Avaliação dos casos de infecção puerperal em cirurgia cesariana em maternidade terciária

Abstract

Puerperium is the pospartumperiod of time considered critic and of transition, because woman becomes susceptible to diseases like blood hemorrhage and infections. Puerperal infection is any bacterial infection of the genital tract in recent postpartum period. It may occur as a result of natural childbirth or cesarean surgery, however, cesarean is the principal risk factor for developing and increasing of this infection. This study aims to evaluate medical records of women with puerperal infection after cesarean surgery hospitalized in maternities. It’s a documental, retrospective study developed through medical handbook and post-cesarean infection notification sheets analyses from “Hospital Infection Control Service of ‘EscolaAssis Chateaubriand’ Maternity Hospital”, in the period from march to may 2018, with a sample of 17 medical records.A form was used to collect socio-demographic, clinic, and obstetric data related to puerperal infection, cesarean surgery indication, and risk factors incidence. The data was inserted in a Microsoft Excel® version 2016 datasheet. 4.853 childbirths were madein 2017, within 2.812 (57,9%) cesarean surgery and 17 (0,6%) cases of puerperal infection. Most of the women were brown, with ages between 18 and 24 years, from the capital, affected by urinary tract infection. All of them underwent prenatal care, with single gestation, full term, and extended cesarean surgery. The main indication for cesarean was severe preenclampsia. Superficional incisional puerperal infection was the more frequent and emergency cesarean surgery was the most common risk factor among women. It can be concluded that good quality assistance since prenatal period, until cares with surgery wound is of great importance to prevent puerperal infection, however, others measures, such asbetter indication of cesarean surgery, surgery time optimization, and early surveillance can be critical.