Abstract
Objective: Tokeep up with the case of a pregnant woman in attendance of prenatal care in primary health care with gestational depression, highlighting the diagnostic challenges, the therapeutic measures, their repercussions for the well-being of the mother-fetus binomial and the relevance of the current scenario of the pandemic caused by SARS-CoV-2. Case Details: Female, 24 years-old, primiparous, in the third trimester of pregnancy, without comorbidities or previous complications, attends to her fourth prenatal care appointment with the complaint of vomiting and insomnia. During anamnesis, she reports an episode of medicine abuse prior to the onset of symptoms, which was addressed in tertiary care without counter-referral to primary care, and refers to worsening of depressive symptoms when she learns about the pandemic caused by SARS-CoV-2. As a therapeutic approach, psychological therapy was proposed, denied by the patient, and medication was initiated due to the severity of the condition presented. Final Considerations: The case reinforces the importance of the prenatal assistant professional know the diagnostic criteria for gestational depression, the indications for psychotherapeutic and pharmacological treatment, in addition to investigate risk factors, such as external stressors, represented by the pandemic caused by SARS-CoV-2, whereas the possible maternal-fetal repercussions, such as prematurity, low birth weight and puerperal depression.