A qualitative study of pregnancy in women working as prostitutes in Bogotá, Colombia during 2006: self-care and high risk practices
DOI:
https://doi.org/10.18597/rcog.392Keywords:
prostitution, risk factor, self-care, sexually-transmitted infection, contraception, genderAbstract
Objectives: this research was aimed at learning about self-care practices in pregnant women working as prostitutes in the high impact Mártires and Santa Fe neighbourhoods of Bogotá, as well as the conditions of their current pregnancies and possible practices putting them at risk.
Methods: a qualitative gender-based approach was adopted with 12 women who were recruited from July 24th to October 31st 2006 to ascertain conditions regarding their pregnancy, risks factors and self-care practices. The information was gathered by in-depth interviews following the women’s verbal and written approval; such interviews were recorded and later transcribed. Atlas Ti 5.0 software was used for analysing the data.
Results: risks associated with unsafe sex and unwanted pregnancies were identified. Condom use with clients was the only self-care practice found; such practice did not extend to being used with their couples. The women reported decreased sexual activity and changes in some sexual practices. They also reported decreased alcohol, tobacco and psychoactive substance use. Seven of the twelve women did not use contraception. Two women attributed their pregnancies to condom failure.
Conclusions: instead of considering their activity as a risk for their pregnancies, the women regarded becoming pregnant as putting their work at risk.We found many risk factors for maternal health in this group which is why we recommend focusing their education on issues such as contraception, self-care practices and female empowerment.
Author Biographies
María Mercedes Lafaurie
Pío Iván Gómez-Sánchez
Andrea Juliana Bernal
María Angélica Gualteros
Viviana Patricia Hassan
Jenny Amparo Lozano
Claudia Viviana Tovar
References
Organización Mundial de la Salud. Informe sobre la salud en el mundo, 2005. Visitado en 2008 May 6. Disponible en: http://www.who.int/whr/2005/overview_es.pdf
Lafaurie MM. La prostitución en escena. Departamento Administrativo de Bienestar Social; 2002.
Secretaría Distrital de Salud de Bogotá. Política Sexualidad sin Indiferencia; 2006.
United Nations Population Fund (UNFPA) Annual Report; 2003.
Norma técnica para la detección temprana de las alteraciones del embarazo. Resolución número 00412, 2000. Ministerio de la Protección Social de Colombia.
Sistema Nacional de Vigilancia en Salud Pública, SIVIGILA. Situación de las enfermedades de transmisión sexual. Colombia, 14 al 20 de junio de 2003.
Gómez PI. Autonomía de los cuerpos. Anticoncepción una herramienta. Bogotá: Publimpacto; 2007.
Ministerio de la Protección Social. Dirección General de Salud Pública. Política Nacional de Salud Sexual y Reproductiva. Bogotá; 2003.
Thomas Muhr Atlas Ti software. Technical University of Berlin. 2007.
UNICEF. Djibouti. Resumen Oficial del Informe sobre el Estado Mundial de la Infancia; 2006.
Ministerio de la Protección Social. Situación de salud en Colombia: Indicadores Básicos. INS, OPS; 2003.
Organización Panamericana de la Salud. Intervenir sobre los determinantes sociales y mejorar la calidad de la atención del servicio de salud. La clave para que Colombia logre las Metas de Desarrollo. Bogotá; 2005.
Vladislavovna D, Pámanes-González V, Billings D, Torres-Arreola L. Violencia de pareja en mujeres embarazadas en la Ciudad de México, Rev. Saúde Pública 2007;41:582-90. Visitado en 2008 Abr 14. Disponible en: http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0034-89102007000400012&lng=es&nrm=iso
Urrea F, Lafaurie MM, Sandoval MA, Contreras N, Hurtado Y, Páez A. Una mirada de género a los riesgos de salud de la mujer en situación de embarazo. Ponencia en XVI Congreso Institucional de Investigación Universidad El Bosque, 3 de septiembre de 2008.
Aponte M, García IC. Explotación sexual infantil en Bogotá. Departamento Administrativo de Bienestar Social - Universidad Externado de Colombia, Bogotá; 2002.
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