Vivencia del Embarazo en Adolescentes en una institución de protección en Colombia

Abstract

Pregnancy during the adolescence has biological and social consequences. In Colombia women between 15 and 19 years old show fecundity rate of 20.5%. 44.5% of women fewer than 19 years aborted. The analysis of pregnancy experience of adolescents helped to feed back the protection program. Qualitative Study, 17 adolescents were included; information was recollected after informed consent, by clinic histories, focal groups, and deep interviews. Data were processed using Atlas Ti, content analysis. Results: Pregnancy was not planned; 11 cases by the relationship, 1 by promiscuity, 5 by sexual abuse or incest. It was hidden for embarrass or frightened to social rejection. The partner abandoned in 9 cases; produced family crisis, social isolation, and school dropout. Psychosocial changes: denial and rejection (abortion, abandonment, adoption, risk behaviour); acceptance and establishment of mother-child bond. The institution of protection provides services during 12 months without follow-up at discharge. The state program aimed to protect pregnant teens need to: establish mechanisms to ensure the continuity of the girls in the educational system, including outpatient follow-up to mother-infant at discharge; implement participation strategies to promote the exercise of responsible sexuality in the context of sexual and reproductive rights. The institution must continue to systematize and disseminate the information and monitor periodically the findings with other institutions of protection, health and education, located in the catchment area as an input to provide feedback for the program and encourage the search for prevention strategies pregnancy or its recurrence. © 2011 Fundación Index.