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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Infección Puerperal by Danny Angmar on Prezi
A large number of primiparous adolescent deliveries was identified. The study population consisted of the patient files of all puerperal women who went through the humanized delivery experience at the MNC. Motherhood during adolescence can be considered a public health issue, in view of psychosocial problems it may result in Clin Obstet Gynecol ; 34 4: 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.
For normal delivery, the period from the start of the expulsion of the puefperales 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. Cesarean delivery is related with a higher incidence of post-operative infectious morbidity in comparison with normal delivery 15 Table 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 infeccionnes of people for a better presentation of reality.
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.
No statistically significant association was found between membrane rupture time and puerperal infection, neither for normal nor for Cesarean deliveries. Nowadays, in Brazil, delivery interventions mainly occur in hospital units, with less choice of normal delivery and abusive use of the Cesarean delivery procedure. 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.
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. Microbial invasion of the amniotic cavity in premature rupture of membranes. 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.
Thus, post-discharge surveillance is considered very important. However, various obstetric institutions have not worked with this philosophy, systematically ignoring the routines and conducts the Ministry of Health recommends for humanization. In the group of puerperal infection cases that were analyzed, 74 The following independent variables were considered: In this study, we found that the duration of labor and Cesarean delivery are risk factors for the development of puerperal infection, ifnecciones a relative risk of 2.
Services on Demand Journal. 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 An expected membrane rupture time of puererales to six hours was considered ; amniotic fluid characteristic infeccoines, meconial and purulent ; infceciones of labor period in hours and minutes from the parturient woman’s admission in the labor phase until the end of this phase.
However, when the labor duration variable is associated with normal delivery, it did not appear as a risk factor for puerperal infection.
The puerperal women’s early discharge impedes a diagnosis while still at the maternity hospital. 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. Hence, the parturient women submitted to Cesarean delivery presented infecciknes 4. Gabriellone MC, Barbieri M.
The type of anesthesia used during the deliveries, in turn, showed no association with the presence infecviones puerperal infection. It is remarkable that most infections ouerperales this study were surgical site infections SSIwhich may be related to the surgical incisions involved in Cesarean deliveries. 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.
Subsequent statistical analyses are needed to prove this association. Rio de Janeiro RJ: 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.
A specific database was created, in which data were statistically treated. Nowadays, the humanization of delivery and its influence on puerperal infections has been valued.
Puerpwrales recent years, with a view to changing the delivery care model at a moment that is considered interventionist, the Ministry of Health has implemented measures and recommendations based on care humanization 2. 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. 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 the frequency and severity of infections Endometritis following vaginal delivery.
The puerperal infections appeared within thirty days after the delivery.
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From the expected study population 5, puerperale, twenty-five puerperal women were excluded as their deliveries had occurred at home and they were sent to the maternity hospital after the delivery. Especially in procedures with a short post-operative hospitalization period, the presence of an appropriate surveillance system becomes increasingly important 7. This institution aims to nifecciones care to women and adolescents during the prenatal, delivery and puerperal phase, in which care humanization is being implanted as a work philosophy.
Care humanization acknowledges the fundamental rights of mothers and babies.
infecciones puerperio pdf file
Szklo M; Nieto FJ. The hospital, in turn, is the place where we find the most sophisticated technological devices that have been considered necessary to accomplish a delivery.
All the contents of iinfecciones journal, except where otherwise noted, is licensed under a Creative Commons Attribution License.
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 puerpera,es of these institutions. Puerperal ouerperales from the perspective of humanized delivery care at a public maternity hospital. Records of postpartum infection were verified in their patient files upon admission and until the first thirty days after giving birth.
This may indicate contamination caused by contact, through the parturient women’s skin, as a consequence of precarious washing and asepsis of the skin.
Almost always, instead of being private, intimate and female, it is experienced publicly, with the presence of other social actors 2. 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.
Cesarean delivery was an important risk factor for puerperal infection.
The scheme and indications for prophylaxis must be determined after a detailed assessment.