Construção e validação do instrumento para avaliação das gestantes previamente submetidas à cirugia bariátrica e metabólica

Abstract

Introduction: Currently, the number of people who perform Bariatric and Metabolic Surgery (MBS) is increasing, especially in women who are of reproductive age. The woman who becomes pregnant in the post-bariatric period must receive special care from a multidisciplinary team that considers her specificities, especially the nutritional deficiencies caused by the surgical intervention. Objective: Construction and validation of an instrument for the nutritional assessment of pregnant women previously submitted to MBS, to be used in prenatal nutrition consultations in a public maternity hospital in Rio de Janeiro. Methodology: Methodological study carried out in four stages: Bibliographic review and construction of the instrument; selection and invitation to specialists; validation of the instrument's content by applying the Delphi technique (in two rounds). Data were treated using descriptive statistics and presented in the form of tables. Results: The instrument was validated by multidisciplinary specialists (nutritionists, physicians, psychologists and nurses) with an average consensus of 96.29% of the addressed categories: Anthropometric assessment; Chronic diseases; Social factors and physical activity; Mental health and eating disorders; Type and duration of surgeries; Specific post-MBS symptoms; Gastrointestinal symptoms; Vitamin A deficiency; food consumption; Biochemical tests; Use of medications and supplements; Assessment of intrauterine fetal growth; Physical examination/clinical observation; Evolution and conduct. In the second round, the suggestions presented by the specialists were evaluated for the final version of the instrument, with 90% consensus without changes in the categories and inclusion of suggestions based on clinical practice and protocols. Conclusions: Evidencing the points to be evaluated by these pregnant women through an instrument is necessary due to their peculiarities. The results had consensus in the categories and their items. The experts suggestions, with different approaches, enriched the instrument, facilitating the understanding of the characteristics that the public brings. Strengthening the importance of comprehensive care.