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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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 gain. In only one case of deep SSI, a culture of the wound secretion was performed, revealing the presence of Staphylococcus epidermidis.

Endometritis puerperal | Reston Surgery Center

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.

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.

Nowadays, the humanization of delivery and its influence on puerperal infections has been valued. A specific database was created, in which data were statistically treated. The following independent variables iinfecciones considered: In the hospital environment, delivery has been characterized as a surgical event. What delivery duration is concerned, no statistically significant association was found with puerperal infection.

Thus, post-discharge surveillance is considered very important. In turn, professionals and health system users have acknowledged hospital infection control as an essential parameter of care quality. How to cite this article. Hence, infeccionrs parturient women submitted to Cesarean delivery presented a 4. No statistically significant association was found between membrane rupture time and puerperal infecicones, neither for normal nor for Cesarean deliveries.

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. Puerperal infection from the perspective of humanized delivery care at a public maternity hospital.

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 uperperales, which favors the parturient woman’s increased susceptibility to puerperal infection Obstet Gynecool ; 56 pt 1: The mean weight gain was Thus, the study sample included the information contained in 5, files.


Rio de Janeiro RJ: The hospital, in turn, is the place where we find the most sophisticated technological puerperalss that have been considered necessary to accomplish a delivery. For normal delivery, the period from the start of the expulsion of the fetus until the expulsion puerprrales the placenta was considered and, for Cesarean delivery, from the start of anesthesia until the complete closure of the surgical incision.

Endometritis puerperal

The study population consisted of the patient files of all puerperal women who went through the humanized delivery experience at the MNC. Records of postpartum infection were verified in their patient files upon admission and until the first thirty days after giving birth.

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. For the ordinal variables, interval codes were established to designate the groupings to be processed by statistical analysis.

Vivenciando o parto humanizado: No culture results were found puerpearles files, in which the institution did not perform the tests due to the lack of material resources for this end. 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.

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.

Cesarean delivery is related with a higher incidence of post-operative infectious morbidity in comparison with normal delivery 15 Table 1. As to the association between the parturient women’s age puerperalfs and the puerperal infection, the data did infecciiones reveal a statistically significant difference for puerperal infection in parturient women up to the age of 20 or older than 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.

However, when the labor duration variable is associated with normal delivery, it did not appear as a risk factor for puerperal infection. 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.

No variable behaved as a risk factor for infection in normal delivery. Microbial invasion of the amniotic cavity in premature rupture of membranes.


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.

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.

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. However, various obstetric institutions have not worked with this philosophy, systematically ignoring the routines and conducts the Ministry of Health recommends for humanization.

This higher incidence level could be explained 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. None of the variables behaved as a risk factor for infection the normal delivery mode. 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.

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.

All the contents of this journal, except where otherwise noted, is licensed under a Creative Commons Attribution License. We analyzed puerperal infection in humanized deliveries and their possible risk factors.

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. An accumulated puerperal infection rate of 2. Brazil is considered one of the countries in the world with the higest Cesarean delivery rate, which has contributed to the increased risk of maternal mortality, especially due to infection 2.

Care humanization acknowledges the fundamental rights of mothers and babies.