Agregação de fatores de risco à macrossomia fetal em participantes do Projeto Viver

Gabriela Oliveira; Fernanda Garcia Gabira Miguez; Elizabete Regina Araújo de Oliveira

doi:10.23925/1984-4840.2024v26a22

Authors

Gabriela Oliveira Universidade Federal do Espírito Santo (UFES)
Fernanda Garcia Gabira Miguez Universidade Federal do Espírito Santo (UFES)
Elizabete Regina Araújo de Oliveira Universidade Federal do Espírito Santo (UFES)

DOI:

https://doi.org/10.23925/1984-4840.2024v26a22

Keywords:

Fetal Macrosomia, Risk Factors, Newborn, Pregnant

Abstract

Objective: This study aimed to analyze the aggregation of risk factors (multiparity, advanced maternal age, overweight and gestational diabetes) for fetal macrosomia in women participating in “Projeto Viver”. Methods: This is a cross-sectional study with a convenience sample conducted using the study's database “Projeto Viver”, carried out between August 2019 and March 2020. The aggregation of risk factors was evaluated based on the ratio of the prevalence of observed factors in relation to the expected prevalence. There is aggregation when the observed combination (O) of factors exceeds the expected prevalence (E) of the combination, and the prevalence odds ratio was calculated to identify the aggregation of two behaviors. Results: The sample consisted of 2,488 postpartum women. There is aggregation of the four analyzed factors (O/E = 3.9). In the aggregation of the three risk factors, the most frequent was advanced age, gestational diabetes and overweight (O/E = 1.7). Regarding the aggregation of two factors, the aggregation between advanced age and gestational diabetes stands out (O/E = 2.9). As for the prevalence odds ratio, it was higher among gestational diabetes and advanced age (ORP = 2.76). Conclusions: It is important to verify how the risk factors related to fetal macrosomia are found, how they act and interact with each other, since their presence can lead to consequences for the newborn not only during childhood, but also in adult life. Knowing the real situation of this population can serve as a warning for the formulation of health policies and educational actions.

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