Ruta crítica para la realización de ligadura tubaria: estudio en un hospital público en la ciudad de Buenos Aires / Critical route for the realization of tubal ligation: study at a public hospital in the city of Buenos Aires
Rev. Hosp. Matern. Infant. Ramon Sarda
; 30(3): 100-106, 2011. graf
Article
in Es
| LILACS
| ID: lil-646714
Responsible library:
AR1.1
RESUMEN
La existencia de brechas entre el marco legal en salud sexual y reproductiva y la puesta en práctica en las realidades sanitarias locales de las políticas públicas relativas a la ligadura tubaria en particular constituye un tema crucial para la Salud Pública de la Argentina. Objetivo general describir los factores que impulsaron u obstaculizaron la ruta crítica que realizaron las mujeres gran multíparas para ejercer el derecho a solicitar la ligadura tubaria. Material y métodos:
el diseño fue exploratorio descriptivo. Se realizaron entrevistas en profundidad y se administró un cuestionario sociodemográfico a una muestra intencional de 30 usuarias gran multíparas que solicitaron la anticoncepción quirúrgica durante el período agosto de 2009 - enero de 2010, en el Área de Salud Sexual y Reproductiva del Hospital Materno Infantil Ramón Sardá de la Ciudad Autónoma de Buenos Aires.Resultados:
17 de las entrevistadas había solicitado la ligadura tubaria previamente. Del total, 22 entrevistadas iniciaron el recorrido cursando un embarazo no deseado y 9 pensaron en recurrir a un aborto inseguro, entre las cuales 5 averiguaron al respecto y 1 lo intentó.Conclusiones:
Se espera que los resultados sean de utilidad para el diseño de estrategias intersectoriales efectivas que permitan monitorear el cumplimiento de la ley nacional Nº 26.130 con el fin de garantizar el acceso oportuno a la ligadura tubaria, y disminuir las iniquidades relativas a brechas territoriales, institucionales y obstáculos simbólicos y epistemológicos, a nivel sanitario, en la Argentina.ABSTRACT
The existence of great gaps between the legal frame of the sexual and reproductive health system and the implementation of public policies in relation to tubal sterilization within the reality of local health institutions is a matter of crucial issue for Public Health of Argentina. General objective:
To describe the factors that motivate or prevent the beginning of the critical path that grand multiparous women took in order to excercise their right to petition tubal sterilization. Methods and materials The design was descriptive exploratory. Interviews in depth were conducted and a sociodemographic questionnaire was used over an in tentional sample of thirty grand multiparous women who arrived to the Reproductive and Sexual Health Area of the Ramón Sardá Hospital in the City of Buenos Aires asking for tubal sterilization during August 2009-January 2010.Results:
17 women had preaviously asked for tubal sterilization, and 22 out of the total number initiated the whole process with an unwanted pregnancy; and 9 women considered an unsafe abortion, 5 of them did research about it and 1 tried it.Conclusions:
It is expected that the results shall be useful for the design and implementation of effective strategies that allow to monitor the enforcement of the national law N° 26.130 for the purpose of guaranteeing access to tubal sterilization, and to decrease inequality in relation to territorial and institutional gaps, as well as symbolic obstacles in Argentina.Key words
Full text:
1
Collection:
01-internacional
Database:
LILACS
Main subject:
Parity
/
Sterilization, Tubal
Type of study:
Observational_studies
/
Prognostic_studies
/
Qualitative_research
Aspects:
Equity_inequality
Limits:
Adult
/
Female
/
Humans
Country/Region as subject:
America do sul
/
Argentina
Language:
Es
Journal:
Rev. Hosp. Matern. Infant. Ramon Sarda
Journal subject:
MEDICINA
Year:
2011
Document type:
Article
Affiliation country:
Argentina
Publication country:
AR
/
ARGENTINA