O SISTEMA #07 | Falta de planejamento

My name is Fabiana Ferreira de Afonso, I'm 35 years old, I have four kids. My name is Thaís, I'm 25 years old and this is my third pregnancy. My name is Kétlin Cristina, I'm 24 years old and this is my third pregnancy.

My name is Mayara, I'm 19 years old, I have a 2 year-old boy and I'm pregnant of my second child. My name is Lígia, I'm 19 years old, I'm six months pregnant. Fertility control and sex education are subjects that had to be discussed at home and with health professionals without embarrassment.

The unplanned early pregnancy is one of the most serious problems in poor communities. About 20% of childbirths made by SUS were of young mothers with ages from 10 to 19 years old. The System A portrayal of healthcare in Brazil Let us see what you ate this month, Nayra.

-You gained weight, girl! -I can eat a whole bakery. How is it like to be at 34 weeks?

-How are you feeling? -Heavy. Things are getting difficult, right?

Very. Nayra, talking about what methods you'll be using to avoid pregnancy after the baby is born, -have you decided on any? -IUD.

Okay, IUD. The metallic one and, eventually, if we can arrange to it, -that period stopper IUD. -That's right.

Okay, let's see the baby, then. Let's do it. The head is already facing down.

Have you noticed any difference in the profile of pregnant teenagers? The start of sexual activities is getting earlier everyday, and they are getting pregnant in an increasingly younger age. What problems do you face on childbirths with girls at this age?

Dystocias, sometimes it's hard for the baby to go through, because they are tiny girls and it gets complicated. Psychologically speaking, they're usually not ready to handle labor. Most times we hear them screaming asking for their moms, distressed by going through that situation.

The lack of a partner, which is not always a boyfriend and that may not recognize the child, sometimes they are older boys, even prisoners maybe. . .

We see that frequently, very young girls with older partners. -Challenging. -Indeed.

-Don't you get discouraged? -A lot. -Dealing with that reality?

-Yes, because it doesn't change. Things don't seem to change much. And what about contraceptive methods?

You see. . .

We never talked about it. I could never imagine that this would happen. "She will be getting pregnant at 15.

" Right? So. .

. We never had that kind of talk. What about you, Giovana, you’re her aunt, a close relative, did you notice anything?

She was absent from socializing. My brother and sister-in-law went to my house but she didn't want to go. She was different, we felt that something was going on, we tried to approach her and she avoided us.

We thought something had already happened, but not "everything", you know? Then. .

. here we are, today. -Nayra, how old are you?

-I'm 15 years old. -15. -Yes.

How did you realize you were pregnant? My period was late, and I had a lot of nausea. My relatives started talking about it.

I thought: "Oh my God, what if I'm pregnant? " So I did a pregnancy test. .

. -A drugstore one. -Yes.

I did it and the line was very light. I thought: "It's negative. " So I did another one and the line was darker.

-How did you react? -I got desperate. Really shocked.

Did you use any contraceptive method? We did, at first. But later.

. . We had sex without using it.

That's when I got pregnant, I suppose. -One of those times. -Yes.

-What did you take? Pills? -Oh, no.

I'm, sorry. No, I didn't. The only thing we used was condom.

-I see. -But I was not on the pill. -Never.

-I was never on it. Why not? Because I believe that if you want to start taking birth control pills, you need to see a doctor, a gynecologist, but I never had that kind of relationship to talk to my mom about my sex life.

I couldn't talk to her. I think that's why I wasn't on the pill. -Rafael, how many kids do you have?

-Three kids. Three kids. Boys?

Girls? Two girls and one boy. -From the same mom?

-No. A 14 year-old boy from my first marriage, and the girls, from my second marriage. Why did you choose to have a vasectomy?

My finances are not that good to have kids, you know? At first, when we got married, I used to be on the pill. After six months I stopped taking it, I got pregnant of Kimberlly.

So I thought Kimberlly was feeling lonely. I thought: "I want at least another kid. Boy or girl, I just want to have another one.

" Rafael didn't want it. But we talked a lot about it and I got pregnant. In 2016, Kailany was born.

-No. -Why? Say "Rafael".

Right after she had the baby, I decided to get a vasectomy. I said: "Let me do that, otherwise. .

. " And it's easier for men, either way. It's harder for women, it's complicated.

. . We sat, talked about it and decided to do it.

Why? Because it would be faster for him, he would be home the same day. It would be harder for me.

I have a baby, I have to work, it would be complicated. That's why he decided to go through with this family plan. Usually, men let women decide about it.

And we always highlight how important it is for them to participate. Because the reproductive planning is a matter related to the couple. There is no better method.

The better method is that which fits the couple better, where they both will feel good about it and will take it forward. Otherwise, it won't work. For fertility control, SUS offers to women many types of pills, diaphragm and copper IUD, which works for 10 years.

And don't forget about condoms, that also protects people from STDs. Unfortunately, it's been used less by younger people. The definitive methods, tubal ligation and vasectomy, are only available in hospitals like this one.

How long will I wait until I can be active again, Doctor? As soon as you are feeling well, you can have relations normally. I have to test it, see if it's working.

It will not change at all. It won't change your sex life. You can get up, now.

Geraldo, family planning in Brazil it's all up to women. Women have to be on the pill, women have to get IUD, get the implants. Men get away from that problem.

Do you make vasectomies here, too? Yes. We make vasectomies and tubal ligations.

Tubal ligations through laparoscopy, a simple surgery. She will have surgery in the morning and can be home by evening. The demand on vasectomies has increased, we've been doing it a lot.

The number of tubal ligations equals the number of vasectomies, today. It's been like 30 or 40 minutes, since I got my vasectomy, and I'm feeling great, I'm walking. It's a quick surgery and I don't feel a thing.

Talking about vasectomy, there are some myths around it, and it makes harder for men to accept a vasectomy. One of those myths, due to out male society, talks about men losing their sexual power after the vasectomy. This is not true, only the vessel is cut, it doesn't affect the hormonal part.

It's a simple ambulatory procedure, and they can go home the same day. It's a great option for men. If you're thinking about getting a vasectomy, go and get it.

It's easy. What is the biggest concern of a mom, in a moment like this, Liliane? I'm concerned about her future.

What do you think about their future? School. It gets me really worried.

Nayra dropping out of school for taking care of Enzo. It gets me really worried. When I first got pregnant, I was 17 years old.

A little older than she is now. How did your parents react when you got pregnant at 17? They.

. . They kicked me out of the house, immediately.

Is there a chance of you dropping out of school? Oh, no. I can't see myself dropping out of school.

Even if I had to take him to school with me along with my backpack. But I won't drop out. The birth rate in Brazil has decreased in all social layers.

Unfortunately, among poor teenagers, the number is still high. The teenage pregnancy is a poverty perpetuating factor. The pregnant girl who drops out of school gets her future compromised and the baby's future, as well.

SUS offers several contraceptive methods: female and male condoms, birth control pills, injectable contraceptive, IUD, diaphragm, morning after pills. And offers definitive methods, tubal ligation and vasectomy. Look for the Basic Health Unit of your region.

Get more information at: www. blog. saude.

gov. br What about you. .

. What do you want to be? One of my biggest dreams is to become a flight attendant.

And how will you realize that dream of becoming a flight attendant, with the responsibility of having a child? I will need my parents' help. I know it's not their fault, I'm not saying it's their responsibility.

. . I'm not giving Enzo to them, for them to raise him.

Never. I wanna keep studying, and after Enzo reaches a certain age, I can put him into a daycare, start working, finish school, and pay for my flight attendant schooling.