BIRTH CONTROL AND MATERNAL MENTAL DISABILITIES FROM THE PERSPECTIVE OF FAMILY AND COMMUNITY MEDICINE

Introduction:In this poster we will explain the birth control made ​​from a holistic approach , developing interventions in individual and family follow-up of a patient with moderate intellectual disabilities , illiterate , with little family support and high economic vulnerability in Montevideo, Uruguay in 2012. Method: The chosen methodology is the development of a commented and comprehensive clinic history from de perspective of family and community medicine. Objective: Reflect the importance of the four attributes defined by Barbara Starfield for Primary Care through the care provided to the family : the first contact , longitudinality , integrality and coordination. Results: Primary Care in this case acted effectively implementing it's accessibility and acting as a gateway to the system. Longitudinality was achieved in active efforts requiring attention by the health team to achieve and strengthen the doctor- patient relationship. A comprehensive approach was achieved understanding the biological, social and psychological components as inseparable in the health disease process. The fragmentation of the health system and the difficulties this entails in coordination was also evident. Conclusions: The challenges involving birth control and monitoring a patient with intellectual disabilities in situations of high vulnerability social and familiar highlight the strengths and weaknesses of the health system in terms of the attributes that Primary Care must have and the importance of the family and community doctor including an approach to mitigate the weaknesses and enhance quality care taking.