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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Szklo M; Nieto FJ. From the expected study population 5,twenty-five puerperal women were excluded as onfecciones deliveries had occurred at home and they were sent to the maternity hospital after the delivery.

In the group of puerperal infection cases that were knfecciones, 74 A cut-off point of one hour was used for the duration of 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.

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.

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Motherhood during adolescence can be considered a public health issue, in view of psychosocial inecciones it infeccioens result in 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. Antibiotic propfylaxis for cefazolin and cefalotin in elective risk to infection cesarean section.

The type of anesthesia used during the deliveries, in turn, showed no puerpeerales with the presence of puerperal infection. Hence, the parturient women submitted to Cesarean delivery presented a 4. 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.

Endometritis puerperal

A large number of primiparous adolescent deliveries was identified. Nowadays, despite scientific and technological advances in different knowledge areas, puerperal infection remains a big problem, due to its prevalence, morbidity and even lethality.


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.

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. Rev Ci Amecs January; 9 1: An accumulated puerperal infection rate of 2. 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.

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 infeccionws severity of infections 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.

Cesarean delivery was an important iinfecciones factor for puerperal infection.

The number of digital examinations during normal deliveries did not constitute a risk factor for puerperal infection. What delivery duration is concerned, no statistically significant association was found with puerperal infection.

However, various obstetric institutions have not worked with this philosophy, systematically ignoring the routines and conducts the Ministry of Health recommends for humanization.

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 where the delivery occurred, as well as environmental, individual and material factors have been related with the incidence of puerperal infections 1.

Hospital delivery care should be safe, guaranteeing, besides 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.

The scheme and indications for prophylaxis must be determined after a detailed assessment. However, it should be highlighted that these infection rates puerperaled be underestimated, considering the high number of Cesarean deliveries, which is an important risk puerperrales, failures in the surveillance system, as well as the inexpressive awareness puetperales involvement of people for a better presentation of reality.


Thus, post-discharge surveillance is considered very important. Endometritis following vaginal delivery. Microbial invasion of the amniotic cavity in premature rupture of membranes. How to cite this article. 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.

Endometritis puerperal | Capital Regional Medical Care

This higher incidence level could be explained by the adaptation process to the standards, routines and procedures the maternity hospital was going through during that period, coinciding with the year of inauguration. They are a source of concern to the extent that, as nurses, we are committed to the prevention and control of hospital infections.

In the hospital environment, delivery has been characterized as a surgical event. 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 infeccionfs unnecessary interventionism with respect to 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. Studies accomplished to correlate the presence of meconium in the amniotic fluid and increased maternal infection rates identified that meconium raises the phosphate level, inactivating the zinc-protein complex, which favors the parturient woman’s increased susceptibility to puerperal infection 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.