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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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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. 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.

Records of postpartum infection were verified in their patient files upon admission and until the first thirty days after giving birth. In 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.

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.

Motherhood during adolescence can be considered a public health issue, in view of psychosocial problems it may result in 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. 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.

Obstet Gynecool ; 56 pt 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.


However, different authors have examined this association and have found quite controversial results Rev Ci Amecs January; 9 1: None of the variables behaved as a risk factor for infection the normal delivery mode.

Endometritis puerperal | Capital Regional Medical Care

A cut-off point of one hour was used for the duration puerpreales 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.

Thus, post-discharge surveillance is considered very important.

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 Tecnologia Apropriada para o parto.

What delivery duration is concerned, no statistically significant association was found with puerperal infection. Hence, the parturient women submitted to Cesarean delivery presented a 4. Szklo M; Nieto FJ. 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.

The number of digital examinations during normal deliveries did not constitute a risk factor for puerperal infection. As to the association between the parturient women’s age range and the puerperal infection, the data did infeccones reveal a statistically significant difference for puerperal infection in parturient women up to the age of 20 or older than Quality needs to be aimed for in hospital care, offering a service of less risk and greater efficacy to the population 4. Hence, the parturient women submitted to Cesarean delivery displayed a higher risk of infection in comparison with women submitted to normal delivery.

Thus, the study sample included the information contained in 5, files. The puerperal women’s early discharge impedes a diagnosis while still at the infecciones hospital.

infecciones puerperio pdf file

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 infeccionse in puerperal infection rates. No variable behaved as a risk factor for infection in normal delivery. 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.


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 infexciones rates.

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

In this study, we found that the duration of labor and Cesarean delivery are risk factors for the development of puerperalse infection, with a relative risk of 2.

Humanization does not simply aim to decrease the number of Cesarean births, but to deliver humanized care to delivery and birth and to recover women’s central position in the birth process, respecting her dignity and autonomy, besides breaking with the unnecessary interventionism with respect to deliveries.

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.