title: [Implications of chilean legal framework in teen pregnancy prevention: conflict and insecurity in health professionals].
abstract: BACKGROUND
  Teenage pregnancy is a psychosocial and multifactorial problem described as a lack of exercise of rights in sexual and reproductive health. There are important aspects in the doctor-patient relationship and confidentiality that directly affect the continuity and quality of care. There are controversies in the laws relating to the provision of contraception and confidentiality, and those that protect the sexual indemnity, especially in adolescents under 14 years.
  
  
  OBJECTIVE
  To describe the implications of the legal framework for professional midwives in the care of adolescents younger than 14 years in sexual and reproductive health.
  
  
  METHODS
  In-depth interviews were conducted to 13 female and 2 male midwives working at Primary Health Care Centers in the Metropolitan Region.
  
  
  RESULTS
  The attention of adolescents younger than 14 years in sexual and reproductive health involves medical-legal issues for health professionals. All professionals recognize that mandatory reporting sexual activity is a complex situation. All professionals notify pregnancies. In relation to the delivery of contraception, clinical care is problematic since professionals should take shelter from a legal standpoint.
  
  
  CONCLUSIONS
  The medical-legal context of pregnant women under 14 years of age care generates a context of uncertainty and fear for professionals and becomes a source of conflict and insecurity in the exercise of the profession.
authors.affiliation: Centro de Medicina Reproductiva y Desarrollo Integral del Adolescente, Facultad de Medicina, Universidad de Chile, Santiago, Chile, cluttges@med.uchile.cl.
authors.forename: Carolina
authors.initials: C
authors.lastname: Luttges D
authors.affiliation: Centro de Medicina Reproductiva y Desarrollo Integral del Adolescente, Facultad de Medicina, Universidad de Chile, Santiago, Chile, cluttges@med.uchile.cl.
authors.forename: Carolina
authors.initials: C
authors.lastname: Leyton M
authors.affiliation: Centro de Medicina Reproductiva y Desarrollo Integral del Adolescente, Facultad de Medicina, Universidad de Chile, Santiago, Chile, cluttges@med.uchile.cl.
authors.forename: Ingrid
authors.initials: I
authors.lastname: Leal F
authors.affiliation: Departamento de Medicina Legal, Facultad de Medicina, Universidad de Chile, Santiago, Chile.
authors.forename: Paulina
authors.initials: P
authors.lastname: Troncoso E
authors.affiliation: Centro de Medicina Reproductiva y Desarrollo Integral del Adolescente, Facultad de Medicina, Universidad de Chile, Santiago, Chile, cluttges@med.uchile.cl.
authors.forename: Temístocles
authors.initials: T
authors.lastname: Molina G
mesh_terms: D000293:Adolescent; D000328:Adult; D002677:Chile; D003219:Confidentiality; D005260:Female; D006801:Humans; D007407:Interviews as Topic; D007883:Legislation, Medical; D008297:Male; D008875:Middle Aged; D008880:Midwifery / Q000331:legislation & jurisprudence*; D011247:Pregnancy; D011253:Pregnancy in Adolescence / Q000517:prevention & control*; D011320:Primary Health Care / Q000331:legislation & jurisprudence; D011369:Professional-Patient Relations; D036301:Qualitative Research; D060728:Reproductive Health / Q000193:education / Q000331:legislation & jurisprudence*; D011795:Surveys and Questionnaires