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.

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Especially in procedures with a short post-operative hospitalization period, the presence of an appropriate surveillance system becomes increasingly important 7. Tecnologia Apropriada para o parto.

Endometritis puerperal

However, a significant association was observed between the number of examinations and infection in case of Cesarean delivery, which can also be related with the duration of labor. This higher incidence level could be pufrperales by the adaptation process to the standards, routines and procedures the maternity hospital was going through during that period, coinciding with the year of inauguration.

Simple frequency distribution and central tendency measures like mean, median and standard deviation were used for the descriptive analysis of numerical variables. What delivery duration is concerned, no statistically significant association was found with puerperal infection. Motherhood during adolescence can be considered a public health issue, in view of psychosocial problems it may result in The risk factors associated to puerperal infection in Cesarean delivery were the duration of labor and the number infeccioned digital examinations.

In the hospital environment, delivery has been characterized as a surgical event. An expected labor duration of up to 12 hours invecciones considered ; digital examinations up to 6, between 7 and 13 and more than 13 examinations ; duration of delivery period in minutes.

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. All the contents of this journal, except where otherwise noted, is licensed under a Creative Commons Attribution License.

In turn, professionals and health system users have acknowledged hospital infection control as an essential parameter of care quality. Rev Ci Amecs January; 9 1: Although literature indicates an increase in the incidence of infection in patients with problematic clinical conditions and obese patients, in this study, we found no statistically significant difference between the weight gain variable and the puerperal infection 6.

A specific database was created, in which data were statistically treated. Although some studies on endometritis in vaginal births have demonstrated that the combination between the rupture of the membranes and a long labor constitutes an important risk factor for puerrperales frequency and severity of infections The puerperal infections appeared within thirty days after the delivery.


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.

Hospital infection is considered as the infection acquired after the patient’s admission, which manifests itself during the hospitalization or after discharge and can be related with the hospitalization or hospital procedures 5. Services on Demand Journal. We recommend that, based on the puerperal infection results identified in this study, educational mechanisms be created to raise the medical team’s awareness, so as to break with the paradigm of medicalization and intervention in deliveries, and investments be made in the training process of obstetric nurses.

For the ordinal variables, interval codes were established to designate the groupings to be processed by statistical analysis. Nowadays, despite scientific and technological advances in different knowledge areas, puerperal infection remains a big problem, due to its prevalence, morbidity and even lethality.

This fact can be justified by the short term three years the hospital has been functioning and by the professionals’ adaptation process to the procedures, standards and established routines. Vivenciando o parto humanizado: As to the characteristics of the amniotic fluid, no statistically significant difference was observed between this variable and the presence of puerperal infection in normal and Cesarean deliveries.

infecciones puerperio pdf file

However, various obstetric institutions have not worked with this philosophy, systematically ignoring the routines and conducts the Ministry of Health recommends for humanization. The number of digital examinations during normal deliveries did not constitute a risk factor for puerperal infection. The concern caused by this problem gave rise to the interest in studying puerperal infections from the perspective of humanized delivery care, with a view to characterizing puerperal women submitted to humanized delivery, determining the incidence and interval in which the puerperal infections are manifested, besides verifying the association between infections and risk factors.

Cesarean delivery is related with a higher incidence of post-operative infectious morbidity in comparison with normal delivery 15 Table 1.

To assess the association between the independent and dependent variables, non parametrical significance tests were used, such as Chi-square, Fisher’s Exact test, as well as statistical significance measures like Relative Risk RRwith a As to the association between the parturient women’s age range and the puerperal infection, the data did not reveal a statistically significant difference for puerperal infection in parturient women up to the age of 20 or older than 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.


Studies accomplished to correlate the presence of meconium in the amniotic fluid and increased maternal infection rates identified that meconium raises the phosphate level, inactivating the zinc-protein complex, which favors the parturient woman’s increased susceptibility to puerperal infection However, it should be highlighted that these infection rates may be underestimated, considering the high number of Cesarean deliveries, which is an important risk factor, failures in the surveillance system, as well as the inexpressive awareness and involvement of people for a better presentation of reality.

The study aimed at describing the women who underwent humanized delivery, determining the incidence and time for manifestation of puerperal infections and investigating the association between the infection and the risk factors.

An accumulated incidence level of puerperal infection was found within the previewed limits 2. 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.

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.

Microbial invasion of the amniotic cavity in premature rupture of membranes. 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 infeccione infections, required to fill out the protocol established by the NNIS System 9.

Endometritis puerperal | Reston Surgery Center

The puerperal women’s early discharge impedes a diagnosis while still at the maternity hospital. An accumulated puerperal infection rate of 2.

Obstet Gynecool ; 56 pt 1: A cut-off point of one hour was used for the duration of the delivery, and no association was evidenced between a procedure duration of more than one hour and the occurrence of puerperal infection in women submitted to normal and Cesarean deliveries.

Cesarean delivery was an important risk factor for puerperal infection. The scheme and indications for prophylaxis must be determined after a detailed assessment. Nowadays, the humanization of delivery and its influence on puerperal infections has been valued. They are a source of concern to the extent that, as nurses, we are committed to the prevention and control of hospital infections.