Frequency of malnutrition and their relationship with complications in pregnant women and their newborns

Authors

Abstract

In pregnancy the energy and nutrient requirement increases, the deficit or excess can affect the nutritional status of the mother and the neonate. In order to determine the frequency of malnutrition and their relationship with complications in pregnant women and their newborns who go to the Capiata District Hospital of the Ministry of Public Health and Social Welfare, in the month of February to August 2022, a Descriptive observational study of retrospective cross -section that included 140 pregnant women, of which 64 presented complications for malnutrition and 76 did not present any complication. The Middle Ages was 26.9 ± 6.6 years with an age range of 15 to 40 years. The results show that 45.7% (n = 64) of pregnant women presented complications for malnutrition, 51.6% presented gestational diabetes, anemia in 29.7%, 7.8% presented anemia and gestational diabetes, the other 7.8% arterial hypertension, 1.6% expressed arterial hypertension and gestational diabetes and the other 1.6% presented anemia, arterial hypertension and gestational diabetes. In relation to nutritional evaluation at the beginning and at the end of pregnancy in pregnant women with complications there was a slight decrease in obesity percentages of 43.7% to 37.5% and an increase in low weight of 11% to 20, 3%. As for the type of childbirth in pregnant women with complications, 51.6%was due to caesarean section (n = 33), which presented gestational diabetes in 54.5%, followed by anemia in 21.2%. A higher percentage of overweight and obesity (29.7%) was proven in mother’s newborns with complications. The frequency of malnutrition and complications could be evidenced in almost half of the pregnant women, it is necessary to generate greater public health strategies to prevent malnutrition and complications in pregnant women.

Downloads

Download data is not yet available.

References

Martínez R, Jiménez A, Peral A, Bermejo L, Rodríguez E. Importancia de la nutrición durante el embarazo. Impacto en la composición de la leche materna. Nutr Hosp 2020; 37(2): 38-42.

Algeri P, Pelizzoni F, Bernasconi D, Russo F, Incerti M, Cozzolino S, et al. Influence of weight again, according to Institute of Medicine 2009 recommendation, on spontaneous preterm delivery in twin pregnancies. BMC Pregnancy and Childbirth. 2018; 18(6):1-7.

Deputy NP, Dub B, Sharma AJ. Prevalence and trends in prepregnancy normal weight-48 states, New York City, and District of Columbia, 2011-2015. MMWR Morb Mortal Wkly Rep. 2018;66:1402

Erick M. Nutrición durante el embarazo y la lactancia. En: Mahan K, Escott S, Raymond J, editors. Krause Dietoterapia. 13a ed. España: Elsevier España S.L; 2013. Pág:341-374.

Rojas C, León E. Frecuencia de malnutrición y complicaciones asociadas en gestantes atendidas en Hospital Provincial Docente Belén de Lambayeque. Abril 2019-2020. Repositorio Institucional-Universidad Nacional Pedro Ruiz Gallo. Facultad de Medicina. Escuela Profesional de Medicina Humana. Lambayeque - Perú; 2021.

Hulley SB, Cummings SM, Browner WS, Grady DG, Neuman TB. Diseño de investigaciones clinicas.4° ed. Barcelona: Wolters Kluwer Health, Lippincott Williams & Wilkins.2014

Palazuelos M. Estado Nutricional y Anemia en Mujeres Embarazadas de 15 a 49 años. Julio 2008 a Junio 2009. Universidad Mayor de San Andrés. Centro de Salud Chasquipampa. Ciudad de la Paz - Bolivia; 2010.

INAN: Instituto Nacional de Alimentación y Nutrición. Asunción. Resultados Situación Nutricional Población de Mujeres Embarazadas que asistieron a Servicios de Salud públicos en el año 2021. 2021 Disponible en: https://www.inan.gov.py/site/?p=6659

Quispe L, Sinche M. Relación entre el Estado Nutricional de las Gestantes y el Peso del Recién Nacido en Pacientes Atendidos en el Hospital Materno Infantil Carlos Showing Ferrari, Junio - Diciembre 2016. Universidad de Huanuco. Facultad de Ciencias de la Salud. Escuela Académico profesional de Obstetricia. Huanuco - Perú; 2018

Salazar P. Prevalencia de bajo peso al nacer relacionado con ganancia de peso de la madre durante el embarazo, Hospital San Sebastián del SIGSI Provincia del Azuay, Noviembre-Febrero, 2015. Escuela Superior Politécnica de Chimborazo. Facultad de Salud Pública. Escuela de Nutrición y Dietética. Ecuador. 2015.

Torres J, Barrios I, Bataglia R. Factores de Riesgo Materno asociados con Macrosomia fetal en el Hospital de Clínicas. An. Fac. Cienc. Méd. 2021; 54(2):71-77.

Londoño D, Mardones F, Restrepo S. Factores maternos y ganancia de peso en un grupo de gestantes con recién nacidos macrosómicos. Perspect Nutr Humana. 2021; 23:53-65.

Ohuma E, Young M, Martorell R, Cheikh L, Peña J, Purwar M, et al. International values for haemoglobin distributions in healthy pregnant women. EClinicalMedicine. 2020; 29(30):100-660.

Brown MA, Magee LA, Kenny LC, Karumanchi SA, McCarthy FP, Saito S, et al. Hypertensive disorders of pregnancy: ISSHP classification, diagnosis, and management recommendations for international practice. Hypertension 2018; 72: 24-43.

Ying W, Catov J, Ouyang P. Hypertensive Disorders of Pregnancy and Future Maternal Cardiovascular Risk. Am Heart Assoc. 2018;7:e009382.

Ogunwole S, Mwinnyaa G, Wang X, Hong X, Henderson J, Bennett W. Preeclampsia Across Pregnancies and Associated Risk Factors: Findings From a High-Risk US Birth Cohort. J Am Heart Assoc . 2021;10:e019612.

Robbins CL, Hutchings Y, Dietz PM, Kuklina EV, Callaghan WM. History of preterm birth and subsequent cardiovascular disease: a systematic review. Am J Obstet Gynecol. 2014;210:285-297.

Medina EA, Sánchez A, Hernández AR, Martínez MA, Jiménez CN, Serrano O, et al. Diabetes gestacional. Diagnóstico y tratamiento en el primer nivel de atención. Medicina Interna de México. 2017;33(1):91-8.

Yao D, Chang Q, Wu QJ, Gao YS, Zhao H, Liu YS, et al. Relationship between maternal central obesity and the risk of gestational diabetes mellitus: A systematic review and meta‐analysis of cohort studies. J Diabetes Res. 2020:1-12.

Berrini G, Betbeder A, Burgos Y, Castelli M, Guerisoli L. Malnutrición en el Embarazo y complicaciones gestaciones y del recién nacido: Estudio descriptivo de los nacimientos 2010 en el Hospital Pereira Rosell. Universidad de la República. Facultad de Medicina Montevideo. Uruguay; 2015.

Noack A, Quiroa M, Chocó A. Estado nutricional de embarazadas con complicaciones obstétricas y neonatales atendidas en el Hospital Roosevelt. Rev. Cient. (Guatem). 2018; 28(1): 44-56.

Mallea G, Cortés R, Avaria M, Kleinsteuber K. Enfrentamiento de Macrocefalia en Niños. Rev. Ped. Elec. 2014; 11(2):41-53.

Devlieger R, Benhalima K, Damm P, Van Assche A, Mathieu C, Mahmood T, Dunne F, Bogaerts A. Maternal obesity in Europe: where do we stand and how to move forward? a scientific paper commissioned by the European Board and College of Obstetrics and Gynaecology (EBCOG). Eur J Obstet Gynecol Reprod Biol. 2016; 201:203-208.

Segovia MR. Obesidad materna pregestacional como factor de riesgo para el desarrollo de macrosomía fetal. Rev Nac Itauguá. 2014;6(1):8-15.

Hanson M, Bardsley A, Regil L, Moore S, Oken E, Poston L, et al. The International Federation of Gynecology and Obstetrics (FIGO) recommendations on adolescent, preconception, and maternal nutrition: “Think Nutrition First”. International Journal of Gynecology and Obstetrics. 2015;131 (4):213-253

Published

2023-08-22

How to Cite

Giménez, S. E., & Pineda, M. G. (2023). Frequency of malnutrition and their relationship with complications in pregnant women and their newborns. Anales of the Faculty of Medical Sciences, 56(2), 35–45. Retrieved from https://revistascientificas.una.py/index.php/RP/article/view/3670