Adequate versus inadequate weight gain and socioeconomic factors of pregnant women followed up in primary care

Luciane Oliveira Da Silva,Soraia Pinheiro Machado Arruda,Ana Carolina Montenegro Cavalcante,Rafaella Maria Monteiro Sampaio,Mayara Ribeiro Alexandre

doi:10.1590/1806-93042019000100006

Abstract

Abstract Objectives: to identify the socioeconomic factors associated with inadequate (excessive and insufficient) weight gain in women followed during prenatal care in Basic Health Units in a Municipality of the Countryside of Ceará. Methods: a study was carried out with 189 pregnant women. Data were tabulated in the Excel Program and data analysis was performed in the Stata Program. In the bivariate analysis, the chisquare or Fisher's exact test was used, and the Poisson multivariate regression was used for the association between variables and the excessive or insufficient weight gain. Results: insufficient weight gain was associated with the absence of the partner (RR=1.15 CI95% = 1.02 - 1.30) and excessive weight gain was associated with non-working women (RR = 0.90 CI95% = 0.84-0.96). Conclusions: absence of partner and lack of work were associated with inadequate weight gain during pregnancy.

Highlights

Inadequacies in weight gain during pregnancy are important predictors of complications for mother and child
Data were analyzed in two ways; by comparing the ones classified as having adequate weight gain with the ones with excessive weight gain (Table 2) and adequate with insufficient weight gain (Table 3)
Results demonstrated that 39% of pregnant women had adequate weight gain and 61% presented excessive weight gain

Summary

Introduction

Inadequacies in weight gain during pregnancy are important predictors of complications for mother and child. The weight gain is one of the main changes that occur during pregnancy. It is distributed from the conception until birth in several components, such as fetus, placenta, amniotic fluid, blood volume of the mother, besides uterine and mammary gland enlargement, each one of them being gradually modified during gestation.[1,2,3]. Adverse socioeconomic conditions are relevant factors that generate gestational risks. These situations are associated with stress and inadequate nutritional conditions.[4,5]

Objectives

Methods

Results