Ituarte Maria Luisa, López-Gómez Alejandra
Facultad de Psicología, Universidad de la República, Montevideo, Uruguay.
Cad Saude Publica. 2021 Mar 12;37(2):e00235219. doi: 10.1590/0102-311X00235219. eCollection 2021.
The article presents the results of a study on the experiences of adolescents that decided to terminate a pregnancy in the context of legal abortion services in Montevideo, Uruguay, from 2016 to 2018. The main objective was to examine the decision-making process and access to legal abortion from the perspective of the adolescent girls themselves. This involved analyzing circumstances, motives, and persons that influenced the decision and the ways this was handled in the health services. A cross-sectional, exploratory, and descriptive study was designed, based on a qualitative methodology. The main technique used for collecting the information was a semi-structured interview with 14 adolescents 17 to 19 years of age who had voluntarily terminated a pregnancy in public healthcare services. The motives for the abortion reveal the weight of socially accepted reasons, incorporated as their own. The interviews showed that the adolescent's mother plays an important role as the reference for the decision. The adolescents reported that they had made the decision to have the abortion before going to the health service. The results highlight the positive role of a legal framework that enables voluntary abortion services. The results help understand the experiences of adolescents facing a difficult life decision, the family's role, particularly that of the adolescent's mother, the legal framework's place in the decision, the weight of stigma and moral sanctions, and expectations towards care in health services.
本文介绍了一项关于2016年至2018年期间在乌拉圭蒙得维的亚合法堕胎服务背景下决定终止妊娠的青少年经历的研究结果。主要目的是从青少年女孩自身的角度审视决策过程和合法堕胎的获取情况。这包括分析影响决策的情况、动机和人员,以及在医疗服务中处理该决策的方式。基于定性方法设计了一项横断面、探索性和描述性研究。收集信息的主要技术是对14名17至19岁在公共医疗服务机构自愿终止妊娠的青少年进行半结构化访谈。堕胎的动机揭示了社会认可原因的分量,并被他们视为自己的原因。访谈表明,青少年的母亲作为决策的参考发挥着重要作用。青少年报告说,他们在前往医疗服务机构之前就已决定堕胎。结果凸显了使自愿堕胎服务成为可能的法律框架的积极作用。这些结果有助于理解青少年在面临艰难生活决策时的经历、家庭的作用,特别是青少年母亲的作用、法律框架在决策中的地位、耻辱感和道德制裁的分量,以及对医疗服务护理的期望。