Pregnant women's knowledge of the implications of overweight and obesity during pregnancy
DOI:
https://doi.org/10.56294/sctconf2022267Keywords:
Obstetric Complications, Pregnancy, Knowledge Level, Maternal Obesity, Maternal Health, Newborn Health, OverweightAbstract
Introduction: overweight and obesity are currently of great importance, with numerous implications for maternal-fetal health during pregnancy.
Objective: to determine the level of knowledge about the implications of overweight and obesity in pregnancy.
Methods: observational, descriptive, cross-sectional study, carried out in a sample of 189 pregnant women, belonging to the Modesto Gómez Rubio Teaching Polyclinic, San Juan y Martínez, between 2020 and 2022. The documentary review of clinical histories and the application of a questionnaire allowed obtaining information that gave an output to the variables studied, respecting medical ethics.
Results: pregnant women aged ≥ 40 years (25,9 %) predominated, 56,1 % of them had white skin color, 48.1 % had pre-university school level, and 39,7 % were overweight at the time of enrollment. Arterial hypertension and diabetes mellitus (5,3 and 4,2 % respectively) were the main personal pathological antecedents. The orientations of the health personnel (88,4 %) were the main source of information on the implications of overweight and obesity during pregnancy, 72 % of the pregnant women having sufficient knowledge about them.
Conclusions: the demographic profile of the pregnant women was described, showing a predominance of those who were overweight at the time of the interview, and the main personal pathological antecedents were also identified. Among the sources of information on the implications of overweight and obesity for pregnancy, orientation by health personnel was the main one, with a predominance of pregnant women with a sufficient level of knowledge.
References
1. Matos-Santisteban M, Cedeño-Salema E, López-Catá F. Factores de riesgo de infarto agudo de miocardio en pacientes atendidos en el Hospital Clínico Quirúrgico Docente “Celia Sánchez Manduley”. Universidad Médica Pinareña 2020; 16(3):e491. https://revgaleno.sld.cu/index.php/ump/article/view/491
2. Organización Mundial de la Salud. Obesidad y Sobrepeso, Nota descriptiva . 2018. [consultado 25 May 2022]. http://www.who.int/es/news–room/fact–sheets/detail/obesity–and–overweight
3. Blanco-Rodríguez E, Rivero-Morey R, Romero-Valdés Y, Castillo-Madrazo D, Santaya-Labrador J. Caracterización de pacientes pediátricos obesos con trastornos metabólicos. Universidad Médica Pinareña 2021; 17(1):711. https://revgaleno.sld.cu/index.php/ump/article/view/711
4. Groenow Véliz MDC, Guzmán Salinas AD. Ganancia ponderal y su relación con obesidad en gestantes del Hospital Básico Durán [Tesis de grado]. Guayaquil: Universidad de Guayaquil; 2020 [consultado 25 May 2022]. http://repositorio.ug.edu.ec/handle/redug/49029
5. Simko M, Totka A, Vondrova D, Samohyl M, Jurkovicova J, Trnka M, et al. Maternal Body Mass Index and Gestational Weight Gain and Their Association with Pregnancy Complications and Perinatal Conditions. International Journal of Environmental Research and Public Health 2019; 16(10): e1610. https://doi.org/10.3390/ijerph16101751 DOI: https://doi.org/10.3390/ijerph16101751
6. Fernández Alba JJ, Mesa Páez C, Vilar Sánchez Á, Soto Pazos E, González Macías MDC, Serrano Negro E, et al. Sobrepeso y obesidad como factores de riesgo de los estados hipertensivos del embarazo: estudio de cohortes retrospectivo. Nutr. Hosp 2018; 35(4): 874-880. https://dx.doi.org/10.20960/nh.1702 DOI: https://doi.org/10.20960/nh.1702
7. Organización de las naciones Unidas para la Alimentación y la Agricultura. Panorama de la seguridad alimentaria y nutricional en América Latina y el Caribe 2019. 2018. https://www.iris.paho.org/handle/10665.2/51685
8. Omaña Guzman LI. Efecto de la obesidad durante el embarazo en el riesgo cardiometabólico de la madre y su efecto asociado en el crecimiento fetal [Tesis de grado]. Ciudad de México: Universidad Autónoma Metropolitana; 2021. https://repositorio.xoc.uam.mx/jspui/handle/123456789/26432
9. Vento-Pérez R, Hernández-Rodríguez Y, León-García M, Miranda-Blanco L, de-la-Paz-Rodríguez O. Relación del Índice cintura/talla con la morbilidad y el riesgo cardiometabólico en adultos pinareños. Revista de Ciencias Médicas de Pinar del Río 2021; 25(4):4977 https://revcmpinar.sld.cu/index.php/publicaciones/article/view/4977
10. Panduro-Barón J Guadalupe, Barrios-Prieto Ernesto, Pérez-Molina J Jesús, Panduro-Moore Elizabeth Guadalupe, Rosas-Gómez Elvira Sarahí Michelle, Quezada-Figueroa Norma Argelia. Obesidad y sus complicaciones maternas y perinatales. Ginecol. obstet. Méx. 2021; 89(7): 530-539. https://doi.org/10.24245/gom.v89i7.4561 DOI: https://doi.org/10.24245/gom.v89i7.4561
11. Feldman F, Alonso V, Radcenco VL, Viroga S, Vitureira G. Obesidad y sobrepeso como factores de riesgo para eventos adversos obstétricos–perinatales. Archivos de Ginecología y Obstetricia 2018; 56(1), 29-36. https://www.ago.uy/descargar/adjunto/20pdxzxx-ago2018-56-1-29-36.pdf
12. Benítez Ormaza YC, Campos Ordóñez NA, Albán Cuenca JA, Molina Velastegui RA. Efectos de la obesidad en la reproducción humana femenina. RECIAMUC 2019; 3(3):34-6. https://www.reciamuc.com/index.php/RECIAMUC/article/view/265 DOI: https://doi.org/10.26820/reciamuc/3.(3).julio.2019.34-46
13. Cobo Intriago GL, Cuesta Tomalá MA. Relación entre el IMC preconcepcional y la ganancia de peso gestacional materno con el desarrollo o ausencia de riesgos durante el embarazo [Tesis de grado]. Guayaquil: Universidad Católica de Santiago de Guayaquil; 2020 [consultado 25 May 2022]. http://repositorio.ucsg.edu.ec/handle/3317/14334
14. Santos S, Voerman E, Amiano P, Barros H, Beilin L, Bergström A, et al. Impact of maternal body mass index and gestational weight gain on pregnancy complications: An individual participant data meta analysis of European, North American, and Australian cohorts. BJOG: An International Journal of Obstetrics & Gynaecology 2019; 126(8), 984-995. https://doi.org/10.1111/1471-0528.15661 DOI: https://doi.org/10.1111/1471-0528.15661
15. McCloud MB, Barosso J. Experiences of Pregnant Women With Obesity. Nurs Womens Health 2021 Jun; 25(3): 179-186. http://dx.doi.org/10.1016/j.nwh.2021.03.004 DOI: https://doi.org/10.1016/j.nwh.2021.03.004
16. Taylor RM, Wolfson JA, Lavelle F, Dean M, Frawley J, Hutchesson MJ, Collins CE, Shrewsbury VA. Impact of preconception, pregnancy, and postpartum culinary nutrition education interventions: a systematic review. Nutr Rev 2021; 79(11): 1186-1203. http://dx.doi.org/10.1093/nutrit/nuaa124 DOI: https://doi.org/10.1093/nutrit/nuaa124
17. Blake-Lamb TL, Taveras EM. Effects of the First 1000 Days Program, a systemschange intervention, on obesity risk factors during pregnancy. BMC Pregnancy Childbirth 2021; 21(1): 729. http://dx.doi.org/10.1186/s12884-021-04210-9 DOI: https://doi.org/10.1186/s12884-021-04210-9
18. Conlon RPK, Wang B, Germeroth LJ, Cheng Y, Buysse DJ, Levine MD. Demographic, Pregnancy-Related, and Health-Related Factors in Association with Changes in Sleep Among Pregnant Women with Overweight or Obesity. Int J Behav Med 2021; 28(2): 200-206. http://dx.doi.org/10.1007/s12529-020-09887-4 DOI: https://doi.org/10.1007/s12529-020-09887-4
19. Shahrir NF, Abdul Jalil R, Jeganathan JR, Devi Karalasingam S, Mohd Nordin N, Abdullah MF, et al. Maternal Obesity and Its Associated Factors and Outcomes in Klang Valley, Malaysia: Findings from National Obstetric Registry. Malays Fam Physician 2021; 16(3): 56-67. http://dx.doi.org/10.51866/oa1138 DOI: https://doi.org/10.51866/oa1138
20. Ortiz-Félix RE, Cárdenas-Villareal VM, Miranda-Félix PE, Guevara-Valtier MC. Impacto de una intervención de educación prenatal en mujeres embarazadas para prevenir el sobrepeso en lactantes. Gaceta Médica de México. 2021; 157: 3-9. http://dx.doi.org/10.24875/GMM.19005610 DOI: https://doi.org/10.24875/GMM.19005610
21. Onubi OJ, Marais D, Aucott L, et al. Maternal obesity in Africa: A systematic review and meta-analysis. J Public Health 2016; 38(3):e218–e31. https://www.academic.oup.com/jpubhealth/article-abstract/38/3/e218/2239837 DOI: https://doi.org/10.1093/pubmed/fdv138
22. Ruipérez-Pacheco E, Carmona-Payán P, Blázquez-Barbero E, et al. Influencia del sobrepeso y la obesidad pregestacionales en el embarazo y en los desenlaces perinatales. Ginecol Obstet Mex. 2022; 90(5): 385-394. https://doi.org/10.24245/gom.v90i5.7418 DOI: https://doi.org/10.24245/gom.v90i5.7418
23. The Global Health Observatory. 2017 [citado 17 de marzo de 2022]. Overweight /Obesity.
24. Mombiela-Guillén A, López-Valls L, Marín-Calduch M, Arasa-Subero M, Cardona-Espuny C. Atención preconcepcional: Prevención primaria. MUSAS . 2016; 1(1): 82-98. https://www.revistes.ub.edu/index.php/MUSAS/article/view/15253
25. Villate Álvarez A. Prevalencia, impacto y riesgos derivados del sobrepeso y la obesidad en el embarazo y parto de mujeres de la OSI Bilbao-Basurto [Tesis de grado]. Leioan: Medikuntza Eta Erizaintza Fakultatea; 2020. http://hdl.handle.net/10810/54700
26. Patro Golab B, Santos S, Voerman E, Lawlor DA, Jaddoe VWV, Gaillard R; MOCO Study Group Authors. Influence of maternal obesity on the association between common pregnancy complications and risk of childhood obesity: an individual participant data meta-analysis. Lancet Child Adolesc Health . 2018; 2(11): 812-821. https://doi.org/10.1016/S2352-4642(18)30273-6 DOI: https://doi.org/10.1016/S2352-4642(18)30273-6
27. Rodríguez-Vidal Cristina, Álvarez-Silvares Esther, Rodríguez-Núñez Roberto, Pérez-Adán Marta, Alves-Pérez María Teresa. Obesidad mórbida y desenlaces materno-fetales. Ginecol. obstet. Méx 2019; 87(10): 647-659. https://doi.org/10.24245/gom.v87i10.3182 DOI: https://doi.org/10.24245/gom.v87i10.3182
28. Estrada-Salgado LE, Kaufer-Horwitz M, Polo-Oteyza E, García-García E. Conocimientos de obesidad en programas de residencias médicas. Realidades, reflexiones y propuestas. Educación Médica 2021; 22:S147-S156. https://doi.org/10.1016/j.edumed.2019.02.009 DOI: https://doi.org/10.1016/j.edumed.2019.02.009
29. Ramos-Pino Jose M, Carballeira Abella Mónica. Conocimientos, creencias y actitudes sobre la obesidad y el sobrepeso en una muestra de dietistasnutricionistas de España. Nutr. Hosp 2022; 39(1): 63-72. https://dx.doi.org/10.20960/nh.03739 DOI: https://doi.org/10.20960/nh.03739
30. Belmonte L, Santotoribio Parrado A, Sancho Pérez I. Complicaciones, factores de riesgo e intervención de enfermería en gestantes con sobrepeso/obesidad: revisión bibliográfica. En: t]. 1re Ed. Madrid: Dykinson; 2021. Investigación e intervención en salud: revisiones sobre los nuevos retos. http://digital.casalini.it/5242674 DOI: https://doi.org/10.2307/j.ctv2gz3t0r.3
31. Puszko B, Sánchez S, Vilas N, Pérez M, Barretto L, López L. El impacto de la educación alimentaria nutricional en el embarazo: una revisión de las experiencias de intervención. Rev Chil Nutric. 2017; 44(1):79-88. https://scielo.conicyt.cl/pdf/rchnut/v44n1/art11.pdf DOI: https://doi.org/10.4067/S0717-75182017000100011
32. Mate A, Reyes-Goya C, Santana-Garrido Á, Vázquez CM. Lifestyle, Maternal Nutrition and Healthy Pregnancy. Curr Vasc Pharmacol 2021; 19(2): 32-140.
http://dx.doi.org/10.2174/1570161118666200401112955 DOI: https://doi.org/10.2174/1570161118666200401112955
33. Fernández Pombo CN, Luna Cano R, Blanco Domínguez MI, Mallo Ferrer F, Rempel C, Moreschi C, et al. Evaluación de un programa de intervención nutricional en gestantes con obesidad. Ensayo Clínico Aleatorizado. Enfermería Integral 2019; 121:52-58. https://dialnet.unirioja.es/servlet/ejemplar?codigo=517445&info=open_link_ejemplar
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Copyright (c) 2022 Virginia Santos Geliz, Liosbel Grandia Pérez, Yenia Caraballo Prieto, Leidy Mary Pérez Cruz, Niurka Delgado Vergara (Author)
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