Behavior of the early and voluntary interruption of pregnancy in adolescents
Keywords:
voluntary interrumption of pregnancy, misoprostol, abortionAbstract
Introduction: abortion is a worldwide problem of great proportions, with greater risks in adolescents. There are several methods to perform the interruption of pregnancy, but despite being an institutionalized procedure there exist still complications. Objective: to describe clinical-epidemiological characteristics in relation to the results of the methods used for the early and voluntary interruption of pregnancy in adolescents in the Gynecology Service of the Mariana Grajales Hospital. Method: a descriptive, cross-sectional investigation was carried out between January 1, 2013 and December 31, 2014. The study population consisted of all adolescent patients who underwent induced abortion. In total there were 858 adolescents, 260 were applied misoprostol and 598 had curettage of the uterine cavity. Results: the adolescents who attended for the voluntary interruption of pregnancy are in the middle and late adolescence, adolescents treated with misoprostol had a lower average age. This interruption was made around the seventh week of pregnancy and an early onset of sexual intercourse was observed. Conclusions: misoprostol showed a greater number of complications, especially remains and failure of the method, and in most of the patients it was necessary to administer up to three doses of the medication.Downloads
References
1. Batista Rojas O, Álvarez González Z. Breves consideraciones históricas, jurídicas y actuales acerca del aborto y la regulación menstrual. MEDISAN [Internet]. 2011 Ago [citado 15 Feb 2018];15(8):1180-84.Disponible en: http://scielo.sld.cu/pdf/san/v15n8/san19811.pdf
2. Álvarez Vázquez L, Salomón Avich N. El aborto en adolescentes en un contexto legal. Rev Cubana Salud Pública [Internet]. 2012 Ene-Mar [citado 15 Feb 2018];38(1):45-53. Disponible en: http://www.scielosp.org/pdf/rcsp/v38n1/spu05112.pdf
3. Torres Ugalde BA. Eficacia del uso de misoprostol en la evacuación uterina en mujeres embarazadas con perdida gestacional temprana en el Hospital General Dr. Nicolás San Juan en el año 2011 [tesis]. Toluca: Universidad Autónoma del Estado de México; 2013 [citado 15 Feb 2018]. Disponible en: https://core.ac.uk/download/pdf/55519087.pdf
4. Martín Lupión EM. El aborto: perspectivas y realidades. Aborto espontáneo e interrupción voluntaria del embarazo [Internet]. En: Jornadas internacionales de investigación en educación y salud: Educación y Salud en una Sociedad Global; 2014 May 9 y 10; Almería, España: Universidad de Almería [citado 15 Feb 2018]. Disponible en: https://w3.ual.es/Congresos/JORNADASINTERNACIONALESDEINVESTIGACIONENEDUCACIONYSALUD/Ab.pdf
5. Varona Sánchez JA, Borrego López JA, Formoso Martín LE, Martínez Martínez-Pinillo Á. Misoprostol en la interrupción temprana del embarazo en pacientes adolescentes. Rev Cubana Obstet Ginecol [Internet]. 2010 Mar [citado 23 Sep 2019];36(1):97-108. Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S0138-600X2010000100012
6. Organización Mundial de la Salud. Manual de práctica clínica para un aborto seguro [Internet]. Ginebra: OMS; 2014 [citado 15 Feb 2018]. Disponible en: https://apps.who.int/iris/bitstream/handle/10665/134747/9789243548715_spa.pdf;jsessionid=79543D37E68B7C55D1C1B754863847BB?sequence=1
7. González Labrador I, Miyar Pieiga E, González Salvat RM. Algunas consideraciones sobre el aborto: La educación sexual como una alternativa en su prevención. Rev Cubana Med Gen Integr [Internet]. 2001 Jun [citado 15 Feb 2018];17(3):281-286. Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S0864-21252001000300013
8. Ribeiro da Fonseca Domingos S, Barbosa Merighi MA, Pinto de Jesús MC, Moura de Oliveira D. Experiencia de mujeres con el aborto provocado en la adolescencia por imposición de la madre. Rev Latino-Am Enfermagem [Internet]. 2013 Jul-Ago [citado 15 Feb 2018];21(4):[aprox. 8 p.]. Disponible en: http://www.scielo.br/pdf/rlae/v21n4/es_0104-1169-rlae-21-04-0899.pdf
9. Flores Coca JA. Aborto en la adolescencia. Impacto ético y social. Medisur [Internet]. 2015 Nov-Dic [citado 15 Feb 2018];13(6):708-710. Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S1727-897X2015000600001&lng=es
10. Menéndez López LR. Misoprostol: “no hay que llegar a ese momento”. Revista Mujeres [Internet]. 2016 [citado 23 Sep 2019]. Disponible en: http://www.mujeres.co.cu/art.php?MzA4OQ==
11. García Baños LG, Alonso Sicilia M, Concepción Pérez M. Misoprostol en dos formas de administración para la dilatación cervical en el aborto instrumentado. Rev Cienc Méd Habana [Internet]. 2013 Sep [citado 5 Ago 2019];19(2):183-191. Disponible en: http://revcmhabana.sld.cu/index.php/rcmh/article/view/578/html
12. Serrano Angulo A, Concepción Feria L. Misoprostol en la inducción del aborto temprano. CCM [Internet]. 2014 Oct-Dic [citado 5 Ago 2019];18(4):700-708. Disponible en: http://scielo.sld.cu/pdf/ccm/v18n4/ccm10414.pdf
13. Irinyenikan TA, Loto OM, Oluborode B, Awowole I, Bello FA, Fabamwo AO, et al. A prospective study of severity of complications associated with use of misoprostol and other abortion methods in South West Nigeria. Int J Gynaecol Obstet [Internet]. 2019 Sep [citado 23 Sep 2019];146(3):302-307. Disponible en: https://www.ncbi.nlm.nih.gov/pubmed/31152593
14. Montoya-Romero JJ, Schiavon R, Troncoso E, Díaz-Olavarrieta C, Karver T. Aborto inducido en México: qué piensan y hacen los ginecoobstetras. Ginecol Obstet Mex [Internet]. 2015 Ene [citado 15 Feb 2018];83:23-31. Disponible en: https://www.medigraphic.com/pdfs/ginobsmex/gom-2015/gom151d.pdf
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15 junio 2025
