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## Management of a Primigravida at High Risk of Sexually Transmitted Infections A 20-year-old primigravida attending the antenatal clinic for the first time should be assessed carefully because sexually transmitted infections (STIs) can affect both the mother and the developing fetus. The primary health care approach should be based on privacy, confidentiality, respectful communication, early diagnosis, treatment, prevention and follow-up. The first step is to establish a trusting relationship with the woman. The health worker should conduct the STI-related assessment privately and without judgment. A detailed ____ __________ ______ _____ ____ ______ _____ _________ _______.
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