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: Zulkizuru Nir
Country: Samoa
Language: English (Spanish)
Genre: Marketing
Published (Last): 12 June 2015
Pages: 428
PDF File Size: 8.33 Mb
ePub File Size: 7.34 Mb
ISBN: 210-9-67272-356-4
Downloads: 64889
Price: Free* [*Free Regsitration Required]
Uploader: Gukree

The results reinforce the need to develop alternative forms of delivery care that provides effective conditions for normal delivery, in order to reduce the number of Cesarean sections. For normal delivery, the period from the start of the expulsion of the fetus until the expulsion of the placenta was considered and, for Cesarean delivery, from the start of anesthesia until the complete closure of the surgical incision.

Quality needs to be aimed for in hospital care, offering a service of less risk and greater efficacy to the population 4.

Endometritis puerperal | Centrum Surgical Center

In the hospital environment, delivery has been characterized as a surgical event. Motherhood during adolescence can be considered a public health issue, in view of psychosocial problems it may pueerperales in At these units, the delivery occurs in a totally strange and enigmatic environment, in which the parturient woman is isolated from her family and care during the infeccionea involves a large number of interventions, which can influence the increase in infections.

The following independent variables were considered: 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. Vivenciando o parto humanizado: 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.

Endometritis puerperal

Rio de Janeiro RJ: 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.


Szklo M; Nieto FJ. The scheme and indications for prophylaxis must be determined after a detailed assessment. This study proved expectations to the extent that the use of antibiotic prophylaxis in the period before the delivery did not show an association with the occurrence of puerperal infection in any of the delivery modes. As the current humanized delivery care model has attempted to change the paradigm of care practices, is very much in favor of normal delivery and aims to decrease Cesarean delivery rates, it is believed that this model may be contributing directly to the decrease in puerperal infection rates.

These results imply that the use of antibiotics in the postpartum period is associated with the presence of puerperal infection or that patients needing antibiotics therapy present greater predisposition to puerperal infection.

Tecnologia Apropriada para o parto. Hence, the parturient women submitted to Cesarean delivery presented a 4. They are a source of concern to the extent that, as nurses, we are committed to the prevention and control of hospital infections.

Puerperal infection from the perspective of humanized delivery care at a public maternity hospital. Gabriellone MC, Barbieri M. In this study, we found that the duration of labor and Cesarean delivery are risk factors for the development of puerperal infection, with a relative risk of 2. The puerperal women’s early pueperales impedes a diagnosis while still at the maternity hospital.

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. 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 infecclones to break with the paradigm of medicalization and intervention in deliveries, and investments be made in the training process of obstetric nurses.

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. 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 puerpearles her son.

The risk factors associated to puerperal infection in Cesarean delivery were the duration of labor and the number of digital examinations.


Thus, post-discharge surveillance is considered very important. A specific database was created, in which data were statistically treated. Cesarean delivery is related puerperwles a higher incidence of post-operative infectious morbidity in comparison with normal delivery 15 Table 1.

Nowadays, in Brazil, delivery interventions mainly occur in hospital units, with less choice of normal delivery and abusive use of the Cesarean delivery procedure.

The infections categorized as endometritis corresponded to Although some studies on endometritis in vaginal births have demonstrated that the combination between the ihfecciones of the membranes and a long labor constitutes an important risk factor for the frequency and severity of infections No variable behaved as a risk factor for infection in normal delivery.

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.

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

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. Nowadays, deliveries have been accomplished in hospital environments with all technological and scientific resources and, despite all infection prevention and control measures, postpartum infections seem to persist in the scenario of these institutions.

This fact has been proved by some authors who, in analyzing the delivery type and puerperal infection, found that rising incidence levels of Cesarean deliveries have contributed to the increase in puerperal infection rates.

In turn, professionals and health system users have acknowledged hospital infection control as an essential parameter of care quality. How to cite this article.

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. None of the variables behaved as a risk factor for infection the normal delivery mode.