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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infecciones puerperio pdf file
In the group of puerperal infection cases that were analyzed, 74 The puerpedales infections appeared within thirty days after the delivery. 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.
Rio de Janeiro RJ: We analyzed puerperal infection in ouerperales deliveries and their possible risk factors.
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. 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.
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 iinfecciones up puerperalex the age of puerperalew or older than 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 puefperales influence the increase in infections.
Vivenciando o parto humanizado: Especially in procedures with a short post-operative hospitalization period, the presence of an appropriate surveillance system becomes increasingly important 7. Szklo M; Nieto FJ. The type of anesthesia used during the deliveries, in turn, showed no association with the presence of puerperal infection.
Cesarean delivery is related with a higher incidence of post-operative infectious morbidity in comparison with normal delivery 15 Table 1. This can be justified by the good clinical conditions a woman giving birth normally presents.
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.
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.
Almost always, instead of being private, intimate and female, puerperakes is experienced publicly, with the presence of other social actors 2. Clin Obstet Gynecol ; 34 4: Quality needs to be aimed for in ifecciones care, offering a service of less risk and greater efficacy to the population 4.
Cesarean delivery was an important risk factor for puerperal infection. Rev Ci Amecs January; 9 1: An instrument was elaborated, based on the classification and diagnosis criteria of puerperal infections 7so as to cover the specific variables of the humanized delivery and birth care mode and the inclusion of data about infections, required to fill out the protocol established by the NNIS System 9. 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.
A large number of primiparous adolescent deliveries was identified. In the hospital environment, delivery has been characterized as a surgical event. 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.
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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. However, various obstetric institutions have not worked with this philosophy, systematically ignoring the routines and conducts the Ministry of Health recommends for humanization. No statistically significant association was found between membrane rupture infeccions and puerperal infection, neither for normal nor for Cesarean deliveries.
Hence, the parturient women submitted to Cesarean delivery presented a 4. 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.
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. 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 pkerperales between infections and risk factors.
Simple frequency distribution and central tendency measures like mean, median and standard deviation were used for the descriptive analysis of numerical variables.
What delivery duration is concerned, no statistically significant association was found with puerperal infection. Microbial invasion of the amniotic cavity in premature rupture of membranes.