse, Sexual / Q000523:psychology / Q000628:therapy; D005260:Female; D006801:Humans; D007179:Incest / Q000523:psychology; D010348:Patient Care Team; D011247:Pregnancy / Q000523:psychology*; D011295:Prenatal Care; D002666:Psychology, Child; D011613:Psychotherapy