Pregnancy

Consideration must be given to the patient's risk of becoming pregnant. Whenever any risk is identified, the patient should be counseled regarding the availability of hormonal and intrauterine methods of emergency contraception; the most suitable method will depend on the patient profile and the time since the assault (198). When patients elect for insertion of an intrauterine contraceptive, they should be given prophylactic antibiotics (see Subheading

13.4.) either in advance of or at the time of the fitting. Follow-up appointments should be made at a convenient venue where pregnancy tests are available. Should the patient become pregnant because of the assault, she must be referred for sympathetic counseling. If the pregnancy is terminated, it may be relevant to seek permission from the patient for the products of conception to be retained for DNA analysis.

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