Characterization of Adolescent Pregnancy and Legal Abortion in Situations Involving Incest or Sexual Violence by an Unknown Aggressor.
AuthorsHealth Service Executive (HSE)
Bessa, Maria Misrelma Moura
Araújo, Sandra Dircinha Teixeira de
Bezerra, Italla Maria Pinheiro
Abreu, Luiz Carlos de
pregnancy in adolescence
MetadataShow full item record
PublisherHealth Service Executive (HSE)
JournalMedicina (Kaunas, Lithuania)
AbstractBackground and Objectives: In pregnancies resulting from incest, the adolescent maintains close family and emotional relations with the aggressor, different from what occurs when pregnancy results from sexual violence by strangers. Evidence indicates that this type of relationship with the aggressor may interfere in the dynamics of such violence and the adolescent's access to health services. Materials and Methods: The objective of this research was to describe and correlate aspects associated with pregnancy when resulting from rape of adolescents in situations of incest; rape when perpetrated by an unknown aggressor and an abortion as allowed by law was sought. Method: A cross-sectional, epidemiological study of adolescents treated at the Pérola Byington Hospital, São Paulo, Brazil, bringing an allegation of pregnancy, resulting from sexual violence and a request for abortion as allowed by law. A total of 311 adolescents, being 134 in the "pregnancy from incest group", and 174 in the group "pregnancies resulting from rape by a stranger" were considered under the study variables; relationships were investigated using the chi-squared test and Poisson regression with robust variance. Results: The study included 137 cases (44.1%) of pregnancy resulting from incest, and 174 cases (55.9%) of pregnancy from rape by a stranger. In cases of incest, a declaration of religion (92.0%) was significantly more frequent, and the adolescents were approached in spaces considered safe or private (92.7%); the aggressor taking advantage of the adolescent's legal condition of vulnerability as a function of age (83.3%). Cases of incest presented a lower median adolescent age and greater gestational development, with gestations being ≥ 13 weeks prevailing. Conclusion: Cases of pregnancy by incest presented indicators suggesting both proximity and relationship with the aggressor, and pregnancy at a very early age, which postponed the adolescent's procurement of health service, and interfered negatively with abortion assistance as allowed by law.
- Sociodemographic characteristics of women in a public hospital in Campinas who underwent legal abortion due to sexual violence: cross-sectional study.
- Authors: Dos Santos Mutta D, Angerame Yela D
- Issue date: 2017 Jul-Aug
- Made to fail: the mythical option of legal abortion for survivors of rape and incest.
- Authors: Hansson D, Russell DE
- Issue date: 1993
- [Rape-related pregnancy in Brazil: the experience of women seeking legal abortion].
- Authors: Machado CL, Fernandes AM, Osis MJ, Makuch MY
- Issue date: 2015 Feb
- Making Abortion Safer in Rwanda: Operationalization of the Penal Code of 2012 to Expand Legal Exemptions and Challenges.
- Authors: Sahin Hodoglugil NN, Ngabo F, Ortega J, Nyirazinyoye L, Ngoga E, Dushimeyezu E, Kanyamanza E, Prata N
- Issue date: 2017 Mar
- [Characteristics of sexual violence against adolescent and adult women reported by the public health services in Santa Catarina State, Brazil].
- Authors: Delziovo CR, Bolsoni CC, Nazário NO, Coelho EBS
- Issue date: 2017 Jul 13