Introduction Toxoplasmosis is an infectious disease, congenital or acquired, being a cosmopolitan zoonosis caused by the protozoan Toxoplasma gondi and infecting various mammals. Congenital toxoplasmosis can present in severe or Late sequelae, even in asymptomatic children at birth. The timely diagnosis of infection allows the Treatment of the pregnant woman, capable of reducing the severity of toxoplasmosis sequelae in the fetus. However, it remains elevated The frequency of pregnant women susceptible to this infection in the country. Objectives Evidences the difficulty of the various organs that compose the public health system in the state of RondÃ´nia in accompanying Adequately pregnant women with suspected acute toxoplasmosis, as observed in these reports, with a case of toxoplasmosis Congenital and other severe ocular flushing. Methodology In the first case, the pregnant woman presented IgM, IgG and IgA Toxoplasma gondii-specific reagents and amniotic fluid with research Of DNA and inoculation in Toxoplasma gondii positive mice. There was fetal involvement, with Ultrasonography of placentomegaly and cerebral calcifications. The newborn introduced Sabin's tetrad. In the other case, An immunocompetent pregnant woman, IgG anti-Toxoplasma gondii reagent and non-reactive IgM, presented severe ocular exacerbation. Both sought the health service in the first trimester of pregnancy, but referrals occurred between 20 and 32 Weeks of gestation. Results and Conclusions The lack of agility and knowledge among the various levels of care in the control of gestational toxoplasmosis delayed the Decision-making by health professionals. The occurrence of these cases of toxoplasmosis in pregnant women Importance of vertical integration and implementation of measures that can provide the formation of an agile and With adequate infrastructure for its management.