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To determine the cortisol level of patients who make use of the Obstetric Psychoprophylaxis (OPP) service in a first-level health center, February-May 2018. Material and methods: Descriptive, prospective, cross-sectional. Results: 68.75% of pregnant women have a stable conjugal relationship, while 25% are single and 6.25% separated, 50% have a higher education degree and 50% have a secondary education degree. Apparently, cortisol does not change according to gestational age, however, the number of OPP sessions influences the level of cortisol, so more assisted sessions means less cortisol. Conclusion: the greater exposure to obstetric psychoprophylaxis, the less levels of cortisol am (morning) in serum are observed. It could be due to psychoprophylaxis has a component that works the mental state; further studies are recommended.

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o 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). Keywords: COVID - 19, Maternal care, Women health, Pandemic, Pre-natal.