[Implications of chilean legal framework in teen pregnancy prevention: conflict and insecurity in health professionals].

Abstract:

BACKGROUND:Teenage pregnancy is a psychosocial and multifactorial problem described as a lack of exercise of rights in sexual and reproductive health. There are important aspects in the doctor-patient relationship and confidentiality that directly affect the continuity and quality of care. There are controversies in the laws relating to the provision of contraception and confidentiality, and those that protect the sexual indemnity, especially in adolescents under 14 years. AIM:To describe the implications of the legal framework for professional midwives in the care of adolescents younger than 14 years in sexual and reproductive health. MATERIAL AND METHODS:In-depth interviews were conducted to 13 female and 2 male midwives working at Primary Health Care Centers in the Metropolitan Region. RESULTS:The attention of adolescents younger than 14 years in sexual and reproductive health involves medical-legal issues for health professionals. All professionals recognize that mandatory reporting sexual activity is a complex situation. All professionals notify pregnancies. In relation to the delivery of contraception, clinical care is problematic since professionals should take shelter from a legal standpoint. CONCLUSIONS:The medical-legal context of pregnant women under 14 years of age care generates a context of uncertainty and fear for professionals and becomes a source of conflict and insecurity in the exercise of the profession.

journal_name

Rev Med Chil

journal_title

Revista medica de Chile

authors

Luttges D C,Leyton M C,Leal F I,Troncoso E P,Molina G T

doi

10.4067/S0034-98872016001000004

subject

Has Abstract

pub_date

2016-10-01 00:00:00

pages

1260-1265

issue

10

eissn

0034-9887

issn

0717-6163

pii

S0034-98872016001000004

journal_volume

144

pub_type

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