Índice de masa corporal en embarazadas en la unidad de salud de la familia

Abstract

Introduction: In Brazil, obesity is found in 25% to 30% of pregnancies. Objectives: To analyze the body mass index in the gestation of women attended at the Basic Health Unit; To identify the prevalence of overweight and obesity in pregnant women; To verify the gestational weight gain and to associate with the variables: age, marital status, gestational number, parity, pre-gestational weight and prenatalMethodology: Quantitative, retrospective and descriptive study comprising 241 women who had under gone to prenatal care, from 2013 to 2015. The Prevalence Coefficient (total number of overweight and obese pregnant women x 103/total number of pregnant women) was considered.Results: The prevalence coefficient of overweight and obesity was 34.54%, in 2013; in 2014, 43.61% and in 2015, 41.34%. According to obstetric characteristics, they had a strong correlation with the total weight gain of the gestation at prenatal consultations and at gestational age, with significance equal to P <0.0001. It was identified that the BMI of pregnant women ranged from 15.80 to 46.8 kg / m². Overweight was detected in 39.84% of pregnant women; of these 34.44% gained weight higher than the expected during gestation. While of the with overweight 55.00% gained more weight than recommended, and of those with obesity 54.77%. The correlation of pre-gestational BMI with the variables of the previous weight, the weight at the last consultation and the total weight gain during pregnancy was strong with the BMI, P <0.0001.Conclusion: Inadequate nutritional status has been increasing over the years, strengthening the importance of a more comprehensive approach on the subject with pregnant women.