Identifi cation of post-cesarean surgical site infection: nursing consultation

Related to cesarean delivery and the development of SSI are risk factors that translate into prolonged labor, excessive vaginal contact, meconium, premature delivery, primiparity, ruptured membranes, emergency cesarean delivery, caesarean section of twins, advanced age over 35 years old and prolonged surgical time. A meeting was held with the Community Health Agents (CHA) of each Basic Health Unit - BHU to present the research and discuss the procedure for women to be contacted to learn about the study and sign a Free and Clarified Consent Term in research for those who agreed to participate. [...]it was defined that the CHA would be responsible for presenting the research and signing the term, at the time of the home visit. Women who had cesarean deliveries in 2014 were 25 years old on average; they also 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. The proposal elaborated for the Roadmap for Post-Cesarean Postpartum Nursing Consultation contains information to help nurses recognize signs and symptoms suggestive of post-cesarean surgical site infection, selected from the studies that have indicated risk factors for the development of this problem in addition to the data needed for an adequate nursing process, promoting patient safety, with quality and harm reduction assistance.