Voluntary interruption of pregnancies at the University Hospital of Uruguay: Situation Report 2019-2020
Situation Report 2019-2020.
Abstract
Objective: The objective of this study is to know the status of the processes of the users who attended the polyclinic for voluntary termination of pregnancy at the Hospital de Clínicas in a period from August 2019 to August 2020.
Methodology and materials: The study used descriptive and retrospective methods based on interviews with mental health professionals and a form that was used to ask about how people make decisions. In a sample of 78 users, sociodemographic, obstetric and gynecological variables associated with the discontinuation process, psychological and/or psychiatric history and reasons for discontinuation were analyzed.
Results: The average age is 25 years, most people are married and have finished their elementary education. The average gestational age was 7.36 weeks. 81% of the women had not undergone an IVE. 65.4% of women have no psychological and/or psychiatric history. There is no significant relationship between having previously performed an IVE and having a psychological and/or psychiatric history. 78.2% used contraceptives.
Conclusions: The interruption of pregnancy is a stressful life situation for those who go through it; they are faced with multiple reasons that influence the decision to terminate. It is inferred that carrying out one or more IVE procedures is not necessarily related to having a psychopathological history or experiencing psychopathology when carrying out the process. It is pertinent to promote patient-focused care, integrating the gender and human rights perspective, improve care processes, and provide advice on mental, sexual, and reproductive health of users and their companions.
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References
IMPO. Ley Nº 18.426. Defensa del Derecho a la Salud Sexual y Reproductiva. Registro Nacional de Leyes y Decretos. Montevideo: Poder Legislativo, 2008 [consultado en marzo 2023]. Disponible en: https://www.impo.com.uy/bases/leyes/18426-2008
Briozzo L, Troitiño LG, Alondra Tarigo A., et al. Integrando los derechos sexuales y reproductivos en la clínica desde el compromiso profesional de conciencia derechos sexuales en la práctica clínica, UNPFA. Montevideo,
ISBN: 978-9915-40-102-7 [consultado en marzo 2023]. Disponible en: https://uruguay.unfpa.org/sites/default/files/pubpdf/integrando_derechos_a_la_practica_clinica.pdf
IMPO. Ley N° 18987. Ley Sobre Interrupción Voluntaria del Embarazo. Ley de Aborto. Reglamentada por: Decreto Nº 375/012 de 22/11/2012. Registro Nacional de LeyesDecretos. Montevideo: Poder Legislativo, 2012.
[consultado en marzo 2023] Disponible en: https://www.impo.com.uy/bases/leyes/18987-2012
MSP. Manual de procedimientos para el manejo sanitario de la interrupción voluntaria del embarazo (IVE): según Ley 18987 del 17.10.2012. 2da. Edición Corregida 2016 .Montevideo. [consultado en
marzo 2023]. Disponible en https://www.gub.uy/ministerio-saludpublica/sites/ministerio-salud-publica
Lazarus, R y Folkman, S. Coping and adaptation. The handbook of behavioral medicine. Ed, W. D. Gentry. Nueva York, 1984. (pp. 282-325).
Major B, Appelbaum M, Beckman L, et al. Abortion and mental health: Evaluating the evidence. Am Psychol. 2009 Dec;64(9):863-90. [consultado en marzo 2023]. Disponible en: doi: 10.1037/a0017497. PMID: 19968372.
Bentancor A, Hernández AL, Godoy Y, et al. Informe del procedimiento de interrupción voluntaria del embarazo en un hospital universitario del Uruguay. Rev Saude Pública. 2016;50(0).[consultado en marzo 2023].
Disponible en: http://dx.doi.org/10.1590/s1518-8787.2016050006001
Rey Grazzia, Curi Laura, Rodríguez Christians. Evaluación de la experiencia de la implantación de la ley de interrupción voluntaria del embarazo en el Hospital de Clínicas. Anfamed. 2019.; 6( 2 ): 45-50. [consultado marzo 2023] Disponible en: http://www.scielo.edu.uy/scielo.php?script=sci_arttext&pid=S2301-12542019000200045&lng=es. https://doi.org/10.25184/anfamed2019v6n2a3
Danet Danet A. Experiencias emocionales en la interrupción voluntaria del embarazo. Gac Sanit 2021;35(4):361–73.[consultado en marzo 2023]. Disponible en: http://dx.doi.org/10.1016/j.gaceta.2020.02.006
Gurpegui M, Jurado D. Complicaciones psiquiátricas del aborto. Cuad Bioet 2009;XX(3):381-92. [consultado en marzo 2023]. Disponible en: https://www.redalyc.org/articulo.oa?id=87512342006
Agencia de Gobierno Electrónico y Sociedad de la Información y del Conocimiento. Guía sobre anonimización de datos.Tecnologías de la Información Versión 0.8. 2020 [consultado en marzo de 2023]. Disponible
Ministerio de Salud Pública. Dirección General de la Salud Área Programática Salud sexual y reproductiva. Informe sobre interrupción voluntaria del embarazo (IVE) en Uruguay 2013-2022. 2023. [consultado en
noviembre de 2023]. Disponible en: https://www.gub.uy/ministerio-saludpublica/comunicacion/publicaciones/informe-sobre-interrupcion-voluntariadel-embarazo-ive-uruguay-2013-2022
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