Medical Emergencies · patient case question

A 16-week pregnant woman is asymptomatic. What is the correct management?

Patient case: Pontic design and the pregnant patient

Scenario: Two independent items on treatment planning.

  1. Treat only in the third trimester
  2. Treat only after obtaining written clearance from the obstetrician for any procedure
  3. Defer all care until after delivery
  4. Proceed with treatment now — the second trimester is the preferred window
Show answer and explanation

Correct answer: D. Proceed with treatment now — the second trimester is the preferred window

  • A. The third trimester is less comfortable — long supine appointments risk vena cava compression — so elective work is not postponed into it.
  • B. Medical consultation is prudent for complex cases, but routine care in an uncomplicated pregnancy does not require written clearance for each procedure.
  • C. Blanket deferral is not appropriate. Routine and preventive care is safe throughout pregnancy, and untreated disease carries its own risk.
  • D. Correct. At 16 weeks she is already in the second trimester, which is the safest window: organogenesis is complete and the uterus is not yet large enough to cause supine hypotension.

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