Propuesta de protocolo de intervención en adolescentes gestantes victimas por violencia intrafamiliar recurrentes con o sin patologías atendidas en Hospital Matilde Hidalgo de Procel. Guayas 2021-2022.

Abstract

The World Health Organization estimates that around 16 million women between 15 and 19 years old give birth annually in developing countries, the majority of teenage pregnancies constitute mortality risks. In Latin America, public policies, legislative reforms, actions, programs have been established, informing that this problem still persists. In Ecuador, in the city of Guayaquil, there is the highest rate of pregnant adolescents with situations of gender violence in all its forms, caused by massive immigration from rural areas in search of a better quality of life, dragging with them economic, cultural, social, with dysfunctional homes. In public hospitals, centers, health subcenters of the Ministry of Public Health (MSP) in their technical processes on gender violence, they have been participating since 2014 with an update in 2018 where they do not specifically contemplate pregnant adolescents who are raped. At the Matilde Hidalgo Obstetric Gynecological Hospital in Procel in the south of the city, it welcomes women from all areas every day and we find cases of gender violence. For this reason, the objective is to develop an intervention protocol and be able to establish a check list for the detection of pregnant adolescents who are repeatedly violated from the different areas upon admission and thus contribute to strengthening the violence program established in this health home by articulating the work with the specialist professional with an ecosystem approach. Carrying out a longitudinal observational non-experimental design. preserving its universe according to inclusion and exclusion criteria. In its results, 17 cases were reviewed. Of which 12 were pregnant adolescents without existing pathologies after giving birth, they did not decide to participate or learn about the program, remaining anonymous due to different situations. And the 5 teenage pregnant women with existing additional pathologies decided to participate in the program after learning and obtaining information.