LA ANTICONCEPCION ORAL DE EMERGENCIA Y EL DESARROLLO PROFESIONAL DE LAS TRABAJADORAS DE LA EMPRESA GEA PERU, LIMA 2014 - 2015. Robe!o T""#o$" R%&'. J%$&o 201(. U$&)e*&+"+ S"$ I$"&o +e " Lo/o". Se#&$"&o +e Te*&*.
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1., Limitacione$ de la In(e$ti+ación •
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Capítulo " MARCO TEORICO ".1 Antecedente$ del Prolema. Antecedente$ de la In(e$ti+ación! •
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Anticoncepción oral de emer+encia en interno$ de medicina 2umana del =o$pital Nacional Ar-oi$po Loa*-a. Obe!&)o9 E e*!%+&o b%*" +e!e#&$" e $&)e +e o$o&#&e$!o* e &+e$!&&" "* "!&!%+e* *obe " A$!&o$e3&$ O" +e E#ee$&" AOE e$ o* &$!e$o* +e #e+&&$" +e
E#ee$&", / "!&!%+ "&" " AOE. Lo* 3"!&&3"$!e* +e e*!%+&o %eo$ *ee&o$"+o* 3o #%e*!eo 3o o$)e$&e$&". Lo* +"!o* %eo$ &$!o+%&+o* / "$"&'"+o* o$ e 3o"#" SPSS )e*&$ 20.0. Lo* e*%!"+o* *e 3e*e$!"o$ #e+&"$!e e*!"+8*!&" +e*&3!&)". Re*%!"+o*9 Se e$%e*!"o$ " 2 &$!e$o* +e #e+&&$", +e o* %"e* 5@ (:H ""$'"o$ %$ $&)e +e o$o&#&e$!o #e+&o *obe " A$!&o$e3&$ O" +e E#ee$&", 1@ 20H ob!%)&eo$ %$ $&)e +e o$o&#&e$!o "!o / 1( 1?H %$ o$o&#&e$!o b"o. E$ o %e e*3e!" " $&)e +e "!&!%+ %e !&e$e$ o* &$!e$o* *obe " AOE, 54 5@,?H ob!%)&eo$ %$" "!&!%+ +e &$+e&*&$, 20 21,?H %$" "!&!%+ +e e"'o / 1@ 1,(H %$" "!&!%+ +e "e3!"&$. Co$%*&o$e*9 U$ 3oe$!"e o$*&+e"be @0H +e &$!e$o* +e #e+&&$" ob!%)o %$ $&)e +e o$o&#&e$!o e$!e #e+&o / b"o e*3e!o " " A$!&o$e3&$ O" +e E#ee$&". L" "!&!%+ 3e+o#&$"$!e %e " &$+e&*&$ e$ 54 +e o* e$%e*!"+o* 5@,?H / *o e 1,(H !&e$e$ %$" "!&!%+ +e "e3!"&$ "&" " AOE. T"$!o e$ e 3e*e$!e e*!%+&o o#o e$ 3%b&"&o$e* e"&'"+"* e$ o!o* 3"8*e* +e #%$+o "&#"$ %e e $&)e +e o$o&#&e$!o* "e" +e " A$!&o$e3&$ O" +e E#ee$&" e$ e*!%+&"$!e* +e 6e" *"%+ e* b"o.
"." Ba$e$ Teórica$! ".".1. De%inición de anticoncepción oral de emer+encia E AOE, !"#b&7$ "#"+" o$!"e3&$ 3o*o&!", e* %$" +e "* "!e$"!&)"* %e 3%e+e$ *e %!&&'"+"* 3"" e)&!" %$ e#b""'o $o +e*e"+o e$ #%ee* %e "$ !e$&+o e"&o$e* *e%"e* *&$ 3o!e&$, *& "$ !e$&+o %$ "&+e$!e o$ *% #7!o+o "$!&o$e3!&)o, o e$ 3"&e$!e* %e "$ *&+o )8!&#"* +e "b%*o *e%". 2,:,11 L" O"$&'"&$ M%$+&" +e " S"%+ OMS +e&$e " " AOE o#o #7!o+o* o#o$"e* %e 3%e+e$ *e %*"+o* 3"" 3e)e$& %$ e#b""'o %eo +e %$" e"&$ *e%" *&$ 3o!e&$. 11 E$ "%$o* "*o* *e e +" %$ o$e3!o #e"#e$!e o#o$"9 L" "$!&o$e3&$ o" +e e#ee$&" *e e&ee " !o+o* o* #7!o+o* o#o$"e* %e *e %*"$ o#o e#ee$&", %eo +e %$" e"&$ *e%" *&$ 3o!e&$, 3"" e)&!" %$ e#b""'o $o +e*e"+o. 1,2,11
a. Re$e4a 2i$tórica P"" " 3e)e$&$ +e %$" e*!"&$ +e*3%7* +e o&!o *&$ 3o!e&$, *e "$ e"&'"+o #%!&3&&+"+ +e "&o$e* e#38&"* / %e "ee$ 3o o#3e!o +e )"&+e' " " %' +e o* o$o&#&e$!o* "!%"e*. A #e+&"+o* +e o* ">o* *e!e$!", e "e#6$ 3&o$eo +e " 3"$&&"&$ "#&&", A/ <"*3e*, %e e 3&#eo e$ "+#&$&*!" "!"* +o*&* +e e*!e$o* 3o*!-o&!"e* " %$" o)e$ +e 1: ">o* +e e+"+, )8!&#" +e "b%*o *e%", *&e$+o e 3&#e 7&#e$ +e %*o +e o#o$"* e*!eo&+e* 3"" 3e)e$& %$ e#b""'o $o +e*e"+o. P"" &$&&o* +e " +7"+" +e o* *e!e$!", *e "+#&$&*!"b" +&e!&e*!&be*!o " +o*&* ee)"+"* (
+e 25 # +o* )ee* " +8" 3o 15 +8"*, &$&&"+o* e$ o* 3&#eo* !e* +8"* +e*3%7* +e %$ o&!o *&$ 3o!e&$. 1,2,11 De*+e 1?4 e #7+&o "$"+&e$*e Abe! Y%'3e 3o3%*o e e*%e#" %e *e &+e$!&&" o#o #7!o+o +e Y%'3e %e o$*&*!e e$ "+#&$&*!" +o* !"be!"* +e "$!&o$e3!&)o* o"e* o#b&$"+o* +e #"o+o*&* %e &$%/"$ 50 +e e!&$&e*!"+&o #6* 250 +e e)o$oe*!e "$!e* +e "* 3&#e"* ?2 o"* +e %$ o&!o *&$ 3o!e&$, e3&!&e$+o " +o*&* 12 o"* #6* !"+e. E*!"* !"be!"* 3%e+e$ *e !o#"+"* +e %$ e*!%e o$)e$&o$" +e "$!&o$e3!&)o* o"e* o#b&$"+o* +e #"o+o*&*. Po$!o *e e)&+e$& %e +&o o#3%e*!o e*!"b" e"&o$"+o o$ " "+e$o*&* )"&$" / e "+e$o"&$o#" +e )"&$" e$ "* &"* +e #%ee* %e " "b8"$ %!&&'"+o, o %e e)o " b%*" o!o* e*!e$o* %e $o !%)&e*e$ %$ ee!o 3o!e$&"#e$!e !e"!o7$&o % o$o7$&o. E e!&$&e*!"+&o e#3"' 3o o#3e!o " +&e!&e*!&be*!o +e$!o +e " "+#&$&*!"&$ o#o$" 3"" +e*3%7* +e o&!o *&$ 3o!e&$. 2,12 Re&e$!e#e$!e *e "$ &$)e*!&"+o o!o* +o* #7!o+o*9 e D"$"'o / e #&e3&*!o$e. E D"$"'o e* %$" 3oe*!&$" *&$!7!&" / "$!&o$"+o!o3&$", %e " 3&$&3&o* +e " +7"+" +e o* ">o* @0 *e %!&&' o#o %$ "$!&o$e3!&)o +e e#ee$&". 1,2 E #&e3&*!o$e, #6* o#$#e$!e o$o&+o o#o e RU-4@(, e* %$" 3o!e$!e "$!& 3oe*!eo$" e&*!"+" e$ %"!o 3"8*e* o#o %$ "bo!8eo. E&*!e e"!&)"#e$!e 3oo #"!e&" +e &$)e*!&"&$ *obe e*!o* #7!o+o* #6* $%e)o*, *& b&e$ e #&e3&*!o$e e$ 3"!&%" 3"ee *e e!e#"+"#e$!e 3o#e!e+o o#o %$ "$!&o$e3!&)o +e e#ee$&". A +&ee$&" +e o* "$!&o$e3!&)o* o"e*, e*!o* #7!o+o* $o "$ *&+o "3ob"+o* o#o #7!o+o* 3"" %*o +&"&o o *o$ e"!&)"#e$!e "o* e$ o$*e%e$&", %&'6* $o *e"$ +e 6& "e*o / %*o e$ o* 3"8*e* e$ +e*"oo. E$ e ">o 2002, o#o e*%!"+o +e %$ e$*"/o 8$&o e"&'"+o 3o " OMS, o$%/eo$ %e e" &%" +e e&"' "+#&$&*!"+o e$ %$" *o" +o*&* +e 1.500 +e Le)o$oe*!e LNG / o$ %$ 3"'o "*!" +e 120 o"* 3o*!e&oe* " o&!o.
11
. Mecani$mo de acción Se "$ 3o3%e*!o +&ee$!e* #e"$&*#o* +e "&$, !o+o* !e&"#e$!e 3o*&be* 3"" %$ "$!&o$e3!&)o 3o*o&!" / o$ %$" )e$!"$" +e e&"&" 3o#e+&o +e ?2. *!o* &$%/e$ "%eo* %e &$!e&ee$ o$ o* 3oe*o* +e +e*"oo o&%", o)%"&$, !"$*3o!e / "3"&!"&$ e*3e#6!&", e%$+"&$, +e*"oo / !"$*3o!e +e &o!o, ee3!&)&+"+ %!e&$" / o* 3oe*o* +e "+e*&$ e$+o#e!&" / %$&$ +e %e3o !eo e$ e!"3"* !e#3"$"* +e e#b""'o.
1,11,1:
c. E%ecto$ $ore la o(ulación L" 3o*&b&&+"+ +e %e " AOE &$!e&e" o$ " o)%"&$ *e " e3o"+o +e*+e o* 3&#eo* e*!%+&o* 8$&o* #e+&"$!e " o#b&$"&$ +e e*!e$o* / 3oe*!&$". E*!o* e*!%+&o* #o*!"o$ %e " ?
&$&b&&$ +e " o)%"&$ +e3e$+& +e " "*e +e &o e$ %e *e &$*!&!%/ e !"!"#&e$!o. S% #e"$&*#o +e "&$ e*!6 e"&o$"+o o$ " e+%&$ +e o* $&)ee* *7&o* +e L< / FS< "$!e* +e " o)%"&$ "%*"$+o %$" "%*e$&" +e o)%"&$ o *% 3o*!e"&$. L" ee!&)&+"+ e$ e)&!" " %3!%" o&%" !"#b&7$ e*!6 e"&o$"+" o$ e !"#">o +e o8%o. E$ " #"/o8" +e o* "*o*, o* ee!o* &$&b&!o&o* *e ob*e)"$ %"$+o e o8%o $o ""$'" !o+")8" %$ +e*"oo o#3e!o 1@ ## e#3eo, e$ "%$o* "*o* e*!o* ee!o* *e "o#3">"$ +e "#b&o* e$ " +&*#&$%&$ +e " %$&o$"&+"+ +e %e3o !eo.
1,14
d. E%ecto$ $ore la mi+ración e$perm>tica L" #&"&$ +e e*3e#"!o'o&+e* e$ e !"!o e$&!" e#e$&$o o%e e$ +o* "*e* o$ +&ee$!e %*o !e#3o"9 U$" 63&+" / be)e / o!" #6* e$!" / 3e*&*!e$!e. A#b"* +e3e$+e$ +e "* o$!"&o$e* +e !eo $o 6)&+o #6* %e +e " )eo&+"+ +e #&"&$ &$!8$*e" +e o* e*3e#"!o'o&+e*. L%eo +e o&!o, %$ 3e%e>o $#eo +e e*3e#"!o'o&+e* ""$'"$ e &*!#o +e " !o#3" +e F"o3&o e$ 3oo* #&$%!o*. Po*!e&o#e$!e, / " o "o +e )"&o* +8"*, oe"+"* +e e*3e#"!o'o&+e* e!e$&+o* e$ "* &3!"* e)&"e* eoe$ e #&*#o !"/e!o.
2,15
So"#e$!e o* e*3e#"!o'o&+e* !"$*3o!"+o* e$ " *e%$+" "*e 3%e+e$ e!&&'". L" &$!e$*&+"+ +e "* o$!"&o$e* %!e&$"* e*3o$*"be* +e !"$*3o!e e*3e#6!&o *e &$e#e$!" +%"$!e " "*e o&%" +e &o / ""$'" *% #6&#o 3"" e !&e#3o +e " o)%"&$ +%"$!e " "*e !e", " #o!&&+"+ %!e&$" e*3o$!6$e" +eee +eb&+o " ee!o e""$!e +e " 3oe*!eo$" *obe e #&o#e!&o. A%$%e $o *e " e3o"+o +&e!"#e$!e &$ )&)o, e* o$eb&be %e e e$e$!e&#&e$!o +e !"$*3o!e +e e*3e#"!o'o&+e* "&" "* !o#3"* o$!&b%/" " ee!o o$!"e3!&)o +e LNG.
1,2,15
L" #"/o 3"!e +e o* e*!%+&o* in vitro +&*e>"+o* 3"" e)"%" o* ee!o* +e LNG *obe e e*3e#"!o'o&+e $o " #o*!"+o "!e"&o$e* *&$&&"!&)"* *obe " %$&o$"&+"+ +e o* "#e!o* #"*%&$o*. S&$ e#b"o, +e "%e+o o$ +o* 3o!ooo*, e LNG " #o*!"+o "#b&o* e$ "* 3o3&e+"+e* 8*&o-%8#&"* +e #oo e)&" / "e!"&$ +e " 3e$e!"&$ e*3e#6!&".
1,1(
e. ;ertili-ación P"" %e e e*3e#"!o'o&+e 3%e+" e!&&'" e )%o, +ebe 3&#eo *obee)" %$ 3oe*o "#"+o "3"&!"&$, %e e "b&&!" 3"" 3e$e!" " oo$" "+&"+", &"*e " " 'o$" 3e&+", *%& " e"&$ "o*#&" / &$"#e$!e 3e$e!" e$ e )%o. Re*3e!o " 3"3e %e %e" " 3oe*!eo$" *obe " e"&$ "o*#&" *obe ee!o* +e Le)o$oe*!e$o "/ +&ee$&"* *&$&&"!&)"* e$ " "$!&+"+ +e e*3e#"!o'o&+e* e%3e"+o* +e !eo e$ "* 24 / 4@ o"* +e*3%7* +e %*o +e LNG / $o *e e)&+e$&"$ "#b&o* e$ " e"&$ "o*#&" "3"&+"+ +e e*3e#"!o'o&+e e$ 3e$e!" " )%o. 1,2
O!" e)&*&$ &$+&" %e " 3oe*!eo$" 3o+8" !e$e %$ ee!o "&&!"+o *obe " "3"&!"&$ 3o
"&o$e* $o e$#&"* #e+&"+"* 3o ee3!oe* 3e*e$!e* e$ " #e#b"$" +e e*3e#"!o'o&+e / 3%e+e @
&$+%& " e"&$ "o*#&". E ee!o +e LNG *obe " e!&&'"&$ $o *e " e*!%+&"+o e$ e %#"$o &$ )&)o, 3eo o* e*!%+&o* e$ oe+oe* / 3&#"!e* &$+&"$ %e, e$ e*!"* e*3e&e*, $o &$!e&ee o$ " e!&&'"&$. 1,1(,1? Lo* e*!%+&o* o$ e*3e#"!o'o&+e* %#"$o* &$ )&!o #o*!"o$ %e e LNG, e$ "* o$e$!"&o$e* %e *e ""$'"$ !"* *% "+#&$&*!"&$ o#o AOE $o "e!" " "3"&!"&$, " e"&$ "o*o#" $& " "3"&+"+ +e &"*e " " 'o$" 3e&+" *&$ e#b"o, e LNG 3o+8" !e$e ee!o* &$+&e!o* *obe " e!&&'"&$. 1, 1(,1?
%. Implantación L" 3o*&b&&+"+ +e %e e LNG &$!e&e" o$ " "$!"&$ +e b"*!o&!o *e " 3o*!%"+o e&!e"+"#e$!e, / e* %&'6 e "*3e!o +e e#3eo +e e*!e 6#"o 3"" AOE %e e$e" #6* o$!o)e*&", 3%e* " &$!eee$&" o$ " "$!"&$ e* o$*&+e"+" 3o #%o* o#o %$ "bo!o 3eo'.1? P"" e 7&!o +e %$" "$!"&$, e* $ee*"&o %$ +e*"oo *&$$&o +e o$e3!o / +e e$+o#e!&o. Se +e$o#&$" ee3!&)&+"+ %!e&$" " e*!"+o &*&o&o +e e$+o#e!&o %e 3o*&b&&!" " "$!"&$. E$ "+" &o, e*!e e*!"+o e* !"$*&!o&o, / *e e!&e$+e e$!e o* +8"* ? " 11 %eo +e 3o+%&+o e 3&o +e L<, %e oe*3o$+e$ "3o&#"+"#e$!e " o* +8"* 20 " 24 +e &o e*!6$+" +e 2@ +8"*. E*!e 3e8o+o ee3!&)o *e +e$o#&$" )e$!"$" +e "$!"&$. L" ee3!&)&+"+ *e e)"" e$ b&o3*&"* +e e$+o#e!&o ob!e$&+"* +%"$!e " )e$!"$" +e "$!"&$, #e+&"$!e e e"#e$ &*!o&o, / #6* e&e$!e#e$!e o$ #""+oe* #oe%"e*.1?, 1@
+. E(idencia$ e$tadí$tica$ indirecta$ de$cartan e%ecto$ po$t %ecundación E&*!e$ #o+eo* %e !o#"$ e$ o$*&+e"&$ e &$!e)"o e$!e e o&!o / " "+#&$&*!"&$ +e LNG 3"" e3&" e #e"$&*#o +e "&$ +e AOE. L" 3&#e" e)&+e$&" e*%! +e " ob*e)"&$ +e %e " e&"&" e* #"/o " #e+&+" %e e &$!e)"o e* #e$o / " *e%$+" +e %e " "" +e #7!o+o e* +&e!"#e$!e 3o3o&o$" " &$!e)"o e$!e e o&!o / e !"!"#&e$!o. E*!"* e)&+e$&"* *%&ee$ %e o* ee!o* "$!&o$e3!&)o* +e e*!e #7!o+o *e o"&'"$ "$!e* +e " "$!"&$ +e o$e3!o, /" %e e*!e 3oe*o !e#3o"#e$!e *e e)" " "bo @ " 11 +8"* +e*3%7* +e " o)%"&$. Po o!" 3"!e, e*!e &$!e)"o 3e+e8" *&$&&"+o *& e LNG "!%"" *obe e e$+o#e!&o / *%3&#&e" " ee3!&)&+"+ %!e&$", /" %e *e e*3e"8" %e " )e$!"$" +e ee!&)&+"+ "$!&o$e3!&)" ?2 %e" #"/o.
1,1?,1@
2. Indicacione$ Co#o *% $o#be o &$+&", *o +ebe %*"*e o#o #7!o+o "$!&o$e3!&)o +e e#ee$&" / $o o#o #7!o+o "$!&o$e3!&)o e%", +e*3%7* +e %$" e"&$ *e%" $o 3o!e&+" o 3o!e&+" +e #"$e" &$"+e%"+" ; "%$o* "%!oe* +e*!""$ *&!%"&o$e* e*3e8&"*9 S% &$+&"&$ *e &#&!" " "* *&%&e$!e*
*&!%"&o$e*9 )&o"&$, )&oe$&" *e%" "#&&", e"&$ *e%" *&$ 3o!e&$, *& $o %*" e%"#e$!e %$ #7!o+o "$!&o$e3!&)o, *e o#3& o *e +e*&' e o$+$, *e e o)&+ +e !o#" #6* +e +o* +8"* " 38+o" +e %*o e%", $o *e "3& e &$/e!"be e$ *% e", *e e3%* " T +e obe, %*"o$ e o&!o &$!e%#3&+o, %*"o$ e #7!o+o +e &!#o / *& !&e$e$ +%+"* *obe *% ee!&)&+"+.
15, 1@
E #&$&*!e&o +e *"%+ +e Pe e$ *%* $o#"!&)"* !7$&"* *obe 3"$&&"&$ "#&&" e*!"bee %"$+o %*" A$!&o$e3&$ +e E#ee$&"9 C%"$+o %bo %$" e"&$ *e%" $o 3o!e&+" / " #%e $o +e*e" %$ e#b""'o. C%"$+o "" e #7!o+o "$!&o$e3!&)o o $o *e %*" oe!"#e$!e *e o#3e %$ 3e*e)"!&)o, e +&""#" *e "e, e DIU *e e3%*", *e o)&+" !o#" e "$!&o$e3!&)o o", $o *e "3&" e$ " e" %e oe*3o$+e e "$!&o$e3!&)o &$/e!"be. E$ e "*o +e %e %$" #%e "/" *&+o )8!&#" +e %$" )&o"&$. De$!o +e o* o#o$"e*, 3%e+e$ %*"*e e +e Y%'3e9 200 e!&$&e*!"+&o EE Q 1 # e)o$oe*!e LNG, "+#&$&*!"+o* e$ 2 +o*&* *e3""+"* 3o 12 o"*, o e %*o +e %$ 3e3""+o e*3e8&o 3"" AOE o$ 0,?5 # +e e)o$oe*!e, *&$ e*!e$o*.
1
To+o* +ebe$ e#3e"*e / "!%" "$!e* +e " "$!"&$ +e )%o, %e *e "e3!" !&e$e %" e$!e e 5 / e ? +8" +e*3%7* +e o&!o, *&e$+o 3o o e$e" #6* e&"e* %"$!o #6* 3eo' e* e !"!"#&e$!o. <"b&!%"#e$!e *e eo#&e$+" $o *obe3"*" "* ?2 o"*.
1,1
i. Contraindicacione$ Se %!"$ " " 3"%!" +e Y%'3e "* #&*#"* o$!"&$+&"&o$e* +e " "$!&o$e3&$ o#o$" 6*&" +o*&* #6* b""* 3eo #%o #6* 3oo$"+"*. L" OMS $& e Co$*o&o 3"" " Co$!"e3&$ +e E#ee$&" "$ e*!"be&+o $&$%$" o$!"&$+&"&$ " %*o +e e*!" 3"%!", *")o e e#b""'o.
1,1,20,21
'. E%ecto$ ad(er$o$ Lo* 3&$&3"e* ee!o* *e%$+"&o* +e AOE *o$ $6%*e"* / )#&!o* "3o&#"+"#e$!e " #&!"+ +e "* #%ee* %e %!&&'"$ e 7&#e$ +e Y%'3e e3e&#e$!"$ +&o* ee!o* / %$" +e "+" 5 )o#&!" %eo +e " 3&#e" o *e%$+" +o*&*. E$ "* %e %*"$ *oo e 7&#e$ +e 3oe*!&$", " !"*" +e $6%*e" / )#&!o e* +e 20 / 5H, e*3e!&)"#e$!e. Po o e$e" e*!o* ee!o* *e%$+"&o* $o +%"$ #6* +e 24 o"* / 3%e+e$ *e e&#&$"+o* e$ #%o* "*o* o$ " &$e*!&$ +e "$!&e#7!&o* "$!e* +e !"!"#&e$!o. 1,22,2:
".& Ba$e$ Le+ale$ L" Co$*!&!%&$ Po8!&" +e Pe e$ *% A!8%o ( e*!"bee %e L" 3o8!&" $"&o$" +e 3ob"&$ !&e$e o#o obe!&)o +&%$+& / 3o#o)e " 3"!e$&+"+ / #"!e$&+"+ e*3o$*"be*. Reo$oe e +eeo +e "* "#&&"* / +e "* 3e*o$"* " +e&+&. E$ !" *e$!&+o, e E*!"+o ""$!&'" o* 3o"#"* +e 10
e+%"&$ / " &$o#"&$ "+e%"+o* / e "e*o " o* #e+&o*, %e $o "e!e$ " )&+" o " *"%+;. Po *% 3"!e " Le/ Ge$e" +e S"%+ N 2(@42 e$ *% A!8%o ( e*!"bee %e C"+" 3e*o$" !&e$e +eeo " ee& &be#e$!e e #7!o+o "$!&o$e3!&)o +e *% 3eee$&", &$%/e$+o o* $"!%"e*. A#b"* +&*3o*&&o$e* ""#e$!e *e o#3e#e$!"$ / e*!"bee$ e #"o e" / o$e3!%" +e$!o +e %" *e e$%"+"$ o* #7!o+o* "$!&o$e3!&)o* o#o$"e*, &$%/e$+o " "$!&o$e3&$ o" +e e#ee$&". D"+o %e e E*!"+o e* %$ o$o#e"+o +e +e3e$+e$&"* / 3e*o$"* %e &$!e"$ e +e$o#&$"+o *e!o 3b&o, e %" " *% )e' e*!6 +&&&+o 3o e ob&e$o e$ %$&o$e*, o %e 3e)"ee e$ 7 *o$ "* $o#"* %e e*!6$ )&e$!e* / %e ee"$ %$" 3o*&&$. =&*!o "*8, e*" 3o*&&$ +e E*!"+o Pe%"$o e$ e !e#" +e " AOE e*!6 o$!e$&+" e$ " e*o%&$ %e &$o3o e #7!o+o, "* %8"* $"&o$"e* )&e$!e*, " e*o%&$ +e " Dee$*o8" +e P%ebo / e &$o#e +e " Co#&*&$ +e "!o $&)e %e %e o$o#"+" 3"" 3o$%$&"*e " e*3e!o.
L" Re*o%&$ M&$&*!e&" N :-2001 SADM VMINSA 2001W E*!" e*o%&$ "#3& "* $o#"* +e 3"$&&"&$ "#&&" "3ob"+"* 3o RM N4(5- SADM +e 22.0., &$o3o"$+o e$ e &!e" C A$!&o$e3!&)o* o"e* +e !8!%o =III M7!o+o* "$!&o$e3!&)o* e $%#e" : A$!&o$e3&$ o" +e e#ee$&" AOE, &$!o+%&e$+o e #7!o+o e$ " $o#"!&)&+"+ )&e$!e.
L"* G%8"* N"&o$"e* +e A!e$&$ I$!e" +e S"%+ Se%" / Re3o+%!&)", RM N ((@-2004 VMINSA 2004W E$ "* G%8"* N"&o$"e* *e +e&$e " " AOE o#o #7!o+o +e e#ee$&" 3"" 3e)e$& %$ e#b""'o %e $o ee#3"'" " %*o o$!&$%"+o +e o!o* #7!o+o* "$!&o$e3!&)o*. E*!"bee o#o #e"$&*#o* +e "&$ %e9 " &+e " o)%"&$ b 3e)&e$e " e!&&'"&$ 3o "!e"&$ +e !"$*3o!e +e e*3e#"!o'o&+e* / )%o $o "!e" e e$+o#e!&o / + $o "!" o#o "bo!&)o /" %e $o &$!e%#3e %$ e#b""'o e&*!e$!e.
E*!"* %8"* ee#3"'"o$ " "* "$!e&oe* RM N 4(5 / : / e #7!o+o o$!&$% )&e$!e "*!" "
*e$!e$&" +e T&b%$" Co$*!&!%&o$". L" 3o*&&$ +e " O"$&'"&$ M%$+&" +e " S"%+ OMS Reo#&e$+" o#o AOE e 7&#e$ +e 1.5 # +e e)o$oe*!e, e$ %$" +o*&* $&". Se>"" o#o #e"$&*#o +e "&$ %e "* 38+o"* "$!&o$e3!&)"* +e e#ee$&" +e e)o$oe*!e "$ +e#o*!"+o 3e)e$& " o)%"&$ / $o !&e$e$ %$ ee!o +e!e!"be *obe e e$+o#e!&o e%b&#&e$!o %!e&$o o e$ o* $&)ee* +e 3oe*!eo$", %"$+o *o$ +"+"* +e*3%7* +e " o)%"&$. L"* 38+o"* "$!&o$e3!&)"* +e e#ee$&" $o *o$ ee!&)"* %$" )e' %e e 3oe*o +e "$!"&$ " o#e$'"+o / $o "%*"6$ %$ "bo!o. L" De""&$ *e b"*" e$ " e)&*&$ +e &$o e*!%+&o* 3%b&"+o* e$ o$$o!"+"* e)&*!"* #7+&"* Contraception, The Lancet / Obstetrics and Gynecology e$!e o* ">o* 2001 / 2004, "*8 o#o +o* %8"* +e " 3o3&" OMS *obe %*o +e #7!o+o* "$!&o$e3!&)o*. E*!" 11
+e""&$ ee#3"'" / o&e " " "$!e&o %8" +e A$!&o$e3&$ +e E#ee$&" +e 1? +e " #&*#" OMS, %e "+#&!8" " &3!e*&* +e ee!o e$+o#e!&" "%$%e *e>""b" %e " e)&+e$&" #7+&" $o e" o$%/e$!e. No ob*!"$!e, o* +e!"!oe* +e #7!o+o "$ #"$!e$&+o e*" &3!e*&* o#o )&e$!e e &$"#o)&be.
".) De%inición de T3rmino$ Aorto! E* " e3%*&$ +e 3o+%!o +e " o$e3&$ +e 21 *e#"$"* %#3&+"* o #e$o* +e e*!"&$, o +e #e$o* +e 500 "#o* +e 3e*o. <"/ +o* "*e* +e "bo!o*, o* $"!%"e* o e*3o$!6$eo* / o* +e&be"+"#e$!e &$+%&+o* o 3o)o"+o*.
Au$o $e?ual! Po "b%*o *e%" *e e$!&e$+e !o+" "!&)&+"+ e"&'"+" *&$ o$*e$!&#&e$!o, o$ o *&$ )&oe$&", +e %$" 3e*o$" e$e"#e$!e #"/o "&" o!" +e %"%&e e+"+, o$ e 3o3*&!o +e ob!e$e 3"e. E "b%*o *e%" e* %$ +e&!o %e e*!6 !&3&&"+o 3o " e/ #e&"$", %e *e>""9 A %e *&$ o$*e$!&#&e$!o +e %$" 3e*o$" / *&$ 3o3*&!o +e e" " " 3%" o&!o ee%!e e$ e" %$ "!o *e%", " ob&%e " ob*e)"o o " "" ee%!" +&o "!o, *e e o$+6 3&*&$. S& *e "e %*o +e )&oe$&" 8*&" o #o" " 3e$"&+"+ *e6 #"/o.
Acto $e?ual! T"#b&7$ e* o$o&+o o#o o&!o o e"&$ *e%". Se !&e$e o$ o!" 3e*o$" / e$e"#e$!e e#3&e'" o$ be*o* / "&&"* 3"" o" " e&!"&$. P%e+e +"*e " 3e$e!"&$ +e 3e$e o "$ o!o obe!o e$ e %e3o +e %$" +e "* 3e*o$"* / o#$#e$!e &$"&'" %"$+o *e 3e*e$!" e o"*#o, o$*&+e"+o o#o " #6&#" e3e*&$ +e 3"e *e%". E$ o* o#be* 3%e+e +"*e %$ o"*#o *&$ e/"%" $ee*"&"#e$!e. Actitude$!
Pe+&*3o*&-&1$ +e "-e3!"-&1$, e-5"'o o &$+&2ee$-&" 4%e #"$&2&e*!"$ o* e*!%+&"$!e* *obe
o* #7!o+o* "$!&-o$-e3!&)o*.
Anticoncepción! Co$!o +e " e%$+&+"+ 3"" e)&!" e e#b""'o. Anticoncepti(o$! So$ obe!o*, *%*!"$&"*, 3oe+&#&e$!o* %/o &$ e* e+& +e o#" !e#3o" / e)e*&be " e%$+"&$ / *e +&)&+e$ e$ $"!%"e*, #e6$&o*, %8#&o* / o#o$"e*. E&*!e$ !"#b&7$ "$!&o$e3!&)o* %&&o* %e &+e$ +e o#" +e&$&!&)" e e#b""'o / *e o$oe$ o#o o%*&$ !%b"&" b&"!e" #%ee* / )"*e!o#8" o#be*.
A$intom>tica! S&!%"&$ +o$+e " *"%+ *e )e "#e$"'"+", 3eo $o "/ +oo, $& "#b&o* e$ e %e3o %e 3e#&!"$ " " 3e*o$" &+e$!&&" %e *% *"%+ e*!6 e$ &e*o. X%e $o 3e*e$!" +oo, "#b&o o #"$&e*!"&$ +e!e!"be 3o " 3e*o$". 12
Autoe$tima! E* " "3e&"&$ %e "+" &$+&)&+%o !&e$e +e *8 #&*#o. Se +&e %e " "%!oe*!&#" e* "!" %"$+o e &$+&)&+%o *e *&e$!e "3!o / o#3e!e$!e 3"" e$e$!" "* )&&*&!%+e* +e " )&+" / %"$+o $o "/ o$&"$'" e$ *8 #&*#o *e +&e %e " "%!oe*!&#" e* b"".
Autonomía! L" e*e$&" +e " "%!o$o#8" o$*&*!e e$ " "3"&+"+ +e !o#" "* 3o3&"* +e&*&o$e* !o#"$+o e$ %e$!" o* &$!ee*e*, $ee*&+"+e* / o$)e$&e$&"* 3o3&o* "*8 o#o o* +eeo* / 3%$!o* +e )&*!" +e o* +e#6*, / "!%" e$ o$*e%e$&".
C3lula emrionaria! Se o#" %"$+o %$ e*3e#"!o'o&+e *e %$e o$ %$ )%o. A e*!e 3oe*o *e e "#" e%$+"&$. L" 7%" e&b&6 e $o#be +e e#b&$ "*!" &$e* +e !ee #e* +e e#b""'o, %"$+o *e " +e*"o"+o / !&e$e /" "3"&e$&" %#"$".
Cer(i?! E* e $o#be %e *e e +" " 3e%e>o "$" %e o#%$&" " )"&$" o$ e !eo. Ciclo Men$trual! Pe8o+o !"$*%&+o e$!e %$" / o!" #e$*!%"&$ +%"$!e e %" *e e)"$ " "bo " ee$e"&$ +e e$+o#e!&o, " #"+%"&$ +e o8%o* o)6&o*, " o)%"&$ / " o#"&$ +e %$ %e3o !eo. P%e+e !e$e %$" +%"&$ %e )"8" e$!e 2( / :4 +8"*.
Circunci$ión! E!&3"&$ +e !o+o e 3e3%&o o 3"!e +e 7. Citolo+ía! P"!e +e " b&oo8" %e e*!%+&" " " 7%". Clítori$! Pe%e>o "$o e#e$&$o *&!%"+o 3o "&b" +e #e"!o %&$"&o, e$ e 6$%o *%3e&o +e " )%)", %e !&e$e " ""!e8*!&" +e 3o$e*e ee!o +%"$!e " "*e +e e&!"&$ e$ " e"&$ *e%" / "%*" 3"e.
Coito! Re"&$ *e%" e !7#&$o +e&)" +e " 3""b" "!&$" %e *&$&&" e%$&*e. Cóitale$@ Relacione$ cóitale$! Se e&ee " "!o *e%" %e &" " 3e$e!"&$ +e 3e$e e$ " )"&$".
Concepción! Se +" %"$+o %$ )%o e%$+"+o 3o %$ e*3e#"!o'o&+e *e "$!" e$ e e$+o#e!&o. E*!o *%e+e "3o&#"+"#e$!e e$!e o* &$o / *&e!e +8"* +e*3%7* +e " e%$+"&$.
Condón o pre$er(ati(o! M7!o+o "$!&o$e3!&)o !e#3o" / +e b"e". Lo %!&&'"$ e$e"#e$!e o* o#be*, "%$%e !"#b&7$ "/ 3"" #%ee*.
1:
Conocimiento! E* %$ o$%$!o +e &+e"*, o$e3!o*, e$%$&"+o* %e 3%e+e$ *e "o*, 3e&*o*, o+e$"+o*, %$+"+o*, )"o* o &$e"!o* e$ b"*e " eo !&3&&" e o$o&#&e$!o e$ &e$!8&o / o+&$"&o o )%".
Contraccione$ uterina$! Mo)&#&e$!o* #%*%"e* &$)o%$!"&o* e$ e &$!e&o +e !eo. E*!o* 3%e+e$ *%e+e 3o +&)e*o* e*!8#%o*, 3o ee#3o " 3e*e$&" +e %$ obe!o "e$o " o"$&*#o, o#o e +&*3o*&!&)o &$!"%!e&$o.
Depre$ión! T"*!o$o +e " *"%+, ""!e&'"+o 3o " "!" +e e$!%*&"*#o, 6$&#o / o$&"$'" 3"" )&)& %e "e!" " *e %#"$o 8*&", / e#o&o$"#e$!e / %e +&*#&$%/e " )o%$!"+ 3"" *"!&*"e "* +e#"$+"* "b&!%"e* +e " )&+" +e o#" 3!&#". A!%"#e$!e *e " o#3ob"+o %e e* %$" e$e#e+"+ %e e%&ee +e !"!"#&e$!o* e*3e&"&'"+o*.
Derec2o a la con%idencialidad! E* e +eeo %e !&e$e$ o* "+oe*e$!e* " *e &$o#"+o* *obe o* #e+&o* "$!&o$e3!&)o* o " &$!e%3&$ +e e#b""'o, *&$ %e o *e3"$ *%* 3"+e*.
Derec2o$ 2umano$! Co$%$!o +e 3eo"!&)"* +eeo* / &be!"+e* %$&)e*"e*, &$"&e$"be* " o* %e $o *e 3%e+e e$%$&" e &$ee$!e* 3o3&o* " " $"!%"e'" +e " 3e*o$", %/" e"&'"&$ ee!&)" e*%!" &$+&*3e$*"be 3"" e +e*"oo &$!e" +e &$+&)&+%o.
Derec2o$ reproducti(o$! Lo* +eeo* e3o+%!&)o* o#3e$+e$ &e!o* +eeo* %#"$o* %$&)e*"#e$!e eo$o&+o* / +e*"$*"$ e$ e +eeo b6*&o " +e&+& &be, e*3o$*"be e &$o#"+" *obe e $#eo / e e*3"&"#&e$!o e$!e o* &o* / " ""$'" e #6* "!o "+o +e *"%+ *e%" / e3o+%!&)". I$%/e$ !"#b&7$ e +eeo +e !o+o* " !o#" +e&*&o$e* e"!&)"* " " e3o+%&$ &be +e +&*&#&$"&$, oe&$ / )&oe$&"
Derec2o$ $e?uale$! Se e&ee$ " " 3o*&b&&+"+ +e eee %$" o&e$!"&$ *e%" o ee& "* o#"* 3"!&%"e* e$ %e *e %&ee eee " *e%"&+"+, !e$&e$+o e$ o$*&+e"&$ " $o "e!"&$ +e " +&$&+"+ +e " 3e*o$" o +e " 3"e". E*!o* +eeo* e*!6$ "$ e$ %$ 3oe*o +e )"&+"&$ 3"" *e eo$o&+o*. S&$ e#b"o !&e$e$ *% %$+"#e$!o / "'$ +e *e e$ o* +eeo* %#"$o*.
De$arrollo 2umano! Se e&ee " eo$o&#&e$!o +e %e e&*!e$ "3"&+"+e*, o3&o$e* / e%*o* %e *o$ e*e$&"e* 3"" %e "* 3e*o$"* *e +e*"oe$ 3e$"#e$!e / 3%e+"$ +&*%!" +e %$ $&)e +e )&+" +&$o. E$!e o* "*3e!o* %e *e %!&&'"$ 3"" #e+& e +e*"oo %#"$o e*!6 " e*3e"$'" +e )&+" " $"&#&e$!o, " e+%"&$ / $&)e +e )&+".
14
De$eo! E* " 3&#e" "*e +e " e*3%e*!" *e%" %#"$", e* %"$+o *e !&e$e$ "$"* +e e3e&#e$!" / o#3"!& 3"e *e%". Ge$e"#e$!e *e &$&&" e$ " b*%e+" / "e"#&e$!o " %$" 3"e" *e%"#e$!e "!"!&)" o *e +e&+e e$o$!" *"!&*"&$ 3o #e+&o +e " #"*!%b"&$. E +e*eo *e%" 3%e+e *e e*!&#%"+o 3o " )&*!", e o"!o, e o8+o, e !"!o, e %*!o e &$%*o " &#"&$"&$ / e e%e+o.
Di$criminación! D&*&#&$" *&$&&" +&ee$&", +&*!&$%&, *e3"" %$" o*" +e o!". T"#b&7$ "e eee$&" " %$" *&!%"&$ e$ " %e %$" 3e*o$" o %3o e* !"!"+" +e o#" +e*")o"be " "%*" +e 3e%&&o*, e$e"#e$!e 3o 3e!e$ee " %$" "!eo8" *o&" +&*!&$!", o 3o%e *e 3e&b" %e 3e!e$ee, " %$ %3o 3"!&%". E$!e o!"* "!eo8"* *e e$%e$!"$ " "'", " o&e$!"&$ *e%", " e&&$, e "$o *o&oeo$#&o, " e+"+, " o$+&&$ +e "b" +e e$%" &$+8e$" / " +&*"3"&+"+.
Dole moral $e?ual! E* %$" o#" +e )"o" %$ "!o +e #"$e" +&ee$!e +e3e$+&e$+o +e *& o e"&'" %$ o#be o %$" #%e. L" +obe #o" *e%" e* #6* 3e#&*&)" 3"" o* o#be* %e 3"" "* #%ee* / %'" +e #"$e" #6* +6*!&" "* !"$*e*&o$e* " " $o#" e"* 3o e"* %e 3o o* o#be*.
;ecundación! E* " %$&$ +e )%o o$ e e*3e#"!o'o&+e o %e o&&$" %$" 7%" "#"+" &o!o. E*!e 3oe*o +%" "3o&#"+"#e$!e e$!e 24 / :( o"*.
;ecundidad! C"3"&+"+ e3o+%!o" +e %$ *e )&)&e$!e. ;emineidad! A!&!%+e*, "*o* +e "3"&e$&" / o#3o!"#&e$!o %!%"#e$!e "e3!"+o* / *o&"#e$!e "3e$+&+o* 3"" "* #%ee*.
;emini$mo! E* %$" %" *o&", 3o8!&" / !e&" e#3e$+&+" 3&#eo 3o "* #%ee* 3"" o" )&*&b&&+"+ &*!&" / e*3e!o %#"$o. E* %$" o&e$!e %#"$&*!" %e 3e!e$+e, "+e#6* +e o$*e%& +eeo* e"e* / *&#b&o* 3"" "* #%ee*, "3o/" o!"* "%*"*.
;3rtil! Se +&e +e *e )&)o "3"' +e e3o+%&*e. ;ertilidad! E* " "3"&+"+ %e !&e$e$ o* o#be* / "* #%ee* +e !e$e &o*. L"* #%ee* *o$ 7!&e* "e+e+o +e :5 ">o* +e *% )&+", e$!e " 3%be!"+ / " #e$o3"%*&" +e*+e " 3&#e" #e$*!%"&$ "*!" " !&#" / e$ e*!" e!"3" +e *% )&+" *o$ 7!&e* *o +%"$!e &e!o* +8"* "+" #e*, %"$+o e )%o #"+%o *"e +e o)"&o. L" "&+"+ +e o* )%o* )" +&*#&$%/e$+o o$o#e *e "e" " " #e$o3"%*&". 15
Ge*!"&$9 Pe&o+o %e )" +e*+e " o$e3&$ "*!" e $"&#&e$!o.
#3nero! E* e o$%$!o +e &+e"*, )"oe*, "!&!%+e*, 3"3ee*, 36!&"* / ""!e8*!&"* %!%"e* %e 3o*ee$ o* o#be* / "* #%ee* o#o 3o+%!o +e "3e$+&'"e *o&" / !&e$e$ o#o 3%$!o +e 3"!&+" e *eo b&o&o o$ e %" *e $"e.
=ematoma! A%#%"&$ +e *"$e e$ %$ !e&+o 3o o!%" +e %$ )"*o *"$%8$eo, o#$#e$!e "#"+o #oe!$.
=etero$e?ualidad! G%*!o / "!"&$ %e *&e$!e %$" 3e*o$" 3o e"&o$"*e +e #"$e" "e!&)" / e!&" o$ o!" +e *eo +&ee$!e.
=i+iene! P6!&" +e 3e*e)" " *"%+. L&e'", ")"+o, %&+"+o, "*eo, 3%&!%+. =imen! E* %$" #e#b"$" +e"+", #%/ e&be / )"8" e$ o#" / e"*!&&+"+, %e o+e" " "be!%" )"&$". L" #%e 3%e+e o $o !e$e e*!" #e#b"$". L" "!" +e 7*!" $o e* *e>" +e "be !e$&+o e"&o$e* *e%"e*. No !&e$e $&$%$" %$&$ b&o&" e$ e %e3o +e " #%e.
=ormona$! So$ *%*!"$&"* 3o+%&+"* 3o "* 6$+%"* e$+o&$"* o +e *ee&$ &$!e$", "#"+"* "*8 3o%e )&e!e$ *% 3o+%!o +&e!"#e$!e " !oe$!e *"$%8$eo e &$%/e$ / e%"$ o!"$!e* %$&o$e* b&o&"*.
=ormona del emara-o! E* %$" o#o$" %e *o *e 3o+%e +%"$!e e e#b""'o, *% $o#be &e$!8&o e* o$"+o!o3&$" o&$&" %#"$"
=ormona$ $e?uale$ %emenina$! S%*!"$&"* %8#&"* 3o+%&+"* 3&$&3"#e$!e 3o o* o)"&o* %e *e )&e!e$ +&e!"#e$!e " !oe$!e *"$%8$eo, !&e$e$ %e )e o$ " "3"&&$ +e o* ""!ee* *e%"e* *e%$+"&o* / " "3"&+"+ e3o+%!&)". L"* #6* o!"$!e* *o$ o* e*!e$o* / " 3oe*!eo$".
=o$ti+amiento $e?ual! De&!o *e%". Se +&e %e o#e!e o*!&"#&e$!o *e%" " %e "*e+&e, "o*e o *o&&!e ")oe* +e $"!%"e'" *e%" 3"" *8 o 3"" %$ !eeo o$ " "#e$"'" +e "%*" " " )8!&#" %$ #" e"&o$"+o o$ "* e3e!"!&)"* %e 3%e+e !e$e e$ e 6#b&!o +e %$" e"&$, b&e$ *e" e$!e *%3e&o e &$e&o e6%&o, e$!e &%"e* o e$ %"%&e &%$*!"$&" %e o* e"&o$e e$ e "#3o "bo", +oe$!e, +o#7*!&o o %"%&e o!o. Se "*!&" o$ 3&*&$.
Identidad! C&%$*!"$&" o eo +e *e +e &e!o #o+o / $o +e o!o, +e *e o %e *e +&e o *e o$*&+e" *e. De*+e e 3%$!o +e )&*!" +e +e*"oo b&o3*&o*o&", " b*%e+" +e " &+e$!&+"+ e* " 1(
""!e8*!&" e$!" +e " "+oe*e$&". E* e 3oe*o %e 3e#&!e " "+oe*e$!e & +e*%b&e$+o %&7$ e* / %7 e %*!", %7 3%e+e "e / 3"" %7 $o e* "3!o.
Identidad de +3nero! Se e&ee " " 3ee3&$ &$!e$" +e 3e!e$ee *"be*e $&>o o $&>" %e *e +" e$!e o* 1@ #e*e* / !e* ">o* +e e+"+, +eb&+o " +&ee$&"* +e 7$eo / $o " eo$o&#&e$!o +e "* +&ee$&"* "$"!#&"* / &*&o&"*.
I+ualdad! T"!o o#o &%"e* "$!e " e/ " !o+o* o* &%+"+"$o* o#be* / #%ee*, &$+e3e$+&e$!e#e$!e +e *%* +&ee$&"* +e "*e, 3oe*&$, *eo, e&&$, &+eoo8", e+"+ o %!%". L" &%"+"+ "$!e " e/ $o $&e" %e "/" +&ee$&"*, 3eo 7*!"* $o %*!&&"$ %$ !"!o +e*&%". I$e*!o A!&)&+"+e* *e%"e* e$!e #&e#bo* +e " #&*#" "#&&" %e +e$!o +e &e!o* 8#&!e* +e 3"e$!e*o *e o$*&+e"$ +e&!o* 3e$"e*. A!%"#e$!e " *"&+o #6* " " %' 3b&" e o$o&#&e$!o +e " )&o"&$ / "b%*o *e%" " &o* o &"* 3o 3"!e +e " &%" 3"!e$" o 3o e#"$o*.
Implantación! Se "#" "*8 " 3oe*o #e+&"$!e e %" " 7%" e%$+"+" b"*!o&*!o, e$ 3oe*o +e e&#&e$!o *e "+&ee " " 3"e+ +e !eo 3"" o$!&$%" *% "&#e$!"&$ / +e*"oo. =e &#"e$ e$ e%$+"&$.
Impotencia $e?ual! I$"3"&+"+ 3"" #"$!e$e %$" ee&$. In%eccione$ de tran$mi$ión $e?ual! I$e&o$e* %e *e !"$*#&!e$ %$+"#e$!"#e$!e, "%$%e $o +e o#" e%*&)", 3o o$!"!o *e%" "$!e* "#"+"* e$e#e+"+e* )e$7e"*.
In%ertilidad! E* " o$+&&$ +e %$ o#be / %$" #%e %e "$ &$!e$!"+o o$*o&+" %$ e#b""'o +%"$!e %$ ">o *&$ %!&&'" $&$$ #7!o+o "$!&o$e3!&)o / $o o "$ o"+o.
In$eminación arti%icial! I$!o+%&$ +e *e#e$ e$ " )"&$" o$ "/%+" +e #e+&o* "!&&&"e*. Interrupción le+al del emara-o! E* %$" o3&$ %e !&e$e " #%e +e +" !7#&$o " %$ e#b""'o e$ &e!"* o$+&&o$e* e%"+"* 3o " e/. E$ "* e$!&+"+e* e+e"!&)"* #e&"$"* $o "/ o#oe$e&+"+ e$ o %e e*3e!" " "* "%*"e* 3o "* %e e* 8&!o e"&'" " &$!e%3&$, "+e#6* +e %e "* e&*"&o$e* " e*3e!o o$!&$"$ +eb"!&7$+o*e.
Leucorrea! E* e 8%&+o o %o b"$%e&$o 3o)e$&e$!e +e " )"&$". Le(ono+e$trel! E* %$" o#o$" *&$!7!&" %e o$!o" " "!&)&+"+ +e o)"&o / +e e$+o#e!&o.
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Madure-! Co$e3!o 3*&o&o %e *e e&ee " " "e3!"&$ +e *8 #&*#o, " eo$o&#&e$!o +e "* "3"&+"+e* / &#&!"&o$e*, " " 3o*&b&&+"+ +e e*!"bee e"&o$e* o#3o#e!&+"*, +e *o%&o$" 3obe#"*, +e "!%" o$ e*3o$*"b&&+"+, +e 3"$!e"*e obe!&)o* / 3o3*&!o* 3"" " )&+".
Mamo+ra%ía! T7$&" "+&o&" 3"" e3o" "%$" "$o#"8" e$ "* #"#"* o#o +oo, *ee&$ o !%#o"&$.
Manc2ado intermen$trual! S"$"+o e)e %e 3%e+e o%& e$!e %$" #e$*!%"&$ / " *&%&e$!e. Ma$turación! A%!o-e*!&#%"&$ *e%" "3"' +e 3o+%& e&!"&$ / o"*#o, /" *e" 3o o$!"!o +&e!o o$ o* e$&!"e*, 3o oe o$!" o!o* obe!o* o 3o "!&)&+"+e* 3%"#e$!e #e$!"e* o#o " &#"&$"&$.
Matri- o 7tero! E* " ")&+"+ *&!%"+" e$ e &$!e&o +e " 3e)&* +e " #%e, "8 *e +e*"o" e e!o "*!" e #o#e$!o +e 3"!o. E*!6 o$e!"+" e$ e e!e#o *%3e&o o$ "* !o#3"* +e F"o3&o / e$ e &$e&o o$ " )"&$".
Men$truación! U$" +e "* "*e* +e &o #e$*!%" %e o$*&*!e e$ " *"&+" +e *"$e / +e e$+o#e!&o +e !eo %"$+o $o "/ e#b""'o, *% +%"&$ o*&" e$!e !e* / *&e!e +8"*, e$ " #"/o8" +e "* #%ee*. L" 3&#e" #e$*!%"&$ o #e$"" o%e e$e"#e$!e e$!e o* 10 / o* 1: ">o* +e e+"+.
M3todo$ anticoncepti(o$! So$ *%b*!"$&"*, obe!o* o 3oe+&#&e$!o* %e *e %!&&'"$ 3"" e)&!" %$ e#b""'o. A/%+"$ " "* 3e*o$"* " e%" e $#eo +e &o* %e +e*e"$, e$ e #o#e$!o #6* 3o3&&o / " +e" +e !e$eo* %"$+o "*8 o +e&+"$.
M3todo$ de arrera! So$ "%eo* #7!o+o* "$!&o$e3!&)o* %e e)&!"$ " %$&$ +e )%o / e e*3e#"!o'o&+e " &$!e3o$e %$ ob*!6%o 8*&o, o#o e* e o$+$ o e DIU. 1@
Moco cer(ical! E* %$" *%*!"$&" +e o$*&*!e$&" e*3e*" %e *e e$%e$!" e$ e 7)&, %e e* e 3e%e>o "$" %e o$e!" " )"&$" o$ e !eo.
Moco cer(ical Billin+$! E #oo e)&" *"e +e " )"&$" e$ o#" +e %&+o, *& " #%e "$"&'" +&"&"#e$!e " o$*&*!e$&" +e e*!e #oo, 3%e+e $o!" "%$"* )"&"&o$e* %e *e +"$ +%"$!e *% 3e&o+o 7!& / +e e*!" #"$e" e)&!" "* e"&o$e* *e%"e*, e*!e #7!o+o, &+e"+o 3o B&&$*, e* %$" o#" +e "$!&o$e3&$ $"!%".
Mito! Re3e*e$!"&$ +eo#"+" o &+e"&'"+" +e "%&e$ o "o %e *e o" e$ " o$&e$&" oe!&)". Po*ee )"o o#o ee#e$!o %!%" oe*&o$"$!e +e %$ %3o o *o&e+"+ / 3o *% o$!e$&+o *&#b&o. Co*" &$)e$!"+" 3o "%&e$, %e &$!e$!" "e" 3"*" 3o )e+"+.
Orientación $e?ual! Se e&ee " " o"$&'"&$ e*3e8&" +e eo!&*#o /o e )8$%o e#o&o$" +e %$ &$+&)&+%o e$ e"&$ o$ e 7$eo +e " 3"e" &$)o%"+" e$ " "!&)&+"+ *e%". L" o&e$!"&$ *e%" 3%e+e #"$&e*!"*e e$ o#" +e o#3o!"#&e$!o*, 3e$*"#&e$!o*, "$!"*8"* o +e*eo* *e%"e*, o e$ %$" o#b&$"&$ +e e*!o* ee#e$!o*.
Or+a$mo! E* e #o#e$!o %#&$"$!e +e " e*3%e*!" *e%" %#"$", +%" e*"*o* *e%$+o*, +%"$!e o* %"e* " o$e*!&$ / "* o$!"&o$e* #%*%"e* +e*"o"+"* 3o e e*!8#%o *e%" *e +e*""$ e$ o#" e3o*&)". E*!" *&!%"&$ &$)o%$!"&" *e ""$'" e$ %$ $&)e %e e3e*e$!" " &be"&$ +e #6&#o +e !e$*&$ *e%" ""$'"+".
O(ario! G6$+%" *e%" e#e$&$" e$""+" +e " 3o+%&$ +e o#o$"* e*!e$o* / 3oe*!eo$" %e e$ *% &$!e&o o$!&e$e o* )%o*.
(ulo! C7%"* e3o+%!&)"* e#e$&$"*. L"* $&>"* $"e$ o$ "3o&#"+"#e$!e 400 #& )%o* e$ o* o)"&o*, o* %"e* e#3&e'"$ " #"+%" / &be"*e %$o "+" #e*, " 3"!& +e " 3%be!"+.
Papanicolaou! E* %$ e"#e$ %e o$*&*!e e$ !o#" %$" #%e*!" +e 7%"* +e %eo +e " #"!&', 3"" +e!e!" " !&e#3o 6$e 7)&o-%!e&$o.
Parto! Poe*o #e+&"$!e e %" e e&7$ $"&+o *"e +e !eo " #%$+o e!e&o. E 3"!o $o#"#e$!e !&e$e %" e$!e "* :@ / "* 42 *e#"$"* +e e#b""'o, o$!"+"* +e*+e e !&#o 3e&o+o #e$*!%" +e " #"+e.
Placenta! "$o %e *&)e 3"" %e e %e3o +e " #"+e "&#e$!e " e!o +%"$!e " e*!"&$.
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Plani%icación %amiliar! Se +e&$e o#o " +e&*&$ o$*&e$!e / )o%$!"&" +e &$+&)&+%o o " 3"e" 3"" +e!e#&$" e $#eo +e &o* %e *e +e*e" / e e*3"&"#&e$!o e$!e eo*. P"" %e " +e&$&&$ *e %#3" " "b"&+"+ e* $ee*"&o %e " 3ob"&$ !e$" "e*o " &$o#"&$ e+%"&$ *e)&&o* 3"" e #"$eo +e " &$e!&&+"+ / #7!o+o* +e "b*!&$e$&" 3e&+&" $e%!"e* / #o+e$o* 3"" e%" *% e%$+&+"+ OPS / OMS, O"$&'"&$ M%$+&" +e " S"%+.
Poder! E3e*" " "%*e$&" +e ob*!6%o* o &$o$)e$&e$!e* 3"" e"&'" "o o " "3"&+"+ o "&&+"+ 3"" "eo. E* " %e'" 3"" +o#&$" " o!o* o eee +o#&$&o o &$%e$&" *obe o!o*.
Porno+ra%ía! Se e&ee " !o+"* "* o#"* +e #"!e&" *e%" e38&!o e$ %"%&e #e+&o +e o#%$&"&$ o e$ e "!e e*o*, &$e, &!e"!%", 3&$!%", %e e)" 8&!o %$ %&&o o$+e$"!o&o 3o "bo+" !e#"* %e *e o$*&+e"$ #6* "6 +e o* 8#&!e* +e " #o".
Pre$ión arterial! Pe*&$ %e eee " *"$e e$ *% 3"*o 3o "* "!e&"* / )e$"*. Se 3%e+e #e+& / +e "%e+o " )"o *e +e!e#&$" *& e&*!e "$ 3obe#" +e *"%+.
Pro+e$terona!
6alud reproducti(a! E* %$ e*!"+o e$e" +e b&e$e*!" 8*&o, #e$!" / *o&" / $o +e #e" "%*e$&" +e e$e#e+"+e* o +oe$&"*, e$ !o+o* o* "*3e!o* e"&o$"+o* o$ e *&*!e#" e3o+%!&)o, *%* %$&o$e* / 3oe*o*. E$ o$*e%e$&", e$!">" " "3"&+"+ +e +&*%!" +e %$" )&+" *e%" *"!&*"!o&", *&$ &e*o*, o$ &be!"+ 3"" +e&+& 3oe", %6$+o / o$ %7 e%e$&" "eo.
6ecreción (a+inal! E*!6 o#"+" 3&$&3"#e$!e 3o e #oo e)&", %e e* %$" *%*!"$&" +e oo !"$*3"e$!e / %e e$ &e!o* #o#e$!o* +e &o +e " #%e *e "e #6* o3"o / o$ %$" o$*&*!e$&" #6* e*3e*".
6e?o! C""!e8*!&"* "$"!#&"* / &*&o&"* %e +&ee$&"$ " o#be +e " #%e. 6e?i$mo! E*!6 b"*"+o e$ " *%3e#"8" *o&" +e o* )"o$e* e &" $o *o " o#3e!e$&" o$ o!o* o#be*, *&$o !"#b&7$ " +&*&#&$"&$ / " "e*&$ %$"* )ee* b%!", o!"* *%!& o$!" "* #%ee*. No e* e%*&)o +e o* o#be*, /" %e #%"* #%ee* o 3"!&"$ / o e3o+%e$.
6e?o $e+uro! Se e&ee " "* 36!&"* *e%"e* e$ "* %e $o "/ &$!e"#b&o +e %&+o* 3o)e$&e$!e* +e " )"&$" o e 3e$e, !"e* o#o o* be*o*, "b"'o* / o!"#&e$!o* +e %e3o. 20
6e?olo+ía! C&e$&" %e "bo+" e e*!%+&o +e " *e%"&+"+. E$ 7*!" 3"!&&3"$ "$ $#eo +e +&*&3&$"* / e*3e&"&+"+e* #7+&"* / %#"$8*!&"*.
6e?ualidad! M"$&e*!"&o$e* b&o&"*, 3*&o&"* / *o&"e* +e *e o#be / +e *e #%e. 6índrome! Co$%$!o +e *8$!o#"* %e ""!e&'"$ " %$" e$e#e+"+. 6íntoma! A!e"&$ +e o"$&*#o %e e)e" " e&*!e$&" +e "%$" e$e#e+"+ / *&)e 3"" +e!e#&$" *% $"!%"e'".
Tolerancia! E* e eo$o&#&e$!o +e +eeo " " e3e*&$ +e $%e*!"* &+e"*, / " " )e' e eo$o&#&e$!o / "e3!"&$ +e o* %e 3&e$*"$ +&*!&$!o / !&e$e$ &$!ee*e* +&)e*o* " o* $%e*!o*. E* " 3o*&b&&+"+ +e oe&*!e$&" 3"8&" e$!e +&*!&$!"* 3o*&&o$e* &$!ee!%"e*, e&&o*"*, %!%"e*, 3o8!&"* / *e%"e*.
Trompa$ de ;alopio! Co$+%!o %e *e e!&e$+e +e*+e e !eo " o)"&o. L" !o#3" +e F"o3&o !"$*3o!" o* )%o* / e* e %" +o$+e *e 3o+%e " e%$+"&$.
tero o matri-! "$o %eo, e$ o#" +e 3e", +e$!o +e %" *e +e*"o" e beb7. 5retriti$ a$intom>tica! I$"#"&$ +e " %e!" %e $o 3o+%e +oo o #"e*!" "%$o o %e " 3e*o$" %e " 3"+ee 3%e+" &+e$!&&".
a+ina! Co$+%!o #%*%" %e o#" 3"!e +e "3""!o e3o+%!o e#e$&$o / %e o#%$&" e 7)& %eo +e !eo o$ o* e$&!"e* e!e$o*.
alore$! <"e$ eee$&" " +ebe *e. Lo* )"oe* *o$ %8"* %e o&e$!"$ " o$+%!" +e o* *ee* %#"$o*. U$ "o eo$o&#&e$!o +e eo* o$!&b%/e " !o#" +e&*&o$e* o$%e$!e* o$ o %e *e 3&e$*" / *e ee. Lo* )"oe* +e %$ &$+&)&+%o ee"$ o* )"oe* +o#&$"$!e* +e %$" *o&e+"+.
ida $e?ual acti(a! Se o$*&+e" e 3e&o+o o$!&$%o o +&*o$!&$%o +%"$!e e %" "* 3e*o$"* #"$!&e$e$ e"&o$e* *e%"e* o&!"e* o$ %$" o #6* 3"e"* *e%"e*.
iolación! De&!o *e%".- O%e %"$+o %$" 3e*o$", #e+&"$!e " %e'", ob&" " o!" " !e$e e"&o$e* *e%"e* o$ 3e$e!"&$ 3o )8" )"&$", "$" % o", &$+e3e$+&e$!e#e$!e +e *eo +e "#b"*. Se "*!&" o$ 3&*&$.
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iolencia intra%amiliar! So$ o* "b%*o* %e *e +"$ +e$!o +e " "#&&" 3o "%eo* %e *o$ "3"e* +e eee e 3o+e. A%$o* ee#3o* *o$9 +e 3"+e "&" " #"+e / o* &o*, +e " #"+e "&" o* &o*, e$!e o* &o*, o +e o* &o* "&" o* 3"+e*, *obe !o+o *& e*!o* *o$ "$&"$o* o !&e$e$ "%$" +&*"3"&+"+.
iru$! M&oo"$&*#o %e 3%e+e "%*" &$e&o$e* / 3"" *obe)&)& $ee*&!" e*!" +e$!o +e %$" 7%" )&)". A%$"* +e "* e$e#e+"+e* 3o+%&+"* 3o )&%* *o$ e *""#3&$, e3"!&!&*, &3e, *&+", e!.
ul(a! P"!e e!e$" / )&*&be +e o* e$&!"e* e#e$&$o*. L" )%)" e*!6 o#"+" 3o e 8!o&* / o* "b&o* )%)"e* +o* 3"e* +e 3&e%e* %!6$eo*.
"., =ipóte$i$! #eneral * E$pecí%ica$. E o$o&#&e$!o *obe o* "$!&o$e3!&)o* o"e* +e e#ee$&" &$%/e e$ " )&+" +e "* !"b""+o"* +e " e#3e*" GEA Pe, +e 3e&o+o 2014 - 2015
ariale$9 •
ariale Independiente! Conocimiento $ore lo$ anticoncepti(o$ orale$ de emer+encia. So$ #7!o+o* %e "/%+"$ " e)&!" %$ e#b""'o $o +e*e"+o, / %e 3%e+e$ *e ee&+o* +e #"$e" )o%$!"&" 3o "* #%ee* e$ e Pe, "!%"#e$!e e 3oo o$o&#&e$!o +e e*!e "$!&o$e3!&)o e$e" #%o* e#b""'o* $o +e*e"+o* / o$ eo *e "e!"$ 3o/e!o* +e )&+" %e " #%ee* / 3"e"* e$ *& 3%e+e$ +e*"o" e$ *%* )&+"*.
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ariale Dependiente! ida de la$ traa'adora$ de la empre$a #EA Per7. L" 3"$&&"&$ +e "* !"b""+o"* +e GEA Pe, e$e"$ %$" o!"$!8*&#" +e&*&$ e$ *%* )&+"*, " !e$e o$o&#&e$!o +e #o %&+"*e 3"" $o e$e" %$ e#b""'o $o +e*e"+o, eo " "!"+o e$ "* !"b""+o"* +e GEA Pe 3"" o$ *%* obe!&)o* +e )&+".
=IPOTE6I6 E6PEC;ICA6! " Lo* "$!&o$e3!&)o* o"e* +e e#ee$&", o#3o#e!e " 3"$&&"&$ +e *%* obe!&)o* +e )&+" +e "* !"b""+o"* +e " e#3e*" GEA Pe. b Lo* "$!&o$e3!&)o* o"e* +e e#ee$&" "e!" e$ " eo$o#8" +e "* !"b""+o"* +e " e#3e*" GEA Pe. 22
Lo* "$!&o$e3!&)o* o"e* +e e#ee$&" "!" e$ e +e*e#3e>o / 3o+%!&)&+"+ +e "* !"b""+o"* +e " e#3e*" GEA Pe.
".0 ariale$! Dimen$ione$ e Indicadore$ ariale$! Anticoncepti(o$ Orale$! U$ "$!&o$e3!&)o o" ACO e* %$ #e+&"#e$!o "$!&o$e3!&)o !o#"+o )8" o" o$ e 3o3*&!o +e e)&!" e e#b""'o. L" "$!&o$e3&$ o#o$" *o$ *%*!"$&"* %e "!"$ o#o *& %e"$ e*!e$o* / 3oe*!6e$o*.
Emer+encia! U$" e#ee$&" e* %$" "!e$&$ +e o#" %e$!e / !o!"#e$!e e)&*!", /" *e" 3o "%*" +e "&+e$!e o *%e*o &$e*3e"+o.
Conocimiento! E o$o&#&e$!o e* %$ o$%$!o +e &$o#"&$ "#"e$"+" #e+&"$!e " e3e&e$&" o e "3e$+&'"e " 3o*!e&o&, o " !")7* +e " &$!o*3e&$ " 3&o&. E$ e *e$!&+o #6* "#3&o +e !7#&$o, *e !"!" +e " 3o*e*&$ +e #!&3e* +"!o* &$!ee"&o$"+o* %e, " *e !o#"+o* 3o *8 *oo*, 3o*ee$ %$ #e$o )"o %"&!"!&)o.
ida! E* " "3"&+"+ +e $"e, ee, e3o+%&*e / #o&. E$ e*!e *e$!&+o, " )&+" e* "%eo %e +&*!&$%e " o#be*, "$&#"e* / 3"$!"*. L" )&+" !"#b&7$ e* e e*!"+o +e "!&)&+"+ +e o* *ee* o6$&o* / " %e'" &$!e$" %e 3e#&!e ob" " "%e %e " 3o*ee. O!" o#" +e &$!e3e!" " )&+" e*!6 )&$%"+" " " "3"&+"+ +e %$ *e 8*&o +e "+#&$&*!" *%* e%*o* &$!e$o* 3"" "+"3!"*e " o* "#b&o* %e *e 3o+%e$ e$ *% #e+&o.
Traa'ador! E* " 3e*o$" 8*&" %e o$ " e+"+ e" #8$&#" 3e*!" *%* *e)&&o* e!&b%&+o* *%bo+&$"+o* " o!" 3e*o$", " %$" e#3e*" o &$*!&!%&$
Dimen$ione$! Comportamiento de la traa'adora$ de #EA Per7! Se " e)"%"+o o#o *e #o+&&" e o#3o!"#&e$!o / "* "!&!%+e* +e "* !"b""+o"* +e GE.A Pe, / o$ "$ o$&e$!&'"+o " #"$e" #"* oe!" +e 3o+e %&+"*e " "!e$+e*e o$ %$ "$!&o$e3!&)o.
Calidad de ida de la$ %amilia$ de la$ traa'adora$ de #EA Per7! L" "&+"+ +e )&+"+ *e #"$&&e*!" #%o #"* 3"$&&"+" e$ "* !"b""+o"* +e GEA Pe, " !e$e %$" )&+" #"* o"$&'"+" o$ *%* 3"e"* / "#&&"* %e !e#&$"$ !e$&e$+o %$ "!o +&e!o o$ eo.
Indicadore$8 $e medir>n en a$e a e$to$ indicadore$! Producti(idad! 2:
E* " e"&$ e$!e " "$!&+"+ +e 3o+%!o* ob!e$&+" 3o %$ *&*!e#" 3o+%!&)o / o* e%*o* %!&&'"+o* 3"" ob!e$e +&" 3o+%&$.
Rotación! 6e e&ee " " *"&+" +e !"b""+oe* +e " o"$&'"&$ 3o +&ee$!e* #o!&)o*, /" *e" 3o e$%$&"* o +e*3&+o* / e*o* 3%e*!o* +e !"b"o *e6$ o%3"+o* 3o +&ee$!e* 3e*o$"* e$ %$ &$!e)"o +e !&e#3o +e!e#&$"+o.
E%iciencia! E* " Z"3"&+"+ +e +&*3o$e +e "%&e$ o +e "o 3"" o$*e%& %$ ee!o +e!e#&$"+o E%icacia! E* " "3"&+"+ +e o" %$ ee!o +e*e"+o, e*3e"+o o "$e"+o.
Capítulo & METODOLO#IA
&.1. Tipo de E$tudio E*!%+&o +e !&3o +e*&3!&)o, 3o*3e!&)o +e o!e !"$*)e*". De*&3!&)o 3o%e e 3o3*&!o %e #e+& e "+o +e e"&$ %e e&*!e e$!e "* +o* )"&"be*.T"$*)e*" 3o%e e 3o3*&!o %e +e*&b& )"&"be* / "$"&'" *% &$&+e$&" e &$!ee"&$ e$ %$ #o#e$!o +"+o / 3o*3e!&)o 3o +e!e#&$" e"&o$e* e$!e )"&"be* *e$ *% o%e$&" +e o* e$#e$o*.
&.". Di$e4o de la In(e$ti+ación E +&*e>o +e " &$)e*!&"&$ $o e3e&#e$!" /" %e $o *e #"$&3%"", " )"&"be &$+e3e$+&e$!e / *e ob*e)""$ o* e*%!"+o* !" / o#o *e 3e*e$!"o$.
&.&. Polación o 5ni(er$o L" 3ob"&$ +e e*!%+&o e*!%)o o$*!&!%8+" 3o ::5 T"b""+o"* +e *e%"&+"+ e#e$&$" +e " e#3e*" GEA Pe e$ " &%+"+ +e L&#", o#3ee$+&+"* e$ e 3e&o+o +e ">o 2014.
&.). 5nidad de An>li$i$ * Mue$tra &.).1. 5nidad de an>li$i$! E*!%)o o$*!&!%&+o 3o "+" T"b""+o" +e Seo, e#e$&$o +e " e#3e*" Ge" Pe%.
&.).". Mue$tra! E !&3o +e #%e*!eo *e6 $o 3ob"b&8*!&o o +&&&+o 3o o$)e$&e$&" o$*!&!%&+o 3o e 100H +e %$&)e*o ::5 T"b""+o"* +e *eo e#e$&$o +e " e#3e*" Ge" Pe% " o* %"e* *e e "3&"" e 24
%e*!&o$"&o +e 3e%$!"* *obe o$o&#&e$!o* e o!"$&" %e eee e$ *%* )&+"*, e "$!&o$e3!&)o o" +e e#ee$&" o 38+o" +e +8" *&%&e$!e *e !%)o e$ %e$!" o* &!e&o* +e &$%*&$ / e%*&$.
Criterio$ de Inclu$ion! T"b""+o"* o$ "$!&[e+"+ +e ( #e*e* e$ " e#3e*" Ge" Pe%. Se%"&+"+ Fe#e$&$". De %"%&e "$o +e e+"+ Lo* %e "e3!"o$ 3"!&&3" e$ e e*!%+&o • • •
Criterio$ de e?clu$ión! •
T"b""+o"* e$ 3e&o+o +e 3%eb", o e$ 36!&"* 3oe*&o$"e*. Lo* %e $o "e3!"o$ 3"!&&3" e$ e e*!%+&o / e*"$ o$!e*!" " " e$%e*!".
&.,. In$trumento$ de Recopilación de Dato$. P"" eo3&" +"!o* +e e*!%+&o *e %!&&'"" %$ %e*!&o$"&o +e 3e%$!"* e %" *e6 e"bo"+o +e "%e+o " o* obe!&)o* +e e*!%+&o *e$ e +e!"e *&%&e$!e9 D"!o* e$e"e* +e " !"b""+o" I Se&$9 Co$o&#&e$!o* *obe e #7!o+o AOE ( 3e%$!"* II Se&$9 A!&!%+e* *obe e #7!o+o AOE : 3e%$!"* P"" o* )"o" e $&)e +e o$o&#&e$!o *e !o#"" %$ !&3o +e e*"", !e$&e$+o e$ %e$!" o *&%&e$!e9 Co$o&#&e$!o "!o9
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Co$o&#&e$!o #e+&o9 +e :-4 3%$!o* Co$o&#&e$!o b"o9 +e 0-2 3%$!o* E &$*!%#e$!o +e eoe&$ +e +"!o* *e6 *o#e!&+o " " 3%eb" +e %&&o +e e3e!o* 3"" *% )"&+"&$ +e o$!e$&+o, 3"" eo *e o$*%!"" " %$ Ob*!e!", %$ M7+&o / %$ e*!"+8*!&o, %/"* 3%$!%"&o$e* +e o* 8!e#* *e oe"&o$"o$ e$!e *8 #e+&"$!e " "3&"&$ +e %$" P%eb" +e o$o+"$&", o$ e obe!&)o +e +e#o*!" *% )"&+e' / %eo +e +e*"o" " 3%eb" 3&o!o " 10H +e " #%e*!", *e 3oe+e6 " 6%o +e " o$&"b&&+"+ +e &$*!%#e$!o.
&.0. An>li$i$ E$tadí$tico e Interpretación de la In%ormación. U$" )e' eoe!"+o o* +"!o* *e 3oe+e6 " " o+&&"&$ +e " &$o#"&$, +&&!"&'"+" e$ o#" #"$%" / o#3%!"&'"+", " oe&$ / e)&*&$ +e o* +"!o*, &$%/e$+o " !"b%"&$ +e o* +"!o*, #e+&"$!e %$ Po"#" E*!"+8*!&o SPSS. =e*&$ 22.0 " 3%eb" e*!"+8*!&" " %!&&'" *e6 " 3%eb" +e &$+e3e$+e$&" +e C&-%"+"+o, o$ %$ $&)e +e *&$&&"&$ +e 5H )"o 3 0,05. 25
Capítulo ) A6PECTO6 ADMINI6TRATIO6 L" e#3e*" GEA Pe *e +e*"o" " !")e* +e *% 6e" +e Re%*o* <%#"$o* "* *&%&e$!e* 3o8!&"* +e*"o"+"* b"o %$" *e&e +e e"*, 3oe+&#&e$!o* / &$e"#&e$!o* %e &e$ "* &$!e"&o$e* +e " o#3">8" o$ *%* e#3e"+o*. Se +e*3e$+e$ +e 3"$ e*!"!7&o e$e" +e " e#3e*" GEA Pe / *o$ %*%"#e$!e +e*"o"+"* o$ " 3"!&&3"&$ +e o* #"$+o* #e+&o* / o!o* e#3e"+o*. E +&e!o o e +e3"!"#e$!o +e e%*o* %#"$o* e* e*3o$*"be 3o " o#3&"&$, e #"$!e$&#&e$!o / " "+#&$&*!"&$ +e "* 3o8!&"* +e e%*o* %#"$o* +e e*!" o"$&'"&$, 3"" "!e$+e +&)e*o* !e#"* / 3obe#6!&"* +e o* !"b""+oe* +e$!o +e "* %"e* e*!" LA ANTICONCEPCION ORAL DE EMERGENCIA Y EL DESARROLLO PROFESIONAL DE LAS TRABAJADORAS DE LA EMPRESA GEA PERU.
MATRI DE CON6I6TENCIA
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