Os impactos da COVID-19 no atendimento do pré-natal e puerpério em uma Unidade Básica de Saúde

Abstract

Evaluate the repercussions of the COVID-19 pandemic in an approach to prenatal and postpartum care in a Basic Health Unit. It is about a crosssectional, prospective and observational study of an analytical-descriptive nature with a quantitative approach, that will be carried out at the Paulo Frota Health Unit, located in the neighborhood of Cidade Nova II, in the municipality of Ananindeua, in the region metropolitan of Belém. Of the 46 patients evaluated in the first prenatal period, 12 were also evaluated in the puerperium, while of the 53 patients evaluated in the pandemic period, 10 were also evaluated in the puerperium. It was noted that both in the pre-pandemic period and during the period, the number of people without continuity in puerperal care was high, but with no significant difference between the periods 2017-2019 and 2020-2022. It was observed that both in the pre-pandemic period and during it, the number of patients without continuity in puerperal care was high. As for the age group, the most frequent age was 18 to 25 years, followed by stable union as the most prevalent family situation and having high school as the most observed education. In addition, regarding gestational planning, there was an increase in unplanned pregnancies when the two periods are compared. Regarding the verification of vaccination against Covid-19, a low adherence of these pregnant women was noticed. In reference of regard to multidisciplinary assessment, dentistry and nutrition were the ones with the highest prevalence of referrals. Therefore, despite the great impact of the Covid-19 pandemic, this work showed an immense fragility that already exists in the clinical follow-up of these women, being of fundamental importance and social relevance the adequacy and maintenance of a follow-up within the standards recommended by the various protocols and recommendations from Ministry of Health and Brazilian Federation of Gynecology and Obstetrics.