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Advisor(s)
Abstract(s)
Diabetes Gestacional (DG) constitui um problema de saúde pública relacionado
com complicações para a mãe e para o feto. O Índice de Massa Corporal (IMC) e o aumento de peso inadequado durante a gestação têm sido associados ao peso do recém-nascido (RN). No estudo averiguou-se a relação entre o IMC pré-gestacional, o trimestre de diagnóstico da DG e o ganho ponderal durante a gestação com o peso do RN ao nascer e ainda as possíveis correlações com as variáveis maternas (IMC pré-gestacional e ganho ponderal durante a gestação). Estudadas 456 grávidas com DG e respetivo RN, acompanhados na consulta de Nutrição, entre 2018 e 2020, nas variáveis: idade, peso prévio à gravidez, IMC prévio à gestação, ganho ponderal na gestação e trimestre de diagnóstico da DG; do RN: género e peso ao nascer. Verificou-se que: antes de engravidar 2% das grávidas tinham um peso inferior ao adequado, 31,4% tinham excesso de peso e 29,6% eram obesas; 31,4% tiveram um ganho ponderal inferior ao recomendado e 38,8% excederam-no. Mais de metade das grávidas tiveram o seu diagnóstico de DG no 2° trimestre. Dos RN, 9,6% eram leves e 13,2% classificados em Grandes para a idade gestacional. Tanto o IMC pré-gestacional como o ganho ponderal durante a gestação demonstraram estar correlacionados com o peso do RN ao nascer. As variáveis maternas IMC pré-gestacional e ganho ponderal durante a gestação revelaram-se inversamente correlacionadas entre si.
Gestational Diabetes (GD) is a public health problem related to complications for the mother and fetus. Body Mass Index (BMI) and inadequate weight gain during pregnancy have been associated with newborn (NB) weight. The study investigated the relationship between pre-pregnancy BMI, the trimester of diagnosis of GD and weight gain during pregnancy with the birth weight of the NB and also the possible correlations with maternal variables (pre-pregnancy BMI and gain weight during pregnancy). A total of 456 pregnant women with GD and their NB were studied, followed up at the Nutrition consultation, between 2018 and 2020, in the variables: age, weight prior to pregnancy, BMI prior to pregnancy, weight gain during pregnancy and trimester of diagnosis of GD; of NB: gender and birth weight. It was found that: before becoming pregnant, 2% of pregnant women were underweight, 31.4% were overweight and 29.6% were obese; 31.4% had a lower weight gain than recommended and 38.8% exceeded it. More than half of pregnant women were diagnosed with GD in the 2nd trimester. Of the NBs, 9.6% were light and 13.2% were classified as Large for gestational age. Both pre-gestational BMI and weight gain during pregnancy have been shown to be correlated with the newborn's weight at birth. Pre- pregnancy BMI and weight gain during pregnancy were inversely correlated with each other.
Gestational Diabetes (GD) is a public health problem related to complications for the mother and fetus. Body Mass Index (BMI) and inadequate weight gain during pregnancy have been associated with newborn (NB) weight. The study investigated the relationship between pre-pregnancy BMI, the trimester of diagnosis of GD and weight gain during pregnancy with the birth weight of the NB and also the possible correlations with maternal variables (pre-pregnancy BMI and gain weight during pregnancy). A total of 456 pregnant women with GD and their NB were studied, followed up at the Nutrition consultation, between 2018 and 2020, in the variables: age, weight prior to pregnancy, BMI prior to pregnancy, weight gain during pregnancy and trimester of diagnosis of GD; of NB: gender and birth weight. It was found that: before becoming pregnant, 2% of pregnant women were underweight, 31.4% were overweight and 29.6% were obese; 31.4% had a lower weight gain than recommended and 38.8% exceeded it. More than half of pregnant women were diagnosed with GD in the 2nd trimester. Of the NBs, 9.6% were light and 13.2% were classified as Large for gestational age. Both pre-gestational BMI and weight gain during pregnancy have been shown to be correlated with the newborn's weight at birth. Pre- pregnancy BMI and weight gain during pregnancy were inversely correlated with each other.
Description
Keywords
Gravidez IMC pré-gestacional Ganho ponderal Peso ao nascer Recém nascido
Citation
Oliveira, Maria João; Fernandes, António; Ferreira, Eva Pinto; Vaz, Josiana A.; Pereira, Ana Maria Geraldes Rodrigues (2023). Peso do recém-nascido: influência do IMC pré-gestacional, ganho ponderal e trimestre de diagnóstico em gestantes com diabetes gestacional. Revista Multidisciplinar CESP. 2 (especial), p. 104-124
Publisher
Instituto Superior Politécnico de Benguela