Banca de DEFESA: ANA QUITERIA FERNANDES FERREIRA

Uma banca de DEFESA de MESTRADO foi cadastrada pelo programa.
STUDENT : ANA QUITERIA FERNANDES FERREIRA
DATE: 03/03/2026
TIME: 14:30
LOCAL: GOOGLE MEET
TITLE:

Improving the quality of care in cesarean sections at a regional maternity hospital in Northeastern, Brazil.

KEY WORDS:

Patient Safety; Quality Improvement; Surgical Site Infection; Infection Control; Cesarean Section.

PAGES: 85
BIG AREA: Ciências da Saúde
AREA: Saúde Coletiva
SUBÁREA: Saúde Pública
SUMMARY:

Introduction: The prevention of surgical site infection in cesarean sections (SSI-CS) has been the focus of strategies based on continuous quality improvement cycles, with standardized surveillance and care interventions. In this context, the implementation of structured actions is essential to reduce infection rates and strengthen evidence-based obstetric practices.

Objective: To improve the quality of cesarean care in a regional maternity hospital in Northeast Brazil through a quality improvement cycle, implementation of a care protocol, evaluation of quality criteria before and after the interventions, and reduction of SSI-CS rates.

Methodology: This was a quasi-experimental, before-and-after study without a control group, using a quantitative approach. It was conducted at Hospital Dr. Mariano Coelho, in Rio Grande do Norte, between July 2024 and February 2026, following the quality improvement cycle model proposed by Saturno. The sample consisted of 60 medical records of women who underwent cesarean section before the intervention and 60 after the implementation of methods aimed at standardizing and improving care, according to inclusion and exclusion criteria and after signing the informed consent form. This study was submitted to and approved by the ethics committee, in accordance with regulations for research involving human subjects.

Results: The calculated SSI-CS rate was 5% at baseline and 9% after the interventions. In the initial assessment, criteria related to skin preparation with degerming and antisepsis showed high compliance, while the other criteria presented 0% compliance. After the improvement cycle, significant progress was observed in process indicators, with greater adherence to the checklist, temperature monitoring, use of personal protective equipment, and antibiotic prophylaxis.

Conclusion: The increase in the infection rate may be related to improved surveillance, greater guidance provided to postpartum women, and expanded case identification. The improvement cycle demonstrated sustainability in process indicators, with advances in the quality of cesarean care. The results indicate the potential for replication of the interventions and reinforce the need for continuous monitoring and new improvement cycles to achieve consistent impact on clinical outcomes.

COMMITTEE MEMBERS:
Presidente - 1674688 - TATYANA MARIA SILVA DE SOUZA ROSENDO
Interna - 1645299 - MARISE REIS DE FREITAS
Externa à Instituição - SUSANA CECAGNO - UFPel