Abstract
Objective: To evaluate the prevalence of puerperal infection in a public maternity hospital in Amazonas, the associated risk factors and the relationship between the most adopted antibiotic therapy regimens and the outcomes of puerperal infection. Methods: Descriptive and retrospective study, carried out from January 2018 to December 2019, based on the analysis of information contained in the medical records of patients who underwent vaginal or cesarean delivery and dissipated puerperal in the aforementioned period. Results: The sample consisted of 351 pregnant women, with a prevalence of puerperal infection of 2.28% during the study period. The mean age of patients was 23.9 years. The most prevalent indication for cesarean section was Acute Fetal Suffering (21.7%). Appropriate antibiotic prophylaxis was administered in 32.5%, being performed with Cephalotin in 59.6% of the sample, followed by Cefazolin in 40.3%. For treatment, the most used regimen was the triple cephalothin associated with gentamicin and metronidazole (53.8%). Resuture was performed in one third of patients (33.1%). Conclusion: complications in the puerperium stage stand out and are increasingly present, and puerperal infection control measures are adequate education, process improvements and introduction of new clinical guidelines.