Subsistema “Chile crece contigo”, antes y durante la pandemia COVID-19

Abstract

The health situation created by COVID-19 forced measures to be taken by autonomous decisions and according to criteria of the World Health Organization, such as the suspension of essential benefits to pregnant women and newborns, which directly impacted the process of gestation and delivery, postpartum and the first months of life of the newborns. With the objective of evaluating the main indicators in the obstetrics and neonatology services of Chile, it was carried out between 2019 and 2020 an analysis of the secondary sources of the monthly statistical record of the guided visit to maternity, the accompaniment in the prepartum and delivery stages, the skin-to-skin contact with the newborn and the hospital discharges with exclusive breastfeeding, and of the four indicators of "Chile grows with you" subsystem that are applied in the 29 existing health services,. As a result, a considerable decrease was observed in all; only exclusive breastfeeding was the least affected at maternity discharge. The pandemic also harmed obstetric and neonatal processes, therefore, also to the mother, child and father triad or significant person.