Desafios para gestão do cuidado no pré-natal durante a pandemia da COVID-19: um relato de experiência

The aim was to describe the managerial challenges for the management of prenatal care during the COVID-19 pandemic. This is an experience report on the challenges and managerial strategies in prenatal care during the COVID-19 pandemic in an area in the West Zone, RJ. In the context of PHC, aiming at the adequate management of prenatal care, actions were implemented, and strategies were developed to maintain the monitoring of pregnant women, and barriers were found that hindered shared management. Arising the need for adjustments in the care flows to care for cases of influenza syndrome, suspected of COVID-19, which generated the emerging demand for reorganization of workflows and processes due to the high contagion of the disease. Due to the need to maintain social distance, clinical practices were partially attended to with the appropriate adaptations for the safety of pregnant women, and their care was preserved, since the suspension could culminate in the loss of therapeutic opportunities for the woman, the baby. Therefore, the practices practiced and described in the experience demonstrated the approximation of the proposals for quality management and comprehensive care, allowing, even with adapted access, to achieve the goals of guaranteeing the maintenance and qualification of prenatal care.