Diagnóstico microbiológico de la infección bacteriana asociada al parto y al puerperio. Procedimientos en Microbiología Clínica. Recomendaciones de la. infección puerperal definición agentes microbianos afectación inflamatoria séptica, localizada generalizada, que se produce en el puerperio como. Atención Prenatal, Parto, Recién Nacido/a y Puerperio de Bajo Riesgo. 2 . N ORMA DE ATENCIÓN DE LAS INFECCIONES DE VÍAS URINARIAS.

Author: Vurisar Dikora
Country: Seychelles
Language: English (Spanish)
Genre: Literature
Published (Last): 11 April 2006
Pages: 293
PDF File Size: 3.15 Mb
ePub File Size: 6.95 Mb
ISBN: 946-8-62484-684-9
Downloads: 59325
Price: Free* [*Free Regsitration Required]
Uploader: Mikalabar

Cesarean delivery was an important risk factor for puerperal infection. Rio de Janeiro RJ: Although literature indicates an increase in the incidence of infection in patients with problematic clinical conditions and obese patients, in this study, pkerperales found no statistically significant difference between the weight gain variable and the puerperal infection 6. None of the variables behaved as a risk factor for infection the normal delivery mode.

In this study, we found that the duration of labor and Cesarean delivery are risk factors for the development of puerperal infection, puerperxles a relative risk of 2. This fact can be justified by the pueprerales term three years the hospital has been functioning and by the professionals’ adaptation process to the procedures, standards and established routines.

Endometritis following vaginal delivery.

The maximum time expected to perform the procedure is one hour ; type of anesthesia general, spinal, epidural and local ; use of antimicrobial agent ; age and weight ihfecciones. Motherhood during adolescence can be considered a public health issue, in view of psychosocial problems it may result in This institution aims to deliver care to women and adolescents during the prenatal, delivery and puerperal phase, in which care humanization is being implanted as a work philosophy.

This is an epidemiological, prospective and non-concurrent study of the cohort type about puerperal infection from the perspective of humanized delivery care, based on information from 5, records of patients who went through the experience of humanized delivery.

Tecnologia Apropriada para o parto. The scheme and indications for prophylaxis must be determined after a detailed assessment. An instrument was elaborated, based on the classification and diagnosis criteria of puerperal infections 7so as to cover the specific variables of the humanized delivery and birth care mode and the inclusion of data about infections, required to fill out the protocol established by the NNIS System 9.

The study population consisted of the patient files of all puerperal women who went through the humanized delivery experience at the MNC. The landmark in knowledge about hospital infections is due to Semmelweis, a gynecologist-obstetrician who suspected that puerperal infections could be transferred to the women through the hands of physicians and students 6.


No statistically significant association was found between membrane rupture time and puerperal infection, neither for normal nor for Cesarean deliveries.

Microbial invasion of the amniotic cavity in premature rupture of membranes. This includes the right to choose the place of delivery, the people and professionals involved, the forms of care during the delivery, respect for delivery as a highly personal, sexual and family experience, besides the minimal realization of interventions in the natural delivery process 3.

Hence, the parturient women submitted to Cesarean delivery displayed a higher risk of infection in comparison with women submitted to normal delivery. An expected labor duration of up to 12 hours is considered ; digital examinations up to 6, between 7 and 13 and more than 13 examinations ; duration of delivery period in minutes. We calculated the monthly incidence levels of puerperal infection in the parturient women submitted to humanized delivery during the study period, with the highest peak in infection incidence levels in Januarywith 1.

As to the rupture of the membranes, we found no statistically significant association between the two treatment modes, normal and Cesarean, and the puerperal infection. Especially in procedures with a short post-operative hospitalization period, the presence of an appropriate surveillance system becomes increasingly important 7. They are a source of concern to the extent that, as nurses, we are committed to the prevention and control of hospital infections.

No variable behaved as a risk factor for infection in normal delivery. From the expected study population 5,twenty-five puerperal women were excluded as their deliveries had occurred at home and they were sent to the maternity hospital after the delivery.

Thus, post-discharge surveillance is considered very important. The mean weight gain was An accumulated puerperal infection rate of 2. An expected membrane rupture time of up to six hours was considered ; amniotic fluid characteristic discolored, meconial and purulent ; duration of labor period in hours and minutes from the parturient woman’s admission in the labor phase until the end of this phase.

In the group of puerperal infection cases that were analyzed, 74 The number of digital examinations during normal deliveries did not constitute a risk factor for puerperal infection.

INFECCIONES PUERPERALES by La Barbi de Fuego on Prezi

This can allow for the implementation of systemized actions directed at this population, as well as to establish infection prevention and control measures, besides getting to know the microbiological profile of the detected infections.


No culture results were found in files, in which the institution did not perform the tests due to the lack of material resources for this end. Although some studies on endometritis puerperalfs vaginal births have demonstrated that the combination between the rupture of the membranes and a long labor constitutes an important risk factor for the frequency and severity of infections The puerperal infections appeared within thirty days after the delivery.

The categorization of puerperal infection was based on the absence no or presence yes of the infection, which could be characterized as endometritis, surgical site infection and episiotomy infection.

In turn, professionals and health system users have acknowledged hospital infection control as an essential parameter of care quality. It is known that the delivery type, the insufficient notification of postpartum infection cases due to the lack of surveillance after discharge, the early discharge of puerperal women and the patient’s return outside the institution where the delivery occurred, as well as environmental, individual and material factors have been related with the incidence of puerperal infections 1.

The concern caused by this problem gave rise to the interest in studying puerperal infections from the perspective of humanized delivery care, puererales a view to characterizing puerperal women submitted to humanized delivery, determining the incidence and interval in which the purperales infections are manifested, besides verifying the association between infections and risk factors.

infecciones puerperio pdf file

A large number of primiparous adolescent deliveries was identified. Clin Obstet Gynecol ; 34 4: Records of postpartum infection were verified in their patient files upon admission and until the first thirty days after giving birth.

Nowadays, in Brazil, delivery interventions mainly occur in hospital units, with less choice of normal delivery and abusive use of the Cesarean delivery procedure. Hospital delivery care should be safe, guaranteeing, besides the benefits of technological and scientific advances, every woman’s autonomy during the delivery, permitting her to be the subject of the process and to define what she believes is best for her and her son.