Perfil epidemiológico das gestantes submetidas a parto cesariano na cidade de Maceió-AL, conforme adesão à antibioticoprofilaxia

Abstract

The fee calving cesarean in Brazil is very high, thus experiencing a higher incidence of puerperal infection. Puerperal infection is the main complication clinic that plagues many pregnant women undergoing cesarean ection, causing greater morbimortadilade maternal and occupying one of the first places among the diseases themself gravid puerperal cycle. Depending on the importance of this complication and risk obstetric and neonatal that it determines, based on the importance of the completion of thist study, whose primary goal was to characterize the epidemiological profile of pregnant women undergoing cesarean section using antibioticoprofilaxia as puerperal infection prevention, in order to facilitate the improvement of assistence, in the context of Women's Health. This was a cross-sectional study, prospective observational and performed in the period August 2009 to June 2010. The data were obtained through specific form containing 35 questions, which addressed the socioeconomic situation, reproductive issues and current issues of gestation. The data were processed in Epi Info, version 3.2.2. Were interviewed 855 given birth, whose average age was 24.8 ± 6.4 years. Observed in the study that, socioeconomic context, the only variables that have submitted sented statistical significance for the development of puerperal infection were fitted with the Collor white (protective effect) (OR=0.378; p=0.0227) and black (effect promoter) (OR=2.487; p=0.0028) and the use of prophylactic antibiotic which confers protection Who has recently given birth (OR=0.403; p=0.0070). The study highlighted that the achievement of childbirth cesáreos, in public maternity offers greater chances of puerperal infection (OR=2.111; p=0.0086). Currently there is a protocol for the use of prophylactic antibiotic therapy. Each hospital unit for conduct proposed by doctor assisting the pregnant woman in this procedure. Whereas the use of prophylactic antibiotic therapy in has helped decrease puerperal infection rate need to be deployed protocols, through prospective surveillance method for puerperal infection, still on admission, so enabling the implementation of actions directed to the population systematized and mother as well as to establish measures of prevention and control of infections, as well asenable the knowledge of microbiological profile of infections now detected.