Associação entre a Assistência Pré-Natal e o Ganho de Peso Gestacional: Estudo Seccional em uma Área de Baixa Renda do Rio de Janeiro

Autores

  • Débora Souza Gigante Departamento de Nutrição Social e Aplicada do Instituto de Nutrição Josué de Castro da Universidade Federal do Rio de Janeiro
  • Amanda Rodrigues Amorim Adegboye School of Nursing, Midwifery and Health, Faculty of Health and Life Sciences, Coventry University, Priory Street, Coventry, CV1 5FB, UK https://orcid.org/0000-0003-2780-0350
  • Elisa Maria de Aquino Lacerda Department of Nutrition and Dietetics. Institute of Nutrition Josue de Castro (INJC), Federal University of Rio de Janeiro, Posgraduate Program of Nutrition/INJC. https://orcid.org/0000-0002-1830-4278
  • Cláudia Saunders Research Group on Maternal and Child Health, Departament of Nutrition and Dietetics. Institute of Nutrition Josue de Castro (INJC), Federal University of Rio de Janeiro, Posgraduate Program of Nutrition/INJC. https://orcid.org/0000-0001-8815-6736
  • Patrícia Carvalho Padilha Research Group on Maternal and Child Health, Departament of Nutrition and Dietetics. Institute of Nutrition Josue de Castro (INJC), Federal University of Rio de Janeiro, Posgraduate Program of Nutrition/INJC.
  • Maria Beatriz Trindade de Castro Department of Social and Applied Nutrition, Institute of Nutrition Josue de Castro (INJC), Federal University of Rio de Janeiro, Posgraduate Program of Nutrition/INJC https://orcid.org/0000-0001-6618-4007

DOI:

https://doi.org/10.12957/demetra.2021.58362

Palavras-chave:

Estado Nutricional. Gravidez. Saúde Pública. Ganho de Peso na Gestação. Cuidado Pré-Natal.

Resumo

Objetivo: Verificar a associação entre a adequação da assistência pré-natal e o ganho de peso gestacional (GPG) em puérperas brasileiras de baixa renda. Métodos: Estudo transversal no município de Mesquita-RJ, incluindo 281 mulheres no pós-parto imediato. O GPG foi classificado como adequado, insuficiente e excessivo de acordo com as recomendações do Institute of Medicine (IOM). O número de consultas do pré-natal foi categorizado (1: nenhuma consulta; 2: 1-3 consultas; 3: 4-6 consultas; 4: 7 ou mais consultas) e o início do pré-natal, segundo as semanas gestacionais (SG), foi utilizado como variável contínua. A assistência pré-natal (AP) avaliou as duas dimensões agrupadas do Índice de Kotelchuck: adequado (adequado + mais adequado) ou inadequado (intermediário e inadequado). Modelos de regressão logística multinomial foram utilizados para estimar as associações entre assistência pré-natal inadequada e GPG. Resultados: AP foi iniciada em média com 12,6 (± 6,9) SG; 8,2% das mulheres (n = 23) fizeram ≤ 4 consultas de pré-natal e 38,4% (n = 108) foram classificadas com AP inadequada. Em média, o GPG foi de 12,9 kg (± 6,2) e 36,5%, 31,0% e 32,5% das mulheres apresentaram GPG adequado, insuficiente e excessivo, respectivamente. Após o ajuste, a inadequação da AP (OR = 2,01; IC 95% = 1,03-3,90) foi associada a uma maior probabilidade de GPG abaixo das recomendações do IOM. Conclusão: Observou-se uma associação significativa entre a inadequação da assistência pré-natal e o GPG insuficiente, o que reforça a relevância da adequada AP para monitorar o adequado GPG e intervir precocemente na gestação.

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Referências

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Publicado

2021-07-28

Como Citar

Gigante, D. S., Adegboye, A. R. A., Lacerda, E. M. de A., Saunders, C., Padilha, P. C., & Castro, M. B. T. de. (2021). Associação entre a Assistência Pré-Natal e o Ganho de Peso Gestacional: Estudo Seccional em uma Área de Baixa Renda do Rio de Janeiro. DEMETRA: Alimentação, Nutrição & Saúde, 16, e58362. https://doi.org/10.12957/demetra.2021.58362

Edição

Seção

Alimentação e Nutrição em Saúde Coletiva

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