Fatores associados ao ganho de peso insuficiente em gestantes gemelares

Abstract

Twin pregnancy is considered hig risk due to associated complications, such as preterm birth and its consequences, increased risk of Diabetes Mellitus Gestational, hypertension, anemia, bleeding and other obstetric complications. The maternal weight gain recommendations in twin pregnancy are larger than in singleton pregnancies, and inadequate weight gain during pregnancy may promote adverse obstetric outcomes. Objective: Evaluate factors associated with inadequate weight gain (IWG) in twin pregnant women in a public hospital in 2012. Methods: Retrospective cross-sectional study conducted with secondary data of twin pregnancy of a reference institution. Gestational weight gain was the outcome variable, and the explanatory variables included sociodemographic, obstetric and anthropometric. Results: The prenatal beginning and nutritional monitoring in the nursery was late, the number ofprenatal visits was adequate and of nutrition consultations was low. Most patients had insufficient weight gain and showed the same pattern in periods of 20-28 weeks and after 28 weeks of gestation. Women who do not live with their partner had a higher prevalence of insufficient weight gain (p = 0,023). Conclusion: The frequency of insufficient weight gain was higher in the study sample. The only sociodemographic variable related to GPI was the presence of a partner, suggesting that the proximity of one during pregnancy gives greater psychological support for these women.