Profile of pregnant Women Attended at the HU-UFJF Nutrition Outpatient Clinic
Analysis of the adequacy of gestational weight gain
Keywords:
Ambulatory Care, Pregnancy, Maternal Weight Gain, ObesityAbstract
Introduction: Gestational weight gain inadequacy is associated with increased risks of complications. The Nutrition Outpatient Clinic in Gynecology and Obstetrics receives patients referred from primary care with pregnancy-related risks for prenatal care focused on dietary management. Objective: To analyze the profile of pregnant women attended at the HU-UFJF Nutrition Outpatient Clinic, assess the adequacy of weight gain, and investigate associated factors. Materials and Methods: A retrospective cohort study was conducted with 73 women with single pregnancies and aged 18 or older, attended between January 2022 and October 2024. Data were collected in November 2024 from medical records in the AGHU system, using variables such as total gestational weight gain (TGWG), classification of weight gain (CWG), and Delta, representing in kilograms how much weight the woman gained above or below recommendations. Additional variables included the number of consultations, gestational age at the first consultation (GA1), initial weight gain (IWG), anthropometric data, and comorbidities. Descriptive and bivariate analyses investigated associations between these variables. Results: Among the participants, 65.8% were obese, with a mean TGWG of 10.24±6.73 kg. A total of 47.9% started follow-up in the third trimester, and 53.4% attended more than two consultations, while 79.5% showed inadequate TGWG. The analysis revealed that weight at the first consultation had a significant impact on weight gain adequacy by the end of pregnancy (p<0.05), while the number of consultations and gestational age at the first consultation did not influence adequacy. Conclusion: A high percentage of weight gain inadequacy was observed. Initial weight gain is a key factor in determining final adequacy, emphasizing the importance of early nutritional follow-up to achieve better anthropometric outcomes.
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Copyright (c) 2025 Larissa Mazzoni, Carine Ferreira Costa, Laís Ferreira Carneiro, Michele Pereira Netto
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