DETERMINANTES DE RISCO E ESTRATÉGIAS DE PREVENÇÃO DA INFECÇÃO PUERPERAL: UMA REVISÃO INTEGRATIVA DE LITERATURA

Pedro Venicius  de Sousa Batista; Maria Zélia de Araújo  Madeira; Luanna Maria Oliveira  Santos; Lara Beatriz de Sousa  Coelho; Izabel Luiza Rodrigues de Sousa  Viana

doi:10.31011/reaid-2025-v.99-n.3-art.2498

Autores

Pedro Venicius de Sousa Batista Centro Universitário UNINOVAFAPI https://orcid.org/0000-0002-9441-0996
Maria Zélia de Araújo Madeira Universidade Federal do Piauí https://orcid.org/0000-0003-2877-2806
Luanna Maria Oliveira Santos Centro Universitário Uninovafapi https://orcid.org/0000-0002-5357-6316
Lara Beatriz de Sousa Coelho Universidade Federal do Piauí https://orcid.org/0000-0002-8640-7172
Izabel Luiza Rodrigues de Sousa Viana Universidade Federal do Piauí https://orcid.org/0000-0002-7287-3092

DOI:

https://doi.org/10.31011/reaid-2025-v.99-n.3-art.2498

Palavras-chave:

Gestantes, Período Pós-Parto, Infecção Puerperal

Resumo

Introdução: O período puerperal ou pós-parto é compreendido como uma ação involutiva para o restabelecimento do corpo da mulher. Cerca de 92% das mulheres grávidas morrem por complicações simples relacionadas a gravidez e ao parto. Nesse contexto, a infecção puerperal é um grande problema de saúde pública e contribui com altos níveis de morbidade e letalidade. Objetivo: Analisar e descrever por meio da literatura científica os fatores de risco e prevenção da Infecção Puerperal. Método: Trata-se de uma pesquisa bibliográfica do tipo revisão integrativa da literatura. A busca na literatura foi realizada nas seguintes bases de dados: Medical Literature Analysis and Retrieval System Online, na Literatura Latino-Americana e do Caribe em Ciências da, na Cumulative Index to Nursing and Allied Health Literature, SCOPUS e Web of Science. Resultados: A partir das buscas realizadas nas bases de dados, 143 artigos foram encontrados. A etapa de elegibilidade resultou em 35 artigos, após isto, incluíram-se 12 artigos no estudo. Conclusão: Os estudos indicam que a infecção puerperal constitui uma causa significativa de mortalidade entre puérperas em âmbito global. A prevenção eficaz da sepse puerperal e suas consequências depende do conhecimento das medidas profiláticas. É imperativo que enfermeiros e demais profissionais de saúde envolvidos no atendimento às gestantes forneçam informações educativas, especialmente no que tange aos hábitos de higiene, considerando os aspectos sociais, econômicos e culturais das mulheres.

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Referências

Rezende JF, Montenegro CAB. Obstetrícia fundamental. 14ª ed. São Paulo: Grupo Gen - Guanabara Koogan; 2019.

Oswaldo Cruz Foundation. Main Issues about the Postpartum Consultation in Primary Health Care [Internet]. Rio de Janeiro: Fiocruz; 2021 [cited 2024 Sep 6]. Available from: https://portaldeboaspraticas.iff.fiocruz.br/atencao-mulher/principais-questoes-sobre-a-consulta-de-puerperio-na-atencao-primaria-a-saude/.

Ministry of Health (BR). Brazil reduced maternal mortality ratio by 8.4% and invests in actions focused on women’s health [Internet]. Brasília-DF; Ministry of Health; 2020 [cited 2024 Sep 6]. Available from: https://www.gov.br/saude/pt-br/assuntos/noticias/2020/maio/brasil-reduziu-8-4-a-razao-de-mortalidade-materna-e-investe-em-acoes-com-foco-na-saude-da-mulher.

Sociedade Brasileira de Medicina de Família e Comunidade. Maternal mortality in PHC [Internet]. 2019 [cited 2024 Sep 6]. Available from: https://www.sbmfc.org.br/noticias/mortalidade-materna-na-aps/.

Marinho MPS, Soeiro CMO. Clinical-epidemiological aspects of puerperal infection in a reference maternity hospital in Amazonas from 2018 to 2019. Rev Eletr Acervo Saúde [Internet]. 2021 [cited 2024 Sep 6];13(11):e8574. Available from: https://doi.org/10.25248/reas.e8574.2021.

Boushra M, Rahman O. Postpartum Infection. StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2020 [cited 2024 Sep 6]. Available from: https://europepmc.org/article/nbk/nbk560804.

National Health Surveillance Agency (BR). Prevention measures and diagnostic criteria for puerperal infections in vaginal delivery and cesarean section [Internet]. Brasília-DF: ANVISA; 2020 [cited 2024 Sep 6]. Available from: https://www.gov.br/anvisa/pt-br/centraisdeconteudo/publicacoes/servicosdesaude/publicacoes/caderno-8-medidas-de-prevencao-e-criterios-diagnosticos-de-infeccoes-puerperais-em-parto-vaginal-e-cirurgia-cesariana.pdf

Brazilian Federation of Gynecology and Obstetrics Associations. World Health Organization (WHO) launches 56 recommendations to try to reduce cesarean sections [Internet]. São Paulo; FEBRASGO; 2018 [cited 2024 Sep 6]. Available from: https://www.febrasgo.org.br/pt/noticias/item/402-organizacao-mundial-da-saude-oms-lanca-56-recomendacoes-para-tentar-diminuir-as-cesareas.

Santos RMC, Lago DC. Characteristics related to the occurrence of puerperal infection in women undergoing cesarean delivery. Femina [Internet]. 2022 [cited 2024 Sep 6];50(8):505-512. Available from: https://doi.org/10.25248/reas.e8574.2021.

Sousa AS, Oliveira GS, Alves LH. The bibliographic research: principles and fundamentals. Cadernos da FUCAMP [Internet]. 2021 [cited 2024 Sep 6];20(43):64-83. Available from: https://revistas.fucamp.edu.br/index.php/cadernos/article/view/2336.

Jesus SS. Scientific research: an approach to the qualitative method. Rev Ciranda [Internet]. 2020 [cited 2024 Sep 6];15(2):123-134. Available from: https://doi.org/10.22483/2177-5796.2020v15n2p123-134.

Whittemore R, Knafl K. The integrative review: Updated methodology. J Advanced Nursing. 2005;52(5):546–53. Available from: https://pubmed.ncbi.nlm.nih.gov/16268861/.

Lockwood C, Porrit K, Munn Z, Rittenmeyer L, Salmond S, Bjerrum M, et al. Systematic reviews of qualitative evidence. In: Aromataris E, Munn Z, editors. JBI Manual for Evidence Synthesis [Internet]. Adelaide: Joanna Briggs Institute. 2020 [cited 2024 Sep 6]; p. 1-20. Available from: https://jbi.global/news/article/jbi-updates-methodological-guidance-0.

Mendes KDS, Silveira RCCP, Galvão CM. Use of the bibliographic reference manager in the selection of primary studies in integrative reviews. Texto Contexto Enferm [Internet]. 2019 [cited 2024 Sep 6];28:e20170204. Available from: https://doi.org/10.1590/1980-265X-TCE-2017-0204.

Moher D, Liberati A, Tetzlaff J, Altman DG, The PRISMA Group. Preferred Reporting Items for Systematic Reviews and Meta-Analyses: the PRISMA Statement. PLoS Med [Internet]. 2009 [cited 2024 Sep 6];6(7):e1000097. Available from: https://doi.org/10.1371/journal.pmed.1000097.

Kalbarczyk A, et al. Exploring terminology for puerperal sepsis and its symptoms in urban Karachi, Pakistan to improve communication, care-seeking, and illness recognition. Glob Public Health [Internet]. 2022 [cited 2024 Sep 6];17(12):3825-3838. Available from: https://doi.org/10.1080/17441692.2022.2115527.

Liu LY, Wen T, Reddy UM, Mourad M, Goffman D, Nathan L, et al. Risk factors, trends, and outcomes associated with postpartum sepsis readmissions. Obstet Gynecol [Internet]. 2022 [cited 2024 Sep 6]. Available from: https://doi.org/10.1097/aog.0000000000005437.

Petrucio WS, Nogueira VB, Gentil YFA, Santos AF, Viana JFS. Surgical site infection after cesarean section in a maternity hospital in Manaus, Brazil: the importance of rational use of antibiotic therapy. Femina [Internet]. 2021 [cited 2024 Sep 6];49(4):237-245. Available from: https://doi.org/10.1590/1984-0462/2021/49/4/237.

Mauricio K, Huamán R, Espinoza R. Factors associated with postpartum complications according to the Demographic and Family Health Survey in Peru 2019-2020. Rev Fac Med Hum [Internet]. 2023 [cited 2024 Sep 6];23(1):61-72. Available from: https://doi.org/10.25176/rfmh.v22i4.4772.

Oyato BT, Debele T, Edosa D, Abasimel HZ, Awol M, Kebede ET, et al. Determinants of puerperal sepsis among postpartum women: a case–control study in East Shoa Zone public hospitals, Central Ethiopia. BMJ Open [Internet]. 2024 [cited 2024 Sep 6];14(6):e083230. Available from: https://doi.org/10.1136/bmjopen-2023-083230.

Bakhtawar S, Sheikh S, Qureshi R, Hoodbhoy Z, Payne B, Azam I, et al. Risk factors for postpartum sepsis: a nested case-control study. BMC Pregnancy Childbirth [Internet]. 2020 [cited 2024 Sep 6];20:297. Available from: https://doi.org/10.1186/s12884-020-02991-z.

Belgundkar B, Heikham GC. A study to assess the effectiveness of nurse intervention programme on knowledge regarding prevention of puerperal infection among postnatal mothers in KLE Prabhakar Kore Hospital at Belagavi, Karnatak. Int J Nurs Educ Res [Internet]. 2023 [cited 2024 Sep 6];11(2):123-30. Available from: https://doi.org/10.5958/2454-2660.2023.00022.4.

CH, et al. A study to assess the knowledge of postnatal mothers regarding prevention of puerperal complications in selected hospital at Chinakakani, Guntur (Dt), Andhra Pradesh. Int J Nurs Educ Res [Internet]. 2023 [cited 2024 Sep 6];11(2):123-30. Available from: https://doi.org/10.5958/2454-2660.2023.00022.4.

Nchimbi DB, Joho AA. Puerperal sepsis-related knowledge and reported self-care practices among postpartum women in Dar es Salaam, Tanzania. Women’s Health [Internet]. 2022 [cited 2024 Sep 6];18:17455057221082954. Available from: https://doi.org/10.1177/17455057221082954.

Sarkar A, Ahalawat J. A descriptive study to assess the knowledge and practices regarding prevention of puerperal infection among postnatal mothers in Civil Hospital, Panipat, Haryana. Int J Nurs Educ Res [Internet]. 2023 [cited 2024 Sep 6];11(2):123-130. Available from: https://doi.org/10.5958/2454-2660.2023.00022.4.

Kopeć-Godlewska K, Pac A, Różańska A, Żbikowski P, Rosiński J, Wojkowska-Mach J. Infection-associated hospitalizations of women in labour. Eur J Public Health [Internet]. 2020 [cited 2024 Sep 6];30(4):739-743. Available from: https://doi.org/10.1093/eurpub/ckaa080.

Felisian S, Mushy SE, Tarimo EAM, Kibusi SM. Sociocultural practices and beliefs during pregnancy, childbirth, and postpartum among indigenous pastoralist women of reproductive age in Manyara, Tanzania: a descriptive qualitative study. BMC Womens Health [Internet]. 2023 [cited 2024 Sep 6];23:123. Available from: https://doi.org/10.1186/s12905-023-02277-4.