O pré-natal na Amazônia: desafios e estratégias na prevenção da mortalidade materna e neonatal em contextos de vulnerabilidade social.

Abstract

In the Amazon region, maternal and neonatal mortality represents one of the greatest challenges for public health, as social, structural, and geographic factors limit adequate access to health services. The objective of this article is to analyze the main obstacles to prenatal care in the Amazon and discuss strategies capable of reducing maternal and neonatal mortality rates in socially vulnerable populations. The narrative was constructed based on a literature review, drawing on scientific articles from national and international sources, as well as reports from the Ministry of Health and the World Health Organization. The results indicate that geographic isolation, transportation difficulties, low primary care coverage, the presence of endemic infectious diseases such as dengue and malaria, and economic inequalities strongly impact the quality of prenatal care and gestational outcomes. It is concluded that consistent public policies, adequate training of health professionals, strengthening primary care, and the implementation of university outreach projects are essential measures to improve maternal and child care in the Amazon region.