Current Aspects of High-Risk Pregnancy Management in Primary Health Care

Abstract

High-risk pregnancy involves conditions that compromise maternal-fetal health, increasing the likelihood of complications during pregnancy, childbirth, and the postpartum period. Despite advancements in health policies addressing this issue, maternal mortality remains high, highlighting the need for improvements and effectiveness in prenatal care, especially when risk factors are identified. This article aims to address the management of high-risk pregnancies in Primary Care, discussing the main interventions and challenges identified. To achieve this, an integrative literature review was conducted, utilizing a qualitative and descriptive approach, with searches performed in the BVS and PubMed databases, guided by the research question: "How is the management of high-risk pregnancies in Primary Care carried out?". In this context, it was found that managing high-risk pregnancies faces challenges related to the identification of at-risk pregnant women, access to consultations and examinations, and the training of health teams. The studies highlight the importance of a multidisciplinary approach, as well as health education and continuous monitoring to prevent complications related to inadequate care. Furthermore, preventive interventions through health education are shown to be important tools for favorable maternal and fetal outcomes. However, structural limitations and inequalities in access to health services remain significant issues. In this context, promoting health education and ensuring coordination between primary care and specialized services is crucial to guarantee continuity of care and improve the prognosis for women with high-risk pregnancies.