Abstract
ABSTRACT Objective: to reflect on the use of Telehealth in the context of the COVID-19 pandemic for women in the pregnancy-puerperal period. Method: this is a reflection based on the literature with an approach on Telehealth as a tool for virtual health care in the pandemic context. Therefore, this reflection addresses the use of Telehealth, showing the particularities of adopting remote appointments, with their applicability and limitations, considering the socioeconomic and racial aspects that are intrinsically associated with public health issues. Results: Telehealth is a tool for coping with COVID-19, as it minimizes the exposure of pregnant and puerperal women during consultations in the health units. In Brazil, it is observed that this strategy is still incipient. This is intensified as we relate the socioeconomic and racial issues to the maternal mortality rates, especially among black- and brown-skinned women. Conclusion: this reflection shows that Telehealth is an important care strategy for women in the pregnancy-puerperal period and, in this perspective, it needs to have its viability recognized and valued so that public policies are created that guarantee access to the digital resources, in addition to the need for investments in training of the professionals and deepening of this theme by the academic community. Such initiatives will promote expanded access to virtual care for women, in addition to the socioeconomic and racial issues.
Highlights
With the emergence of the pandemic caused by the new coronavirus (SARS-CoV-2), humanity is faced with the challenge of containing the dramatic global health crisis, especially considering the high transmissibility and mortality in the pandemic scenario
In Australia and the United Kingdom, for example, Telehealth appointments have reduced faceto-face consultations by 50%, without compromising pregnancy outcomes, a reality which indicates that this care model can help minimize personal interactions during the COVID-19 pandemic, it can be considered as post-pandemic health care models[4]
Despite the limitations to its full implementation, such as the socioeconomic and racial disparities faced by women, it becomes necessary to reflect on possible strategies to overcome such barriers to access the different health care segments for pregnant and puerperal women
Summary
Objetivo: refletir acerca da utilização da telessaúde no contexto da pandemia da COVID-19 para as mulheres no período gravídico-puerperal. Esta reflexão faz uma abordagem sobre a utilização da telessaúde demonstrando as particularidades da adoção de atendimentos remotos, com a sua aplicabilidade e suas limitações, considerando os aspectos socioeconômicos e raciais que estão intrinsecamente associados às questões de saúde pública. Objetivo: reflexionar sobre la utilización de la telesalud en el contexto de la pandemia de COVID-19 para mujeres que transitan el período grávido puerperal. Conclusión: esta reflexión demuestra que la telesalud es una estrategia de atención importante para las mujeres durante el período grávido puerperal y, en esta perspectiva, requiere que se reconozca y valore su viabilidad para que se creen políticas públicas que garantice el acceso a los recursos digitales, además de advertir la necesidad de realizar inversiones en capacitación profesional y ahondar el abordaje de esta temática desde la comunidad académica.
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