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ANÁLISIS CUALITATIVO DE LA INTERRUPCIÓN VOLUNTARIA DEL EMBARAZO EN EL HOSPITAL ITALIANO DE BUENOS AIRES.

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Title: ANÁLISIS CUALITATIVO DE LA INTERRUPCIÓN VOLUNTARIA DEL EMBARAZO EN EL HOSPITAL ITALIANO DE BUENOS AIRES.
Alternate Title: Qualitative analysis of voluntary abortion in the Hospital Italiano de Buenos Aires.
Authors: VEGA, AGUS1,2, DISCACCIATI, VILDA1, VOLPI, MERCEDES1, VOLIJ, CAMILA1, TERRASA, SERGIO A.1,3, EPSTEIN, DANIELA1 dr.agusvega@gmail.com
Source: Medicina (Buenos Aires). 2024, Vol. 84 Issue 6, p1089-1100. 12p.
Subjects: ABORTION, MEDICAL protocols, REPRODUCTIVE rights, CROSS-functional teams, QUALITATIVE research, HOSPITALS, HOSPITAL administration
Abstract (English): Introduction: The Voluntary Interruption of Pregnancy (IVE) law 27.610, enacted in 2020, urges healthcare providers to guarantee this practice. Previous investigations at the Hospital Italiano de Buenos Aires (HIBA) revealed that the lack of clear institutional protocols hindered the management of abortion. The objective of this research was to explore the management of abortion before and after the enactment of law 27.610, the institutional modifications implemented in response to it, and the opportunities for improvement in care from the perspective of the healthcare staff. Materials and methods: Qualitative study using an interpretative phenomenological approach. Professionals from the IVE office at HIBA were selected through purposive and snowball sampling between March 2022 and May 2023. Eighteen semi-structured interviews were conducted, manually analyzed using in vivo and descriptive coding, resulting in the emergence of 3 thematic areas. Results: 1) Professionals experienced four stages in management of abortion, with increasing institutional support: referral to informal networks, risk reduction, legal abortion, and the IVE office. 2) A multidisciplinary team implemented changes starting in 2021 that expanded access to IVE. 3) Improving communication between services is necessary to standardize access to different abortion methods and emergency care. Discussion: The evolution of abortion management at the HIBA reflects adaptations to national legislative frameworks and underscores the importance of clear institutional protocols and hierarchical support. Access to IVE is ensured through an integrated network of providers that continually seek improvements. [ABSTRACT FROM AUTHOR]
Abstract (Spanish): Introducción: La Ley 27.610 de Interrupción Voluntaria del Embarazo (IVE), sancionada en 2020, insta a los efectores de salud de Argentina a garantizar esta práctica. Investigaciones previas en el Hospital Italiano de Buenos Aires (HIBA) revelaron que la ausencia de protocolos institucionales claros obstaculizaba el manejo del aborto. El objetivo de este trabajo fue explorar dicho manejo antes y después de la Ley 27.610, las modificaciones institucionales implementadas en respuesta a la misma y oportunidades de mejora en la atención desde las experiencias del personal de salud. Materiales y métodos: Estudio cualitativo de enfoque fenomenológico interpretativo. Mediante muestreo intencional y el uso de bola de nieve, se seleccionó a profesionales del consultorio IVE del HIBA entre 03-2022 y 05-2023. Se realizaron 18 entrevistas semiestructuradas, analizadas manualmente con codificación in vivo y descriptiva, emergiendo 3 áreas temáticas. Resultados: 1) Los profesionales experimentaron cuatro etapas de manejo del aborto, con creciente apoyo institucional: derivación a circuitos informales, reducción de riesgos, interrupción legal del embarazo y consultorio IVE. 2) Un equipo multidisciplinario implementó cambios desde 2021 que ampliaron el acceso a la IVE. 3) Se requiere mejorar la comunicación entre servicios para homogeneizar el acceso a diferentes métodos de interrupción del embarazo y a la guardia. Discusión: La evolución del manejo del aborto en el HIBA refleja adaptaciones a los marcos legislativos nacionales y subraya la importancia de protocolos institucionales claros y apoyo jerárquico. El acceso a la IVE está garantizado a través de un circuito de efectores integrados que buscan mejoras continuas. [ABSTRACT FROM AUTHOR]
Copyright of Medicina (Buenos Aires) is the property of Medicina (Buenos Aires) and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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  Data: ANÁLISIS CUALITATIVO DE LA INTERRUPCIÓN VOLUNTARIA DEL EMBARAZO EN EL HOSPITAL ITALIANO DE BUENOS AIRES.
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  Data: Qualitative analysis of voluntary abortion in the Hospital Italiano de Buenos Aires.
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  Data: <searchLink fieldCode="AR" term="%22VEGA%2C+AGUS%22">VEGA, AGUS</searchLink><relatesTo>1,2</relatesTo><br /><searchLink fieldCode="AR" term="%22DISCACCIATI%2C+VILDA%22">DISCACCIATI, VILDA</searchLink><relatesTo>1</relatesTo><br /><searchLink fieldCode="AR" term="%22VOLPI%2C+MERCEDES%22">VOLPI, MERCEDES</searchLink><relatesTo>1</relatesTo><br /><searchLink fieldCode="AR" term="%22VOLIJ%2C+CAMILA%22">VOLIJ, CAMILA</searchLink><relatesTo>1</relatesTo><br /><searchLink fieldCode="AR" term="%22TERRASA%2C+SERGIO+A%2E%22">TERRASA, SERGIO A.</searchLink><relatesTo>1,3</relatesTo><br /><searchLink fieldCode="AR" term="%22EPSTEIN%2C+DANIELA%22">EPSTEIN, DANIELA</searchLink><relatesTo>1</relatesTo><i> dr.agusvega@gmail.com</i>
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  Data: <searchLink fieldCode="JN" term="%22Medicina+%28Buenos+Aires%29%22">Medicina (Buenos Aires)</searchLink>. 2024, Vol. 84 Issue 6, p1089-1100. 12p.
– Name: Subject
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  Data: <searchLink fieldCode="DE" term="%22ABORTION%22">ABORTION</searchLink><br /><searchLink fieldCode="DE" term="%22MEDICAL+protocols%22">MEDICAL protocols</searchLink><br /><searchLink fieldCode="DE" term="%22REPRODUCTIVE+rights%22">REPRODUCTIVE rights</searchLink><br /><searchLink fieldCode="DE" term="%22CROSS-functional+teams%22">CROSS-functional teams</searchLink><br /><searchLink fieldCode="DE" term="%22QUALITATIVE+research%22">QUALITATIVE research</searchLink><br /><searchLink fieldCode="DE" term="%22HOSPITALS%22">HOSPITALS</searchLink><br /><searchLink fieldCode="DE" term="%22HOSPITAL+administration%22">HOSPITAL administration</searchLink>
– Name: Abstract
  Label: Abstract (English)
  Group: Ab
  Data: Introduction: The Voluntary Interruption of Pregnancy (IVE) law 27.610, enacted in 2020, urges healthcare providers to guarantee this practice. Previous investigations at the Hospital Italiano de Buenos Aires (HIBA) revealed that the lack of clear institutional protocols hindered the management of abortion. The objective of this research was to explore the management of abortion before and after the enactment of law 27.610, the institutional modifications implemented in response to it, and the opportunities for improvement in care from the perspective of the healthcare staff. Materials and methods: Qualitative study using an interpretative phenomenological approach. Professionals from the IVE office at HIBA were selected through purposive and snowball sampling between March 2022 and May 2023. Eighteen semi-structured interviews were conducted, manually analyzed using in vivo and descriptive coding, resulting in the emergence of 3 thematic areas. Results: 1) Professionals experienced four stages in management of abortion, with increasing institutional support: referral to informal networks, risk reduction, legal abortion, and the IVE office. 2) A multidisciplinary team implemented changes starting in 2021 that expanded access to IVE. 3) Improving communication between services is necessary to standardize access to different abortion methods and emergency care. Discussion: The evolution of abortion management at the HIBA reflects adaptations to national legislative frameworks and underscores the importance of clear institutional protocols and hierarchical support. Access to IVE is ensured through an integrated network of providers that continually seek improvements. [ABSTRACT FROM AUTHOR]
– Name: Abstract
  Label: Abstract (Spanish)
  Group: Ab
  Data: Introducción: La Ley 27.610 de Interrupción Voluntaria del Embarazo (IVE), sancionada en 2020, insta a los efectores de salud de Argentina a garantizar esta práctica. Investigaciones previas en el Hospital Italiano de Buenos Aires (HIBA) revelaron que la ausencia de protocolos institucionales claros obstaculizaba el manejo del aborto. El objetivo de este trabajo fue explorar dicho manejo antes y después de la Ley 27.610, las modificaciones institucionales implementadas en respuesta a la misma y oportunidades de mejora en la atención desde las experiencias del personal de salud. Materiales y métodos: Estudio cualitativo de enfoque fenomenológico interpretativo. Mediante muestreo intencional y el uso de bola de nieve, se seleccionó a profesionales del consultorio IVE del HIBA entre 03-2022 y 05-2023. Se realizaron 18 entrevistas semiestructuradas, analizadas manualmente con codificación in vivo y descriptiva, emergiendo 3 áreas temáticas. Resultados: 1) Los profesionales experimentaron cuatro etapas de manejo del aborto, con creciente apoyo institucional: derivación a circuitos informales, reducción de riesgos, interrupción legal del embarazo y consultorio IVE. 2) Un equipo multidisciplinario implementó cambios desde 2021 que ampliaron el acceso a la IVE. 3) Se requiere mejorar la comunicación entre servicios para homogeneizar el acceso a diferentes métodos de interrupción del embarazo y a la guardia. Discusión: La evolución del manejo del aborto en el HIBA refleja adaptaciones a los marcos legislativos nacionales y subraya la importancia de protocolos institucionales claros y apoyo jerárquico. El acceso a la IVE está garantizado a través de un circuito de efectores integrados que buscan mejoras continuas. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
  Label:
  Group: Ab
  Data: <i>Copyright of Medicina (Buenos Aires) is the property of Medicina (Buenos Aires) and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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      – Code: spa
        Text: Spanish
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        StartPage: 1089
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      – SubjectFull: ABORTION
        Type: general
      – SubjectFull: MEDICAL protocols
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      – SubjectFull: REPRODUCTIVE rights
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      – TitleFull: ANÁLISIS CUALITATIVO DE LA INTERRUPCIÓN VOLUNTARIA DEL EMBARAZO EN EL HOSPITAL ITALIANO DE BUENOS AIRES.
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