Abortamento na adolescência: vivência e necessidades de cuidado

Abstract

This is a qualitative research based on the social phenomenology approach, performed in 2010 with eight adolescents who experienced abortion and were assisted in a philanthropic hospital institution in the state of Minas Gerais. This research aimed at understanding the experience and care needs regarding adolescents in an abortion situation. The results show that the pregnancy impact led to the fear of non acceptance by the family and at the same time, the feeling of happiness for the possibility of being a mother. The abortion experience was marked by suffering and the care provided was considered satisfactory, being highlighted the need for more attention and information. The adolescents plan to continue their studies and have in mind the possibility of a new pregnancy. The planning of preventive actions aimed at this audience, and the development of new scientific investigations that include the perspective of family members and health professionals begin to emerge.

Abordagem de necessidades de saúde pelo enfermeiro na consulta pré-natal / Approaching health needs by nurse in prenatal consultation

“…6 Seeking to understand the experience and care needs of adolescents in abortion, another study, carried out in a philanthropic hospital in Minas Gerais, showed that the service in the health service was considered satisfactory, but it was emphasized the need to receive more Attention and information through health professionals. 7 With focus on the post-natal period, research in Cuiabá -MT distinguished health needs of women and men in two health territories. For the participants, 4 the most important were the child's well-being and safety needs and the need to reconcile their various tasks and the different daily rhythms to which they were subjected.…”

“…In this sense, we have studies that focus on the postnatal period, 4-5 or on specific health situations, such as increased gestational risk 6 and abortion in adolescence. 7 These studies confirm the experience and the perception of several biological needs related to reproduction, and other factors to be considered for health care, such as: misinformation, fears, worries, insecurities, anxiety; tasks overloading, disorganization of daily life and family conflicts; affective-conjugal need, child welfare, exchange of affection with the child, and promotion of their safety; in addition to financial shortages, the lack of broad support from health services and other social services, among others. [4][5][6][7] Another publication 8 arises from two studies with fathers and mothers after the birth of the first child, whose objectives were, respectively: to identify feelings, difficulties in family adjustment and strategies used in relation to the new roles; and also identifying the risk and protection factors present in the situation.…”

“…7 These studies confirm the experience and the perception of several biological needs related to reproduction, and other factors to be considered for health care, such as: misinformation, fears, worries, insecurities, anxiety; tasks overloading, disorganization of daily life and family conflicts; affective-conjugal need, child welfare, exchange of affection with the child, and promotion of their safety; in addition to financial shortages, the lack of broad support from health services and other social services, among others. [4][5][6][7] Another publication 8 arises from two studies with fathers and mothers after the birth of the first child, whose objectives were, respectively: to identify feelings, difficulties in family adjustment and strategies used in relation to the new roles; and also identifying the risk and protection factors present in the situation. The study seeks to recognize health needs for a program to support parenting, evidencing as a result the experience and manifestation of aspects such as: ambivalent feelings, changes in family roles and sexuality of the couple, difficulties in interpreting the baby crying, and their sensorial capacities and needs, reduced parental involvement in the care of the latter, need to strengthen the social support network, among others.…”

Atención de salud de los adolescentes en Brasil: scoping review

“…Quanto aos objetivos dos 19 estudos que abordaram o tema da saúde sexual e reprodutiva, destacaram-se alguns: caracterizar o per$l das adolescentes grávidas com relação às questões sociodemográficas, gestacionais e de informação/utilização de métodos contraceptivos (Pinto & Oliveira, 2013); discutir a atuação dos e das pro$ssionais de saúde em relação à maternidade, na perspectiva das mães adolescentes abrigadas (Penna et al, 2013); analisar as percepções de adolescentes sobre apoio social na maternidade (Braga et al, 2014); avaliar conhecimento, atitude e prática de puérperas adolescentes em Alojamento Conjunto sobre o aleitamento materno exclusivo (Santos et al, 2016); analisar os aspectos relacionados à gravidez na adolescência na área de abrangência de uma equipe de saúde da família (Buendgens & Zampieri, 2012;Cortez et al, 2013;Original et al, 2017); avaliar a atenção ao parto na ótica de adolescentes (Enderle et al, 2012); compreender a experiência e as necessidades de cuidado das adolescentes em situação de abortamento (Faria et al, 2012); e avaliar a qualidade da atenção pré-natal e puerperal a adolescentes (Vilarinho et al, 2012).…”

Sexualidade e juventude: experiências e repercussões

“…Sus relaciones sexuales muchas veces son impulsivas, lo que aumenta los riesgos de embarazo. Cuando el embarazo sucede y se vuelve indeseable la falta de orientación puede ofrecer riesgo de muerte, pues el aborto inseguro puede causar consecuencias serias para el cuerpo y para la salud mental de la adolescente (Faria et al, 2012).…”