Síndrome metabólica em gestantes de alto risco atendidas em hospitais de referência do estado do Maranhão

Abstract

Introduction: pregnancy causes several changes in a woman's life. Among the factors of high-risk pregnancy, endocrinopathies, arterial hypertension and obesity stand out. In this context, the association between metabolic syndrome (MS), which corresponds to a set of pathologies whose basis is insulin resistance and high-risk pregnancy, can significantly interfere with maternal and child quality of life. Objective: to evaluate the presence of metabolic syndrome in high-risk pregnant women treated at referral hospitals in the state of Maranhão. Methodology: the study was observational and quantitative, with a cross-sectional design. Sociodemographic and anthropometric data (weight and height), blood glucose, triglycerides and blood pressure were collected to investigate the presence of MS. The inclusion criteria for this study were: being 18 years of age or older, being classified as a high-risk pregnant woman, and participating in all stages of data collection. To be classified as having MS, the pregnant women needed to have three or more associated comorbidities according to the parameters established for pregnant women by the National Cholesterol Education Program - Program Adult Treatment Panel III (NCEP-ATP III). Results: 202 high-risk pregnant women were included, 16.8% were classified as having metabolic syndrome, 34.6% were aged between 32 and 38 years, 68.3% declared themselves to be brown, 41.6% participated in social programs, 70.3% had high school as their highest level of education, 78.2% had hypertriglyceridemia, 27.7% had increased blood pressure, 41.6% had altered body mass index (BMI) and 5.0% had increased blood pressure. fasting blood glucose. In another stage of the project, a digital booklet was produced with the purpose of transmitting more health information to high-risk pregnant women. Conclusion: the identification of high-risk pregnant women with a diagnosis suggestive of metabolic syndrome at the beginning of pregnancy can significantly influence the improvement of maternal-fetal survival and quality of life.