Medical associations have criticized a new Health Ministry dispatch that assigns prenatal monitoring of low-risk pregnancies to specialist nurses. The Portuguese Medical Association (Ordem dos Médicos) and family medicine groups called the move a backward step for maternal care and requested an urgent meeting with health authorities. Health Minister Ana Paula Martins defended the pilot programme, stating it ensures necessary clinical care for pregnant women who lack an assigned family doctor (médico de família).
Doctors Oppose Nurse-Led Prenatal Care in Health Centers

Context & Explainers

Ana Paula Martins is a Portuguese pharmacist and politician who has served as the Minister of Health in Portugal since April 2024. A member of the Social Democratic Party (PSD), she was reappointed to the position in the second government of Prime Minister Luís Montenegro in June 2025.
Professional Background
Pharmaceutical Leadership: She served as the President of the Order of Pharmacists (Bastonária da Ordem dos Farmacêuticos) from 2016 to 2022.
Hospital Management: She was the President of the Board of Directors of Hospital de Santa Maria (CHULN) in Lisbon from December 2022 to January 2024.
Academic Work: She holds a PhD in Clinical Pharmacy and has been an assistant professor at the Faculty of Pharmacy of the University of Lisbon for over 20 years.
Political Career
Government Role: As Minister of Health, she has overseen the implementation of the "SNS Emergency Plan" and recently addressed issues such as INEM staffing and public-private partnerships in healthcare.
Party Leadership: She served as Vice President of the PSD under Rui Rio (2021–2022).
Parliament: She was elected as a member of the Assembly of the Republic representing the Lisbon constituency in 2024.
The Ordem dos Médicos is Portugal’s professional medical association that registers doctors, enforces ethical rules and can discipline members. It issues formal opinions and can challenge health policies or laws, so its objections matter when a programme like the Waitlist Recovery Programme changes how patients are referred or treated.






