Fatores de risco para macrossomia em recém-nascidos em um município do Recôncavo da Bahia

Abstract

Objective: To estimate the incidence of macrosomia in newborns in association to the maternal risk factors in the city of Santo Antônio de Jesus, Bahia. Methodology: This study talks about a prospective cohort on the health status and pregnancy nutrition of pregnant women enrolled in a public prenatal, developed by the research group “Núcleo de Investigação em Saúde Materno Infantil (NISAMI)” with clinically healthy women, resident and domiciled in the urban area, within eighteen years or older, around 15 weeks gestational age, enrolled in the public prenatal services called Unique Health System (SUS), whom agreed to participate of this study. For the anthropometric measurements of newborns, the weight, length and gestational age to birth were collected from the medical records. Results: 938 pairs of mothers and newborns were analyzed. Mothers over the age of 25 were prevalent, multiparous, who had children to term , eutrophics, who had completed high school, had companion without occupation with a family income of 2-4 minimum wages. Pregnant women with hypertension corresponded to 5.65% of the sample. The incidence of macrosomia was higher in women equal or over 25 years old, with overweight / pregnancy obesity, that had children to term, hypertensive, who had caesarean section, with higher education, and who were active in the labor market with an income of 2-4 minimum wages. Conclusion: But it is necessary to strengthen actions for the care of women in primary health care programs and Health in Primary Care Network , nutritional care, especially with women of childbearing age.