Abstract
To describe the profile of women in relation to their living conditions, health status and socio-demographic profile, correlating it with the presence of signs and symptoms suggestive of post-cesarean surgical site infection, identifying information to be considered in the puerperium consultation performed by nurses and proposing a roadmap for the systematization of care. Quantitative, exploratory, descriptive, cross-sectional and retrospective review of medical records of women who had cesarean deliveries in 2014, in the city of São Paulo. 89 medical records were analyzed, 62 of them with incomplete information. In 11, there was at least one of the signs and symptoms suggestive of infection. Given the results of the study, the systematization of puerperal consultation is essential. The roadmap is an instrument that can potentially improve the quality of service and the recording of information.
Highlights
Healthcare-associated Infections (HAI) in health services are a serious global public health problem[1]
Regarding the analysis that addresses the vulnerability of women to post-cesarean surgical site infection, the results were analyzed considering two groups of records: A) those who contained a medical diagnosis or record of at least one suggestive condition of signs and Surgical Site Infections (SSI) symptoms; and B) in which the information contained in the medical records did not indicate any of the above situations
Women who had cesarean deliveries in 2014 were 25 years old on average; they had brown skin color, white and black, respectively; they were born in the southeastern and northeastern regions of the country; they were living in the masonry house, with access to the network electrical, sewage and general water, in households of three to four rooms, accommodating three to five people; most of them were living with partners and children; they were either married or single; half of them was engaged in paid activity, with family income ranging from one to three minimum salaries and with declared education between 8 and 11 years, for 60% of the medical records studied
Summary
Healthcare-associated Infections (HAI) in health services are a serious global public health problem[1]. Surgical Site Infections (SSI) are among the most frequent and are responsible for increased hospitalization, costs, morbidity and mortality. The present study has as object the post-cesarean SSI given the magnitude of this problem and the high number of this birth roadmap, as shown in a study of the year 2012, in the state of São Paulo, where 304,188 cesarean deliveries were reported[5]. When comparing the number of other surgical procedures in the same year, there has been 450% increase in cesarean deliveries when compared to the second one, cholecystectomy[5]. The high incidence of cesarean delivery results in increased maternal and neonatal morbidity and mortality, and has increased over 1.5 times more than natural delivery for most problems[2,3]. In Latin America, cesareans without medical follow-up are responsible for the occurrence of 100 maternal deaths and 40,000 cases of neonatal respiratory disease each year[6]
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