Flows of care in an obstetric center in the face of the covid-19 pandemic: experience report
experience report
Abstract
Objective: to report the development and implementation of flows to care for pregnant women with suspected or confirmed COVID-19 at the Obstetric Center of a public hospital. Method: a descriptive study, of the experience report type, carried out in a public hospital in Porto Alegre/RS, a reference for the care of pregnant women with COVID-19. Results: flows to care for pregnant women with suspected or confirmed COVID-19 were described in the following situations: reception and risk classification in obstetrics; induction and/or active childbirth; and cesarean surgery. The application of the described flows made it possible to organize assistance and contributed to the investigation and early diagnosis of COVID-19, as well as to control the transmission of this disease in a hospital environment. Final considerations: the elaboration of flows for the care of pregnant women, in the context of the COVID-19 pandemic, is a primary demand for health services, in order to organize and qualify the assistance, promoting practices based on scientific evidence and avoiding unnecessary interventions and restrictions.
Downloads
References
World Health Organization (WHO). Origin of SARS-CoV-2 [Internet]. Geneva; 2020 [citado 2020 set 14]. Disponível em: https://apps.who.int/iris/bitstream/handle/10665/332197/WHO-2019-nCoV-FAQ-Virus_origin-2020.1-eng.pdf
World Health Organization [Internet]. Geneva: WHO; 2020- [atualizado 2020 set 14, citado 2020 set 14]. Coronavirus Disease in Brazil. Disponível em: https://covid19.who.int/region/amro/country/br
Rio Grande do Sul. Secretaria da Saúde do Estado do Rio Grande do Sul. Painel Coronavírus RS [on line]. 2020 jan. [citado 2021 jan 30]. Disponível em: https://ti.saude.rs.gov.br/covid19/
Nakamura-Pereira M, Amorim MM, Pacagnella RC, Takemoto ML, Penso FC, Rezende-Filho J, et al. COVID-19 e morte materna no Brasil: uma tragédia invisível. Femina. 2020; 48(8): 496-8. [citado 2020 09 out]. Disponível em: https://docs.bvsalud.org/biblioref/2020/09/1118623/femina-2020-488-496-498.pdf
Takemoto MLS, Menezes MO, Andreucci CB, Knobel R, Sousa LAR, Katz L, et al. Clinical characteristics and risk factors for mortality in obstetric patients with severe COVID‐19 in Brazil: a surveillance database analysis. BJOG. 2020; 00:1-9. DOI: https://doi.org/10.1111/1471-0528.16470
Takemoto MLS, Menezes MO, Andreucci CB, Pereira MN, Amorim MMR, Katz L, et al. The tragedy of COVID-19 in Brazil: 124 maternal deaths and counting. Int J Gynaecol Obstet. 2020;151(1):154-6. DOI: https://doi.org/10.1002/ijgo.13300
Dashraath P, Wong JLJ, Lin MXK, Lim L, Li SW, Biswas A, et al. Coronavirus disease 2019 (COVID-19) pandemic and pregnancy. Am J Obstet Gynecol. 2020;222(6):521-31. DOI: https://doi.org/10.1016/j.ajog.2020.03.021
Reis HLB, Boldrini NAT, Caldas JVJ, Paz APC, Ferrugini CLP, Miranda AE. Severe coronavirus infection in pregnancy: challenging cases report. Rev. Inst. Med. Trop. São Paulo. 2020;62(1):1-5. DOI: http://dx.doi.org/10.1590/s1678-9946202062049
Ministério da Saúde (BR), Secretaria de Atenção Primária à Saúde, Departamento de Ações Programáticas e Estratégicas. Manual de recomendações para a assistência à gestante e puérpera frente à pandemia de Covid-19 [Internet]. Brasília; 2020 [citado 2020 out 9]. Disponível em: http://189.28.128.100/dab/docs/portaldab/documentos/corona/manual_recomendacoes_gestantes_covid19.pdf
Franchi JVO, Pelloso SM, Ferrari RAP, Cardelli AAM. A estrutura de maternidades como indicador de segurança materna. Cienc. Cuid. Saude. 2020;18(4):e45049. DOI: https://doi.org/10.4025/cienccuidsaude.v18i4.45049
Lavich CRP, Terra MG, Mello AL, Raddatz M, Arnemann CT. Ações de educação permanente dos enfermeiros facilitadores de um núcleo de educação em enfermagem. Rev Gaúcha Enferm. 2017;38(1):e62261. DOI: http://dx.doi.org/10.1590/1983-1447.2017.01.62261
Knight M, Bunch K,Vousden N, Morris E, Simpson N, Gale C, et al. Characteristics and outcomes of pregnant women admitted to hospital with confirmed SARS-CoV-2 infection in UK: national population based cohort study. BMJ. 2020; 369: m2107. DOI: 10.1136/bmj.m2107
Grupo Hospitalar Conceição (GHC). Protocolo para o Manejo de Pacientes Suspeitos de Infecção por Coronavírus (Covid-19). [Internet]. Porto Alegre; 2020 [citado 2020 out 09]. Disponível em: https://www.ghc.com.br/covid/
Ministério da Saúde (BR). Nota Técnica Nº 14/2020, de 5 de agosto de 2020. Dispõe sobre atenção à saúde do recém-nascido no contexto da infecção pelo novo coronavírus (SarsCoV-2) [Internet]. Brasília; 2020 [citado 2020 out 9]. Disponível em: https://egestorab.saude.gov.br/image/?file=20200805_N_NotaTecnicaCovidCocam14_3588521282864535759.pdf
Duran P, Berman S, Niermeyer S, Jaenisch T, Forster T, Leon RGP et al. COVID-19 and newborn health: systematic review. Rev. Panam. Salud Publica. 2020;44:e54. DOI: https://doi.org/10.26633/RPSP.2020.54
Sadler M, Leiva G, Olza I. COVID-19 as a risk factor for obstetric violence. Reprod Health Matters. 2020;28(1):1-3. DOI: https://doi.org/10.1080/26410397.2020.1785379
Rios AFM, Lira LSSP, Reis IM, Silva GA. Atenção primária à saúde frente à COVID-19 em um centro de saúde. Enferm. Foco. 2020; 11(1): 246-251. [citado 2021 jan 30]. Disponível em: http://revista.cofen.gov.br/index.php/enfermagem/article/view/3666/836
Wagner A, Soares AS, Ribeiro EAW, Friestino JKO, Lovatto MVP, Faria RM, et al. Vulnerabilidade para gestantes e puérperas durante a pandemia da COVID-19 no estado de Santa Catarina, BRASIL. Hygeia - Rev. Bras. Geogr. Médica e Saúde. 2020 jun; 25: 398 - 406. DOI: http://dx.doi.org/10.14393/Hygeia0054630
Mascarenhas VHA, Caroci-Becker A, Venâncio KCMP, Baraldi NG, Durkin AC, Riesco MLG. Recomendações assistenciais à parturiente, puérpera e recém-nascido durante a pandemia de COVID-19: revisão de escopo. Rev. Latino-Am. Enfermagem. 2020 [citado em 2020 out 9];28:e3359. DOI: https://doi.org/10.1590/1518-8345.4596.3359.
Salvatore CM, Han J, Acker KP, Tiwari P, Jin J, Brandler M et al. Neonatal management and outcomes during the COVID-19 pandemic: an observation cohort study. The Lancet Child & Adolescent Health. 2020;4(10):721-27. DOI: https://doi.org/10.1016/S2352-4642(20)30235-2
Duran P, Berman S, Niermeyer S, Jaenisch T, Forster T, Leon RGP et al. COVID-19 and newborn health: systematic review. Rev. Panam. Salud Publica. 2020;44:e54. DOI: https://doi.org/10.26633/RPSP.2020.54
Copyright (c) 2021 Ciência, Cuidado e Saúde

This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.