Analysis of the effect of the covid-19 pandemic on maternal care at the Acobamba hospital - Huancavelica, Perú 2020

To determine the effect of the COVID-19 pandemic on maternal care in the Hospital of Acobamba - Huancavelica, 2020. Methodology: The research was observational, retrospective, and longitudinal with the population being consisted of 27 and 29 pregnant women, 53 and 60 deliveries, 27 and 29 postpartum women during the second trimester of the year 2019 and 2020, respectively. Results: Analysis with pandemic (2020) and without pandemic (2019), pregnant women attended 86.6% and 114.8%; pregnant women controlled (6APN) 62.1% and 88.9%; with full laboratory set 44.8% and 88.9%. During the pandemic, each pregnant woman received 1.8 visits and 3.9 telephone follow-ups, compared to 0.9 visits and no telephone follow-ups. During the pandemic, delivery care reached 236.7% since deliveries from other jurisdictions and by returning migrants were attended and there were 5% of home deliveries, while during the non-pandemic 86.8% and no home deliveries were attended. The first puerperal check-up reached 162.1%, 137.9% compared to 66.7% and 59.3%; visits to puerperal women reached 117.2% compared to 74.1% non-pandemic. The causes of the main emergencies were abortion (22.2%), hypertensive disease of pregnancy (15.3%), fetal distress (8.3%) and hemorrhage during pregnancy (8.3%). Conclusion: COVID-19 pandemic reduced APN, increased delivery and puerperium care, strengthened follow-up of pregnant and puerperal women, increased emergencies and reduced cases of postpartum hemorrhage. The health team responded to the situation with commitment and responsibility).