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But the new one defines marriage as a union between "two natural persons," acknowledging same-sex marriage. It also cuts back on some of the laws that made circumstances around divorces, wills and inheritances a traumatic experience for many families in Puerto Rico, Garay said. Among the new changes: Couples getting divorces no longer have mwrried justify their decisions in front of judges, and inheritors are not responsible for the debts or obligations of those who died.

Related News Puerto Rico mayors work to fight coronavirus with few tests available But when it comes to unmarried couples, the new code has no legal framework to provide rights, Serrano said, "at a time when less couples decide to get married. The code only "contemplates some scenarios of surrogacy motherhood," said Lamas, adding that "it doesn't take artificial insemination into consideration or other types of alternate reproduction.

Garay pointed out that this is the first time Puerto Rico has a say in determining some of its basic rights, because the old civil code was largely imposed when the island was a Spanish colony. Questions about timing Throughout the years, proposed amendments to the code were occasionally put up for public comments, Garay said.

But in May, amid the coronavirus pandemic, the Puerto Rican Senate approved the latest version and added about 60 last-minute amendments foortaleza holding a public hearing. Critics saw the move as a way for lawmakers to avoid pushback, and they raised concerns over unforeseen loopholes.

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Senate President Thomas Rivera Schatz tweeted last week that the code "fully guarantees the recognized rights of women, the gay community and other sectors of the population," echoing some of the governor's remarks. This includes "the ways in which we marry, divorce, legally deem a person as disabled and the relationships between debtors and creditors," among other things, Lamas said.

At the same times, this is happening "in the midst of a pandemic, when people are seeking to reintegrate into society under a new normal, and in an election year. Garay pointed out that seekint long as the new code doesn't go into effect, " the code that still says that marriage is between a man and a woman " will remain valid.

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Of the 16 couples accompanied with womem of infertility, nine managed to pregnancy and three babies were born. Usually, the couples can achieve pregnancy after two years after the adoption of the method. Some had already been forwarded to banks of semen and in vitro fertilization, but managed to get pregnant by using the natural method8. The population consisted of nurses of the FHS and the probabilistic sample was generated on the basis of the formula for calculating with finite populations, corresponding to nurses.

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The data was collected through a structured interview, held in a private place and on occasion scheduled, so as not to interfere in the activities of nurses. To assess the knowledge of nurses on the concept of infertility, the actions to be offered in primary care in the area, as well as the application of them, Likert scales were used. The scale for the assessment of knowledge about the concept of infertility consisted of three items taken on the basis of the concept of the World Health Organization WHO 2.

They corresponded to: the inability of a couple to achieve the conception or lead a conception the term weight 1 ; after a year or more of regular sexual relations weight 2 ; and without use of conception technology weight 1so that if the nurses did not mentioning any of the conditions, your knowledge would be evaluated as none ; citing at least one of the conditions, except the second, limited knowledge ; quoting two of the conditions, except for the second, or just want to mention the second, moderate knowledge; quoting two of the conditions, always contemplating the Second, substantial knowledge ; and citing the three conditions, extensive knowledge.

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The evaluation of knowledge and practice about the actions for infertile couples consisted of four items, as recommended by the Decree no. With regard to knowledge, when the nurse did not mention any of the actions, their knowledge was rated seekinh none, to name at least one of marfied actions, limited knowledge; citing two actions, moderate knowledge; citing three of actions, substantial knowledge; and citing all actions, extensive knowledge. In the same way, when the nurses did not mention any of the actions, their practice was assessed as inadequate ; to quote one of the actions, slightly adequate; quoting two of the actions, moderately adequate; citing three shares, substantially adequate ; and citing all the actions, completely adequate.

The fottaleza requirements and standards of research in human beings we met, presented in Resolution no.

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The participants ed the consent form, agreeing to voluntarily participate in the study. The age ranged between 25 and 53 years, with an average of The time of graduation ranged from 2 to 30 years, with an average of The length of time working in FP ranged from less than one to 23 years, with an average of 9. Therefore, the seekihg included young nurses, thus recent graduates, and older nurses. This condition is common in the composition of the FHS teams, for which converge fortakeza graduated professionals and even professionals at the end of their career, which give preference to a life more hinterlands, far from large urban centers.

The time of graduation between 2 and 30 years corroborates the aspect of age, covering seekong less and more experienced. The length of time working in FP also corroborates the ages of nurses and the time of graduation, as it brought together nurses with less than 1 to 23 years working in their field.

Other universities outside the State formed 11 6. Knowledge of nurses on infertility Of the 15 fortalesa who did not mention the item 1, one reported that infertility was the presence of hormonal deficiency of the couple, however, it is known that the infertility is not just a consequence of the absence or low hormone production, but a of factors such as: endometriosis, cervical infections, varicocele, and antibodies production against sperm, among others.

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The other 14 reported that infertility was only because of the women, as shown in Table 1. In this respect, it is said that when it comes to infertility, there is a great impact on the woman's identity, since femininity is, generally, associated with motherhood Of the Others, 2 1.

See Table 1. For conception wimen occur, the couple should not be using contraceptives CMbecause by using them, the chances of pregnancy are reduced, varying according to the effectiveness and suitability of the chosen CM of use. Disregarding this criteria in the concept of infertility, as was done by Another aspect to be highlighted is the lasting effect of injectable contraceptive exclusively with progestin after suspension of the use, which can reach up to four months The level of knowledge of nurses on the concept of infertility ranged between none and extensive, predominantly the of nurses with limited knowledge, ing for It is noteworthy that 34 Regarding knowledge about the types of infertility primary and secondary2 1.

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The level of knowledge and practical suitability of nurses on the actions which can be carried out in primary care, in accordance with what is established in Decree no. The fertile period corresponds to the period in which the conception is possible, i.

For identification, the health professional must resort to methods of fertility awareness-based FABwhich are techniques of self-observation for s and symptoms of fertility that occur in the female body during the menstrual cycle: basal body temperature, or Billings cervical mucus and Ogino-Knaus or rhythm However, such clarification was not of professional knowledge, since 49 See Table 2. The fertile period prescribed is the right time for intercourse in pregnancy and can be realized by means of FAB It is established that the primary care team should explain to patients about practices that hinder the conceptions, such as the use of lubricants or post coital vaginal douches However, only 3 1.

In addition, various styles of life have a negative impact on fertility, and may be aggravated when added to advanced age. Through educational activities, the professionals who work in the FHS must promote healthy lifestyles, encouraging the abandonment of practices detrimental to conception Item 4 has been referred to, by It discusses the need to know how to refer a patient complaining of infertility for a service of greater complexity, would be based on the knowledge about the parameters in which this routing should be performed?

The study did not investigate this aspect, and also did not assess whether patients were referred through the Regulation Center or informally, which was recognized as limitations to be overcome in future studies. The level of knowledge of nurses on the actions that should be undertaken in primary care focused on infertility also varied between none and extensive, with predominance of the of nurses with limited knowledge, corresponding to Only 1 0.

Research conducted in seven cities in Turkey showed an inferior result to that found in this study, since the participating physicians,

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