Comparação de métodos para avaliação da correlação do peso para a idade gestacional ao nascer na Maternidade Escola da Universidade Federal do Rio de Janeiro

Abstract

Introduction: Growth is a continuous and complex process. your monitoring through the systematic assessment of children's nutritional status is recommended both by national and international references (Silveira. 2011: Falcão 2000). The tools most used in clinical practice to assess nutritional status, are the measures anthropometric. like weight. height and head circumference (Silveira. 2011: Falcão 2000). Newborn values ​​are compared with literature references, built from different populations and with methodological rigor of selection and treatment of the different data. The scientific literature points out important methodological deficiencies in the construction of nutritional assessment instruments (Giuliani et al. 2015). Objective: The present study aims to compare the classification of weight correlation for gestational age at birth according to Alexander et al. (1996). Quarry et al. (2011) and Intergrowth Project (Villar et al. 2014). being the last published reference recently. constructed through rigorous methodological criteria and being recommended by the World Health Organization as a standard curve for the evaluation of child growth. Results: Intergrowth (Villar et al.. 2014) showed 52 (72%) SGA and 94 (13.0%) GIG. Alexander et al. 1996 showed 83 (11.5%) SGA and 39 (5.4%) LGA while Pedreira et al.. 2011 showed 24 (3.3%) SGA and 86 (11.9%) LGA. respectively. Discussion: The reference recommended by the WHO Intergrowth Project had better PIG detection capability. maintaining good capacity for detection of GIG, a fact that can be explained by the methodological rigor of construction of the same. which did not assess data from mothers with comorbidities. like diabetes Gestational Mellitus and Gestational Hypertension, which influence the process of fetal development and birth weight. Conclusion: We recommend using the reference Intergrowth Project (Villar et al.. 2014) in clinical practice. for detection more reliable evidence of abnormal growth processes. enabling application of appropriate therapy, with improved short-term prognosis. medium and long term.