Ganho de peso ponderal e desfechos gestacionais de gestantes atendidas nas unidades básicas de saúde, em Trindade, Goiás

Abstract

PURPOSE: To correlate risk factors and weight gain in pregnant women in the city of Trindade-Goiás, attended at the Basic Health Units. METHODS: This is a quantitative cross-sectional study with a sample collected in 26 UBSs distributed in the region Central and Eastern, in which data were collected in medical records of 298 pregnant women. The variables collected were: marital status, race, number of pregnancies, pre-gestational weight, age, schooling, height and clinical history (Arterial Hypertension and Diabetes Mellitus). The analysis of the data was done through the program Stata version 12.0. The frequency analysis was done by means of the percentage calculation in relation to the total of the sample and the dependency relations between the independent and dependent variables were made through Pearson's hypothesis test (chi square), considering the level of significance α = 5 %. RESULTS: In the present study, the variable that generated dependence was weight gain during the pregnancy period (insufficient / adequate / excessive), related to pre-gestational BMI (p = 0.000), showing that 67.62% (n = 71) of the pregnant women with adequate gain were previously classified as eutrophic. Among those classified as pre-gestational BMI of overweight, 51.72% (n = 45) presented excessive weight gain. Among those with pre-gestational obesity BMI 36.78% (n = 32) presented excessive weight gain. CONCLUSION: Pregnant women previously classified as eutrophic had adequate weight gain during pregnancy, but those with a history of overweight / obesity had excess weight during the pregnancy period, thus showing the relationship of these two variables.