Programa de control prenatal durante la pandemia de COVID-19 en Colombia: Propuesta de rediseño.

  • Mérida Rodríguez-López Pontificia Universidad Javeriana Cali https://orcid.org/0000-0001-8245-0811
  • Javier Fonseca Universidad del Valle, Centro Médico Imbanaco
  • Jairo Guerrero Centro Médico Imbanaco
  • Diana Castrillón Pontificia Universidad Javeriana Cali, Red de Salud de Ladera
Palabras clave: Infecciones por Coronavirus, COVID-19, Embarazo, Atención prenatal

Resumen

El COVID-19 ha impuesto grandes retos para los pacientes, las familias y el sistema de salud. A pesar de la pandemia, los problemas y enfermedades que afectan a la población se mantienen, y por ello los servicios preventivos para estos problemas deben adaptase a las condiciones actuales y brindarse en ambientes seguros. Uno de ellos es el programa de control prenatal (CPN), mediante el cual se promueven conductas saludables y se detectan e intervienen de manera oportuna las alteraciones que se producen durante el embarazo. Es por esto que, se realizó una revisión de la literatura publicada entre los meses de diciembre de 2019 y mayo de 2020, con dos objetivos. El primero fue sintetizar la evidencia disponible respecto al efecto del Covid-19 en los desenlaces del embarazo y el segundo fue brindar recomendaciones, ajustadas al contexto colombiano, para el manejo de la gestante en CPN durante la pandemia. Se propone un rediseño del programa de CPN con base en tres elementos: 1. Una reducción en el número y optimización de las consultas presenciales; 2. El uso de las teleconsulta; y 3. La disponibilidad y cumplimiento de medidas preventivas. Estos cambios están orientados a minimizar los riesgos de la paciente, de otras pacientes y de los profesionales de la salud. Sin embargo, estas recomendaciones podrían variar en la medida que incrementa el conocimiento de la enfermedad, por lo que se requieren actualizaciones permanentes de la literatura.

Abstract:

COVID-19 has posed great challenges for patients, families, and the health system. Despite the pandemic, other health problems that affect the population remain; therefore, preventive services must be adapted to current conditions and provided in safe environments. One of them is the Prenatal Care Program (PNC), which promotes healthy behavior, timely detection, and treatment for pregnancy related problems. For this reason, a review of the literature published between December 2019 and May 2020 was carried out, with two objectives. The first was to summarize the available evidence regarding the effect of Covid-19 on pregnancy outcomes and the second was to provide recommendations adjusted to the Colombian context, for the management of pregnant women in PNC during the pandemic. A redesign of the PNC program is proposed based on three elements: 1. A reduction in the number and optimization of face-to-face visits; 2. The use of telemedicine; and 3. The availability and compliance of preventive measures. These changes are aimed at minimizing the risks of the patient, other patients and health professionals. However, these recommendations may vary as knowledge of the disease increases, so permanent updates of the literature are required.

Key words: Coronavirus infections, COVID-19, pregnancy, prenatal care.

Biografía del autor/a

Mérida Rodríguez-López, Pontificia Universidad Javeriana Cali

Médica, Especialista en Medicina Familiar, Magíster en Epidemiología, Doctora en Medicina Fetal y perinatal. Profesora Departamento de Salud Pública y Epidemiología. Directora Centro Interdisciplinario de Estudios en Salud.

Javier Fonseca, Universidad del Valle, Centro Médico Imbanaco

Médico, Especialista en Obstetricia y Ginecología, Magíster en Epidemiología.

Jairo Guerrero, Centro Médico Imbanaco

Médico, Especialista en Obstetricia y Ginecología.

Diana Castrillón, Pontificia Universidad Javeriana Cali, Red de Salud de Ladera

Psicóloga, Especialista en Gerencia Social, Magíster (e) en Gerencia en Servicios de Salud.

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Publicado
2020-08-11
Cómo citar
Rodríguez-López, M., Fonseca, J., Guerrero, J., & Castrillón, D. (2020). Programa de control prenatal durante la pandemia de COVID-19 en Colombia: Propuesta de rediseño. Salutem Scientia Spiritus, 6(1), 22-29. Recuperado a partir de https://revistas.javerianacali.edu.co/index.php/salutemscientiaspiritus/article/view/2392
Sección
Artículo original derivado de investigación