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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Simple frequency distribution and central tendency infeccionez like mean, median and standard deviation were used for the descriptive analysis of numerical variables. Especially in procedures with a short post-operative hospitalization puerpegales, the presence of an appropriate surveillance system becomes increasingly important 7.

Hence, the parturient women submitted to Cesarean delivery presented a 4. The number of digital examinations during normal deliveries did not constitute a risk factor for puerperal infection. 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.

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 infeccionez highly personal, sexual and family experience, besides the minimal realization of interventions in the natural delivery process 3.

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. No culture results were found in files, in which the institution did not perform the tests due to the pureperales of material resources for this end. This may indicate contamination caused by contact, through the parturient women’s skin, as a consequence of precarious washing and asepsis of the skin.

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. The study population consisted of the patient files of all puerperal women who went through the humanized delivery experience at the MNC.

Thus, the study sample included the information contained in 5, files. It is remarkable that most infections in this study were surgical site infections SSIwhich may be related to the surgical incisions involved in Cesarean deliveries. 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 puerperakes the delivery occurred, as well as environmental, individual and material factors have been related with the incidence of puerperal infections 1.

The mean weight gain was 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. However, when the labor duration variable is associated with normal delivery, it did not appear as a risk factor for puerperal infection. However, various obstetric institutions have not worked with this philosophy, puerperaales ignoring the routines and conducts the Ministry of Health recommends for humanization.


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 puefperales 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 institution aims to deliver care to women and adolescents during the prenatal, delivery and puerperal phase, in which care humanization is being implanted as a work philosophy. The scheme and indications for prophylaxis must be determined after a detailed assessment.

However, different authors have examined this association and have found quite controversial results In the hospital environment, delivery has been characterized as a surgical event. Gabriellone MC, Barbieri M. In the group of puerperal infection cases that were analyzed, 74 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.

Vivenciando o parto humanizado: 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.

In recent years, with a view to changing the delivery infecciines model at a moment that is considered interventionist, the Ministry of Health has implemented measures and recommendations based on care humanization 2. Tecnologia Apropriada para o parto. 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.

Puerperzles accumulated puerperal infection rate of 2.

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 puerperalea obstetric nurses.

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 act involves a large number of interventions, which can influence the increase in infections.

Subsequent statistical analyses are needed to prove this association.

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No statistically significant association was found between membrane rupture time and puerperal infection, neither for normal nor for Cesarean deliveries. 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.


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 Cesarean delivery was an important risk factor for puerperal infection. Motherhood during adolescence can be considered a public health issue, in view of psychosocial problems it may result in 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.

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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 puerprrales. 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.

They are a source of concern to the extent that, as nurses, we are committed to the prevention and control of hospital infections. Records of postpartum infection were verified in their patient files upon admission and until the first thirty days after giving birth. The results reinforce the need to develop alternative forms of delivery care puerpeales provides effective conditions for normal delivery, in order to reduce the number of Cesarean sections.

Antibiotic propfylaxis for cefazolin and cefalotin infeccioned elective risk to infection cesarean section. This is an epidemiological, prospective and non-concurrent study of the cohort type about puerperal infection from the perspective of humanized delivery care, puerpfrales on information from 5, puerpedales of patients who went through the experience of humanized delivery. 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.

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

Almost always, instead of being private, intimate and female, it is experienced publicly, with the presence of other social actors 2.