Who decides on abortion in the teens and young adults? And some correlative data. A reflection from daily practice

We wish to take as a basis of this work, a research presented in Vilnus Lithuania, in which we asked ourselves "Who decides the termination of pregnancy in adolescents" in 20191 where the ILE/IVE law did not yet exist. And we decided to continue it. A retrospective, descriptive and cross-sectional study was carried out from two different periods 2017-2018 and 2020. Prior and after the appearance of Law 27.610 regulates access to voluntary and legal interruption of pregnancy. Main Objective: To investigate in adolescents and young adults up to 25 years old who had had a voluntary abortion, who decided it? Secondary objectives: To investigate the impact of the law of legal interruption of pregnancy / voluntary interruption of pregnancy (ILE / IVE), its results, in the public and private sector, as well as the previous use and type of contraception before performing the abortion and number of previous pregnancies and the termination of them Material and methods: A survey was conducted in adolescent women up to 25 years of age who had been admitted to the Hospital "Evita Pueblo- Berazategui - primary care centers and private clinics, who had undergone an evacuator uterine scraping or aspiration, and who had "decided" to abort. We ask them about whose decision was to abort that pregnancy and carry it out? and about some associated attitudes. Results: We observed that the group under 15 years of age, in the period 2017- 2018, decided the mother or the couple to have an abortion. The decision of the adolescent did not exist, while the same group in the period 2020, ded more the couple than the mother and begins to appear the decision of the girl, as well as the decision of the two parents. In the same group, but in the private health sector, the mother and/or parents, not the adolescent or her partner It was observed that, in the group of 16 to 20 years of age, in adolescents who attended the public hospital, the decision to abort was made by the couple or the mother in both periods and only in 2000 the decision of the adolescent appeared equaling the maternal decision. While in the private health sector, in the period 2017-2018 more mother / parents decide not the adolescent and in 2000 the patient or her mother make the decision, always with greater prevalence over the decision of her partner. The group of 21-25 years, in the public health sector, the decision of the adolescent, in both periods, is equal to or greater than that of the parents and in the private care sector in both periods the maternal/parental decision prevails over that of the young woman. The couple hardly appears. In the public sector for the year 2020, where the IVE/ILE law appears, we saw how in the adolescent children under 15 years of age, their decision is already beginning to appear, although the interference of the couple in the decision to abort is much greater. Here, finally, after 20 years of age, they make a decision, but maternal decision making is still important, and the couple almost does not appear. Conclusion: In our country since the existence first of the "law of Sexual health and responsible procreation" (Law 25673) and "law Legal termination of pregnancy / voluntary termination of pregnancy (ILE/IVE) (Law 27610), doctors should guarantee the will of the patient regarding her pregnancy, which must be treated and accompanied in a respectful, suitable, egalitarian and universal way if she decides to have it, or provide appropriate information, medical help, or information if you decide to have an abortion. Then providing a contraceptive appropriate to the patient's desire is appropriate for optimal results. To get a more complete idea of what is happening in Argentina, since the laws are not applied equally in all provinces, a study should be carried out with more research on the subject at the national level (AU)