Adapted from: Paul et al (eds). Management of Unintended and Abnormal Pregnancy, 2009

Patient information should be confidential and only shared with people directly involved in the patient’s care, if the patient gives permission to do so, or by exception, such as to comply with:

  • Health department laws about required infectious disease reporting
  • Required reporting of suspected child abuse
  • Required reporting of domestic violence 
  • A formal subpoena
  • Insurance company (if patient consents to submitting claim)

Disclosure of information under any other circumstance is a breach of confidentiality.

Voluntary and informed consent must be obtained from the patient. Use appropriate translation services for comprehension, privacy, and true informed consent. If State-Mandated Counseling is legally required, and includes scientifically inaccurate information, the patient should be informed of the factual discrepancies.


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