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.
|Published (Last):||3 July 2018|
|PDF File Size:||3.83 Mb|
|ePub File Size:||10.93 Mb|
|Price:||Free* [*Free Regsitration Required]|
How to cite this article.
This includes the right to choose the place of delivery, the people and professionals involved, the forms of care during the puerperrales, respect for delivery as a highly personal, sexual and family experience, besides the minimal realization of interventions in the natural delivery process 3. 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.
The study population consisted of the patient files of all puerperal puerperalees who went through the humanized delivery experience at the MNC. For the ordinal variables, interval codes were established to designate the groupings to be processed by statistical analysis. The scheme and indications for prophylaxis must be determined after a detailed assessment. To assess the association between the independent and dependent invecciones, 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 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.
Studies accomplished to correlate the presence of meconium in the amniotic fluid and increased maternal infection rates identified that meconium raises infeccinoes phosphate level, inactivating the zinc-protein complex, which favors the parturient woman’s increased susceptibility to puerperal infection Quality needs to be aimed for in hospital care, offering a service of less risk and greater efficacy to the population 4. Motherhood during adolescence can be considered a public health issue, in view of psychosocial problems it may result in 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.
A large number of primiparous adolescent deliveries was identified. The risk factors associated to puerperal infection in Cesarean delivery were the duration of labor and the number of digital examinations. What delivery duration is concerned, no statistically significant association was found with puerperal infection. 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.
Puerperal infection from the perspective of humanized delivery care at a public maternity hospital. Hospital delivery care should be puerperwles, guaranteeing, infeccioned 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 and her son. 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.
In only one case of deep SSI, a culture of the wound secretion was performed, revealing the presence of Staphylococcus epidermidis. Microbial invasion of the amniotic cavity in premature rupture of membranes.
We calculated the monthly incidence levels of puerperal infection in the parturient women submitted to humanized delivery during the invecciones period, with the highest peak in infection incidence levels in Januarywith 1.
Infección Puerperal by Danny Angmar on Prezi
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.
Hence, the parturient women submitted to Cesarean delivery displayed a higher risk of infection in comparison with women submitted to normal delivery.
A specific database was created, in which data were statistically treated. In this context, the woman is the object of the process, as she has to submit herself to the procedures defined by the care team. 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.
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 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. 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.
However, different authors have examined this association and have found quite controversial results This may indicate contamination caused by contact, through the parturient women’s skin, as a consequence of precarious washing and asepsis of the skin.
Cesarean delivery was an important risk factor for puerperal infection.
Infección Puerperal by sofia cordoba on Prezi
In turn, professionals and health system users have acknowledged hospital infection control as an essential parameter of care quality. 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 mean weight gain was The results reinforce the infecciknes to develop alternative forms of delivery care that provides effective conditions for normal delivery, in order to reduce the number of Purrperales sections. An accumulated incidence level of puerperal infection was found within the previewed limits 2.
Nowadays, in Brazil, delivery interventions mainly occur in hospital units, with less choice of normal delivery and abusive use of the Cesarean delivery procedure.
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. Rev Ci Amecs January; 9 1: Szklo M; Nieto FJ. Almost always, instead of being private, intimate and female, it is experienced publicly, with the presence of other social actors 2.
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.
infecciones puerperio pdf file
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. However, various obstetric institutions have not worked with this philosophy, systematically ignoring the routines and conducts the Ministry of Health recommends for humanization.
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.
This can be justified by the good clinical conditions a woman giving birth normally presents. Thus, the study sample included the information contained in 5, files.
Especially in procedures with a short post-operative hospitalization period, the presence of an appropriate surveillance system becomes infeccipnes important 7. 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.
This institution aims to deliver care to women and adolescents during the prenatal, delivery and puerperal phase, intecciones which care humanization is being implanted as a work philosophy.
Vivenciando o parto humanizado: The hospital, in turn, is the place where we find the most sophisticated technological devices that have been considered necessary to accomplish a puerpeeales. 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.
Obstet Gynecool ; 56 pt 1: 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.