Advisor(s)
Abstract(s)
Resumo
Enquadramento: A gravidez é um período de
mudança para a mulher e que envolve grandes alterações, quer
a nível físico, quer a nível psicoafectivo. O ganho ponderal na
gravidez, excessivo ou insuficiente, é um problema de saúde
pública. A sua esfera de repercussões ultrapassa o processo de
gravidez, o intraparto, o pós-parto e estende-se ao
recém-nascido (RN) ou repercute-se ainda na sua vida adulta.
Objetivo: Pretende-se analisar a relação existente
entre o ganho ponderal gestacional e as variáveis
demográficas, as variáveis obstétricas intraparto e pós-parto e
também analisar a sua relação com as variáveis neonatais.
Métodos: Trata-se de uma pesquisa de natureza
quantitativa, analítica, descritiva do tipo retrospetivo. Foi
utilizada uma amostra não probabilística, por conveniência,
constituída por 382 processos clínicos de mulheres que
pariram numa maternidade, considerada hospital de apoio
perinatal diferenciado. A recolha de dados decorreu de 1 de
Julho a 31 de Dezembro de 2009 e foi efetuada através de
guião de recolha de dados que contemplava dados obstétricos
pré, intra e pós-parto e dados referentes ao RN. Resultados: Concluímos que o ganho ponderal está
altamente associado com o Índice de Massa Corporal (IMC)
inicial e que as grávidas com IMC mais elevado têm um
menor ganho real, mas, em relação ao seu IMC, é um ganho
que se situa acima do ideal. Os resultados revelam que a idade
gestacional não influencia significativamente o ganho
ponderal real da grávida. Existe maior probabilidade das
grávidas que fizeram vigilância da gravidez no setor público
terem um ganho ponderal real superior em relação às grávidas
que fizeram a vigilância no setor privado. A associação do
ganho ponderal com as variáveis intraparto e pós-parto não
evidenciou estatística significativa. Não há associações entre
as variáveis neonatais e o ganho ponderal gestacional.
A influência do ganho ponderal na grávida
evidenciou-se, principalmente, ao nível do IMC inicial, peso
final e local de vigilância pré-natal.
Abstract Background: Pregnancy is a period of change in a women´s life which involves great alterations, both at a physical level as well as at a psycho-affective level. The gestational weight gain, whether it is excessive or insufficient, is a public health problem. The range of repercussions usually doesn´t finish with pregnancy, the intra partum, the post partum and extends to newborn (NB) or even to his adult life. Objectives: This study aims to analyse the relationship between gestational weight gain and demographic variables, the intra and post partum obstetric variables and also its relationship to the neonatal variables. Methods: This study is of a quantitative nature, analytic, descriptive of the retrospective type. Using a non probabilistic convenient sample with 382 women’s clinical process´, who gave birth in a central maternity, which is a differentiate perinatal support hospital. Data collection was done between July 1st and December 31 of 2009 and was conducted through scripted data collection that included pre, intra and post partum obstetric data and data relating to NB. Results: We concluded that the gestational weight gain is highly associated with initial Body Mass Index (BMI) and that pregnant women with the highest BMI have lower real weight gain but, in relation to their BMI, they gain weight above the ideal. The results show that the gestational age does not significantly influences real weight gain by the pregnant. There is a higher probability of pregnant women who had pregnancy surveillance in the public sector to have a superior real gestational weight gain in relation to pregnant women who did their surveillance in the private sector. The association of gestational weight gain and obstetric intra partum and post partum variables didn´t proved to have statistical significance. There is no association between neonatal variables and gestational weight gain. The influence of the gestational weight gain in the pregnant was evidenced mainly at the level of initial BMI, final weight and place of pregnancy surveillance.
Abstract Background: Pregnancy is a period of change in a women´s life which involves great alterations, both at a physical level as well as at a psycho-affective level. The gestational weight gain, whether it is excessive or insufficient, is a public health problem. The range of repercussions usually doesn´t finish with pregnancy, the intra partum, the post partum and extends to newborn (NB) or even to his adult life. Objectives: This study aims to analyse the relationship between gestational weight gain and demographic variables, the intra and post partum obstetric variables and also its relationship to the neonatal variables. Methods: This study is of a quantitative nature, analytic, descriptive of the retrospective type. Using a non probabilistic convenient sample with 382 women’s clinical process´, who gave birth in a central maternity, which is a differentiate perinatal support hospital. Data collection was done between July 1st and December 31 of 2009 and was conducted through scripted data collection that included pre, intra and post partum obstetric data and data relating to NB. Results: We concluded that the gestational weight gain is highly associated with initial Body Mass Index (BMI) and that pregnant women with the highest BMI have lower real weight gain but, in relation to their BMI, they gain weight above the ideal. The results show that the gestational age does not significantly influences real weight gain by the pregnant. There is a higher probability of pregnant women who had pregnancy surveillance in the public sector to have a superior real gestational weight gain in relation to pregnant women who did their surveillance in the private sector. The association of gestational weight gain and obstetric intra partum and post partum variables didn´t proved to have statistical significance. There is no association between neonatal variables and gestational weight gain. The influence of the gestational weight gain in the pregnant was evidenced mainly at the level of initial BMI, final weight and place of pregnancy surveillance.
Description
Keywords
Ganho ponderal gestacional Gestational weight gain
Citation
Ferreira, Manuela; Ferreira, Lígia & Duarte, João (2013). Ganho ponderal gestacional: Estudo de Algumas Variáveis Intervenientes. Millenium, 44 (janeiro/junho). Pp. 99‐126