RESUMO
BACKGROUND: Abortion stigma is experienced by women seeking abortion services and by abortion providers in a range of legal contexts, including Uruguay, where abortion was decriminalized up to 12 weeks gestation in 2012. This paper analyzes opinions and attitudes of both abortion clients and health professionals approximately two years following decriminalization and assesses how abortion stigma manifests among these individuals and in institutions that provide care. METHODS: In 2014, we conducted twenty in-depth, semi-structured interviews with abortion clients (n = 10) and health care professionals (n = 10) in public and private facilities across Uruguay's health system. Interviews were recorded, transcribed, and then coded for thematic analysis. RESULTS: We find that both clients and health professionals express widespread satisfaction with the implementation of the new law. However, there exist critical points in the service where stigmatizing ideas and attitudes continue to be reproduced, such as the required five-day waiting period and in interactions with hospital staff who do not support access to the service. We also document the prevalence of stigmatizing ideas around abortion that continue to circulate outside the clinical setting. CONCLUSION: Despite the benefits of decriminalization, abortion clients and health professionals still experience abortion stigma.
Assuntos
Aborto Induzido/psicologia , Aborto Legal , Direitos Sexuais e Reprodutivos , Estigma Social , Adulto , Atitude do Pessoal de Saúde , Feminino , Pessoal de Saúde , Acessibilidade aos Serviços de Saúde , Humanos , Masculino , Gravidez , Uruguai , Adulto JovemRESUMO
Los estudios de las características de la adolescente embarazada y el seguimiento de su hijo se han concentrado en las primeras etapas del desarrollo. El período de post-parto inmediato e instalación de la lactancia ha recibido menos atención. Este momento es privilegiado para el establecimiento del apego madre-hijo y la detección precoz de elementos de riesgo para la salud del binomio. Se realizó un estudio por entrevista en el "Centro de Atención al Adolescente del Hospital Pereira Rossel. Montevideo Uruguay" a una muestra de 80 puérperas de 11 a 17 años en los dos o tres primeros días después del nacimiento del hijo. Los resultados muestran el vínculo satisfactorio de la madre adolescente con el recién nacido, la presencia de la pareja de la adolescentes y el apoyo familiar que recibe, así como la alta frecuencia de lactancia sin dificultad. Se valora la intervención precoz con fines preventivos, protegiendo la autoestima de la madre y favoreciendo las posibilidades de interacción madre-hijo
The studies on pregnant adolescents and their children focalize the first steps of child development. The early past partum period and the inicial lactation process, has received less attention by investigators. This is a privilege period to observe the early mother-child attachment and to detect risk factors of both. T'he study was done, at the "Centro de Atención al Adolescente del Hospital Pereira Rossel. Montevideo Uruguay". A sample of an interview was developed in a sample of 80 postpartum adolescents between 11 and 17 years old, 2 or 3 days after hospital delivery. The results shown the adecuate family support given to this teenager. It was shown the high proportion of lactation without troubles. These results are influenced by the prococious preventive intervention, supporting the self time of the pregnant adolescents that stimulate the adecuate mother-new born relationship