Nutritional characterization of pregnant women attending a referral hospital
DOI:
https://doi.org/10.5281/zenodo.21910531Keywords:
pregnancy, nutritional status, obesity, anemia, prenatal careAbstract
Objective: To characterize pregnant women attending prenatal care at a referral hospital.
Methods: Observational, analytical, cross-sectional study analyzing secondary data from 178 pregnant women seen in prenatal care between March and June 2023, obtained from the Food and Nutrition Surveillance System (SISVAN) form for pregnant women. Age, nutritional status by the Rosso–Mardones nomogram (adequate, underweight, overweight and obesity), comorbidities, hemoglobin level (cut-off 11 g/dL) and twin pregnancy were evaluated.
Results: Maternal age ranged from 19 to 39 years. By the Rosso–Mardones nomogram, 47.2% had obesity, 20.2% underweight, 17.4% overweight and 15.2% adequate nutritional status. Among comorbidities, 13.5% had arterial hypertension and 7.9% gestational diabetes mellitus; 78.6% had no comorbidities. Hemoglobin ≤11 g/dL was found in 27.5%, and two women (1.1%) had twin pregnancy.
Conclusion: Excess gestational weight (obesity and overweight combined, 64.6%) predominated over underweight, and more than a quarter of pregnant women had hemoglobin levels compatible with anemia. These findings support strengthening nutritional surveillance and anemia screening in prenatal care at this referral hospital.
References
Martínez García RM, Jiménez Ortega AI, Peral-Suárez Á, Bermejo LM, Rodríguez-Rodríguez E. Importancia de la nutrición durante el embarazo. Impacto en la composición de la leche materna. Nutr Hosp. 2020;37(Extra 2):38-42.
Mousa A, Naqash A, Lim S. Macronutrient and micronutrient intake during pregnancy: an overview of recent evidence. Nutrients. 2019;11(2):443.
Keats EC, Oh C, Chau T, Khalifa DS, Imdad A, Bhutta ZA. Effects of vitamin and mineral supplementation during pregnancy on maternal, birth, child health and development outcomes in low- and middle-income countries: a systematic review. Campbell Syst Rev. 2021;17(2):e1127.
Picciano MF. Pregnancy and lactation: physiological adjustments, nutritional requirements and the role of dietary supplements. J Nutr. 2003;133(6):1997S-2002S.
Gonzales GF, Olavegoya P. Fisiopatología de la anemia durante el embarazo: ¿anemia o hemodilución? Rev Peru Ginecol Obstet. 2019;65(4):489-502.
Mardones F, Rosso P. A weight gain chart for pregnant women designed in Chile. Matern Child Nutr. 2005;1(2):77-90.
Rivas-Perdomo EE, Galván-Villa M. Estudio de concordancia entre las escalas de Rosso-Mardones y de Atalah para la evaluación nutricional en el embarazo. Clínica La Ermita, Cartagena, 2017. Rev Colomb Obstet Ginecol. 2020;71(1):34-41.
Toapanta-Pinta P, Vasco-Morales S, Céspedes-Granda S, Sartorelli DS, Moisés ECD. Dietary Patterns and Factors Associated with Food Affinity in Pregnant Women from Quito, Ecuador. Nutrients. 2024;16(4):475.
Nguyen NTH, Chen YC, Nhu NT, Bao HB, Hsu CY, Das A, Chao JC. Global prevalences of erythropoiesis-associated micronutrient deficiencies (iron, folate, and vitamin B12) among pregnant women: a systematic review and meta-analysis. Ann Med. 2025;57(1):2602960.
Tunkyi K, Moodley J. Anemia and pregnancy outcomes: a longitudinal study. J Matern Fetal Neonatal Med. 2018;31(19):2594-8.
Ribot B, Ruiz-Díez F, Abajo S, March G, Fargas F, Arija V. Prevalence of anaemia, risk of haemoconcentration and risk factors during the three trimesters of pregnancy. Nutr Hosp. 2018;35(1):123-30.
Grieger JA, Grzeskowiak LE, Wilson RL, et al. Maternal selenium, copper and zinc concentrations in early pregnancy, and the association with fertility. Nutrients. 2019;11(7):1609.
Chelchowska M, Laskowska-Klita T, Leibschang J. Concentration of ferritin, transferrin and iron as markers of iron deficiency in healthy women in reproductive age. Pol Merkur Lekarski. 2007;22:25-7.
Kubik P, Leibschang J, Kowalska B, Laskowska-Klita T, Stanisławska A, Chełchowska M, Maciejewski T. Evaluation of iron balance in healthy pregnant women and their newborns. Ginekol Pol. 2010;81:358-63.
Ares Segura S, Arena Ansótegui J, Díaz-Gómez NM. The importance of maternal nutrition during breastfeeding: do breastfeeding mothers need nutritional supplements? An Pediatr (Barc). 2016;84(6):347.e1-347.e7.
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Copyright (c) 2024 Ruth Noguera Velázquez, Nidia Martínez Báez (Autor/a)
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