Abstract
Abstract Objectives: to analyze protocols and direct Brazilian women to prevent perinatal seizures during the CO VID-19 pandemic, based on the positive perinatal experience. Methods: exploratory analysis of document analysis. In the first phase, from April 11 to May 14, in order to search for words with keywords, 402 documents were found. The second phase consisted of reading the set of selected documents and dividing them into categories. The analysis was carried out in light of the guidelines for a positive perinatal experience of the World Health Organization. Results: as well as directing flow detection phase protocols to mice that show or do not receive COVID-19 symptoms and are being updated with new evidence of systemic evidence. It appears that there are several guidelines for prenatal, partial and puerperium, divergences in some documents for example umbilical cord clamping, skin-to-skin contact, newborn bath. Conclusions: analyze the permissible conclusions that most recommendations are in line with preconceived notions of positive perinatal experience, but is necessary to adaptation to the Brazilian context.
Highlights
The Ministry of Health (MH), in April 2020, declared all pregnant and puerperal women as being in risk group for COVID-19, because studies[1] were not conclusive about the risk of complications in pregnant women, surveys signalize that this population tends to be more sensible and vulnerable to diseases similar to H1N1.2In the last but one week of May, there were 484 pregnant women with COVID-19 confirmed in the country
The following inclusion criteria were adopted: guidelines or protocols emitted by Brazilian agencies, which were published since the Brazilian government announced community transmission (March 20, 2020), which were related to perinatal healthcare during COVID-19 pandemic
One of the technical notes from MH recommends it in case of clinical decompensation,[12] whereas FEBRASGO’s15 document justifies labor induction in order to shorten the time of postpartum hospitalization. Once it is a virus transmitted by droplets, displacement of people in the hospital environment should be restricted, and in this case, the use of pre-partum, partum and postpartum (PPP) rooms for asymptomatic women is recommended in a document.[12]
Summary
The Ministry of Health (MH), in April 2020, declared all pregnant and puerperal women as being in risk group for COVID-19, because studies[1] were not conclusive about the risk of complications in pregnant women, surveys signalize that this population tends to be more sensible and vulnerable to diseases similar to H1N1.2In the last but one week of May, there were 484 pregnant women with COVID-19 confirmed in the country. The context of pandemic exposed women to different types of risks and fears, in gestation, delivery and postpartum These risks involve multiple issues of vulnerability, as well as aspects related to the disease itself, lack of secure information and access to healthcare services, to the hardness in obtaining assistance of quality and based on good practices,[5] being fundamental the reflection about sexual and reproductive rights. The United Nations Population Fund highlighted as an essential action for all countries to protect women’s health and rights, as well as putting sexual and reproductive health as fundamental human rights to be assured, which includes the gestation, delivery and puerperium process In this way, in March 2020, the World Health Organization (WHO) emphasized and published guidelines for assuring better care for pregnant, parturient and puerperal women during the pandemic.[6]
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