Preditores do baixo peso ao nascer dos filhos de gestantes de alto risco em um serviço de referência do Sudeste brasileiro
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Data
2020-03-13
Autores
Conceição, Ana Keles Dias da
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Universidade Federal do Espírito Santo
Resumo
Objective: This study aims to investigate whether life conditions, gynecological obstetric history and characteristics of current pregnancy are capable of predicting birth weight of the children of high-risk pregnant women in the city of Vitória - ES. Methods: This is a prospective analytical cohort with 140 GAR attended at a municipal referral service in the city of Vitória-ES. Adult pregnant women and adolescents with admission to high-risk care were included, from the first to the third trimester and who consented to participate in the research. The variables were obtained through an interview using a semi-structured questionnaire or by consulting the medical records, the pregnant woman's card and the SINASC bank. Analysis: Frequency, chi-square and logistic regression and hierarchical multivariate regression analyzes were performed. Maternal variables were analyzed at levels hierarchized to the outcome consisting of three blocks. Results: Of 140 pregnant women, 136 were analyzed. There was a incidence of 16.2% of LBW. The variables PGBMI of low weight, Route amniotic sac or induction of premature labor, pica and Diabetes diagnosis, lost strength, not remaining in the final model. The determinants of the LBW of the children of GAR were: having 1 to 3 prenatal visits (RR = 45.74 CI95% 3.32 - 629.72), presenting 2 or more than 5 years of interpartum interval (RR = 9.24 CI95 % 1.44 - 59.02), primariparity or multiparity (RR = 7.91 95% CI 1.30 - 48.05). Being single, divorced or widowed, remained a factor in reducing the chances in this study group (RR = 0.76 95% CI 0.00 - 0.8). Conclusion: The low number of prenatal consultations, the interpartal interval less than two or greater than five, being nulliparous or multiparous and the presence of the partner are the determinants of LBW.
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Baixo peso ao nascer , gestação , desfecho perinatal