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Instituto de Seguridad y Servicios Sociales de los Trabajadores del Estado

2011, Number 4

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Rev Esp Med Quir 2011; 16 (4)

Term unwanted pregnancy in women attended to two hospitals of Mexico City

Orozco LMA, Mendoza RMT, Ramos GRI, Antonia López López, Guadalupe Ruelas González

Language: Spanish
References: 22
Page: 240-247
PDF size: 481.19 Kb.


ABSTRACT

Background: Unwanted pregnancy is a subject rarely addressed and recognized worldwide. International data report that one third of pregnancies are unwanted. Mexico has little information about this subject; however, it is weak and yields figures ranging from 20 to 50%.
Objective: To describe and analyze the context of the factors associated to unwanted pregnancy.
Participants and methods: We made a comparative, transversal, and quantitative-qualitative study from February 2005 to March 2006 in two public hospitals in Mexico City that included 242 mothers who were in a common room and were visited at home 30 days after giving birth. During the first interview, two questionnaires were applied: one semi-structured and another to gather their opinion about pregnancy; during the second interview, the mothers commented on their experiences with their children.
Results: During the first interview, 49.8% mothers reported not wanting their pregnancy; 27% was single, 47.7% was younger than 21 years old, 43.2% worked outside home and 54% had no social security. The reason mothers gave for not wanting their children was that they blamed a third party for the pregnancy. During the second interview, only 20% of the mothers remained in the position of not wanting their children; the rest of the mothers had changed their opinion as a consequence of the contact with the baby and the nurture they gave them.
Conclusions: There are several personal, familiar, social, and cultural factors that contribute to unwanted pregnancy. It is necessary to increase the coverage and quality of family planning in both adolescents and adults.


REFERENCES

  1. Langer A, Espinoza H. Embarazo no deseado: Impacto sobre la salud y la sociedad en América Latina y el Caribe. Pan Am J Public Health 2002;3:192-204.

  2. Juárez F, Palma JL, Singh S, Bankole A. Las necesidades de salud sexual y reproductiva de las adolescentes en México: retos y oportunidades. Nueva York: Guttmacher Institute, 2010.

  3. Secretaría de Salud. Programa de Acción: Salud Reproductiva. México: SSA, 2001.

  4. Stern C, Herrera G. La situación demográfica de los jóvenes. Adolescentes en México: investigación, experiencias y estrategias para mejorar su salud sexual y reproductiva. México: El Colegio de México, Centro de Estudios Sociológicos: Population Council, 2008.

  5. Núñez-Urquiza RM, Hernández-Prado B. García-Barrios Celia, González D, Walker D. Embarazo no deseado en adolescentes, y utilización de métodos anticonceptivos posparto. Salud Publica Mex 2003;45:S94-S102.

  6. Demographic and Health Survey: Encuesta Nacional de Demografía y Salud, Nicaragua Calverston, Maryland, Macro International, 1998b.

  7. United Nations Populations Division. Prospects: The 2002 Revision Population Database.

  8. Del Rey-Calero J. The social problem of pregnancy in teenagers. An R Acad Nac Med (Madrid) 2005;122(1):149-169.

  9. Sadik N. The state of world population 1997. New York: UNFPA, 1997.

  10. Teenagers in the United States: Sexual activity, contraceptive use, and childbearing, 2002. A fact sheet for series. Vital and Health Statistics 2003;(24):1-3.

  11. Viel B, Pereda C. El embarazo no deseado. Cuad Med Sociales 1992;(4):27-43.

  12. The Alan Guttmacher Institute. Sharing Responsibility: Women, Society & Abortion Worldwide (New York and Washington: AGI, 1999).

  13. Núñez-Urquiza RM, Hernandez-Prado B, García-Barrios C, González D, Walter D. Unwanted adolescent pregnancy and post-partum utilization of contraceptives methods. Salud Pub Mex 2003;45(Suppl 1):S92-102.

  14. Vaegas C, Nelson A. Hijo no deseado después del parto: medición de frecuencia y análisis de tendencia. Rev Med Chile 2002;(130):638-643. Disponible en: http://www.scielo.cl/scielo.php?

  15. Segal SJ, LaGuardia KD. Termination of pregnancy. A global view. Ballieres Clin Obstet Gynaecol 1990;4:235-247.

  16. Rosenberg M, Waugh MS. Unintended pregnancies and use, misuse and discontinuation of oral contraceptives. J Reprod Med 1995;40:355-360.

  17. Islamic Republic of Iran: Programme Review and Strategy Development Report. New York: UNFPA, 1994.

  18. Reconsidering the rationale, scope and quality of family planning programs. The Population Council, New York, 1994.

  19. Frautschi S, Cerulli A, Maine D. Suicide during pregnancy and its neglect as a component of maternal mortality. Int J Gynaecol Obstet 1994;3:275-284.

  20. Rizzi R, Cordoba R, Maguna J. Maternal mortality due to violence. Int J Gynaecol Obstet 1998;1:S19-S24.

  21. Anrudh J. ¿Debería seguir siendo una prioridad la eliminación de la necesidad insatisfecha de anticoncepción? Perspectivas Internacionales en Planificación Familiar, número especial 1999:30-36.

  22. Moreno ZA, Casulari da Motta DL, Franca SP. Depresión postparto: Prevalencia de test de rastreo positivo en puérperas del Hospital Universitario de Brasilia, Brasil. Rev Chil Obstet Ginecol 2004;69:209-213.




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