Fluxos de atendimento em um centro obstétrico frente à pandemia da covid-19: relato de experiência/Flows of care in an obstetric center in the face of the covid-19 pandemic: experience report

Abstract

Objetivo: relatar o desenvolvimento e implementação de fluxos para atendimento de gestantes com suspeita ou confirmação de COVID-19 no Centro Obstétrico de um hospital público. Método: estudo descritivo, do tipo relato de experiência, realizado em um hospital público de Porto Alegre/RS, referência para atendimento de gestantes com COVID-19. Resultados: descreveram-se fluxos para atendimento à gestante com suspeita ou confirmação de COVID-19 nas seguintes situações: acolhimento e classificação de risco em obstetrícia; indução e/ou trabalho de parto ativo; e cirurgia cesariana. A aplicação dos fluxos descritos possibilitou a organização assistencial e contribuiu para a investigação e diagnóstico precoce de COVID-19, bem como para o controle da transmissão dessa doença em ambiente hospitalar. Considerações finais: a elaboração de fluxos para atendimento de gestantes, no contexto da pandemia de COVID-19, é demanda primordial para os serviços de saúde, a fim de organizar e qualificar a assistência, promovendo práticas baseadas em evidências científicas e evitando intervenções e restrições desnecessárias.

Perceptions and feelings of pregnant women undergoing outpatient follow-up for toxoplasmosis

“…Since the pre-pandemic period, prenatal care had already been difficult for pregnant women to adhere to and, in the face of COVID-19, this scenario has worsened 23 . In view of this, it is of great importance to institute actions aimed at adherence to care, especially in the group of pregnant women, given the relevance of this strategy for the prevention, detection and treatment of health conditions that affect the dyad.…”

Impact of covid-19 pandemic on pregnant women and nursing mothers: integrative review

“…25,28,29 Prenatal care was also impacted by a reduction in the number of pregnant women seen, a reduction in the number of appointments and many reported that when they were seen, they were not allowed to be with a companion, in order to avoid crowding and the spread of the virus, and collective and group appointments had to be suspended. 26,[30][31][32][33] The absence of pregnant women's groups limits the process of health education that can be positive in terms of preparation and empowerment about pregnancy, childbirth and breastfeeding, which has a direct impact on the well-being of these mothers, as well as on the care of their newborn, leaving them more alone to face this moment. 34 In this sense, there is a gap involving the lack of these collective groups, which have a direct influence on pregnant women coping with their current pregnancy.…”