title: [Nutritional care and weight gain in pregnant adolescents: a quantitative and qualitative approach].
abstract: This study sought to evaluate the impact of nutritional assistance (intervention) on total gestational weight gain in adolescents and to understand the perceptions of adolescents regarding the intervention. It is a quantitative and qualitative survey using triangulation methods conducted in a public maternity hospital in Rio de Janeiro with 204 adolescents, divided into pre-intervention and intervention groups. The hypothesis of homogeneity of proportions was tested by bivariate and multivariate analysis using Poisson regression with robust variance. The qualitative approach was conducted using semi-structured interviews with 12 adolescents, whose data were submitted to content analysis. The results indicate that the intervention did not have a positive effect on the adequacy of total gestational weight gain. The adolescents perceived the dietary plan as a set of rules incompatible with their conditions as pregnant women. The category "almost every consultation was the same" emerged as a synthesis of the perceptions on the intervention. It was concluded that there is a need to reassess the technical and scientific marker tools of nutritional assistance and turn it into care focused around making shared decisions.
authors.affiliation: Departamento de Nutrição Social Aplicada, Instituto de Nutrição Josué de Castro, Universidade Federal do Rio de Janeiro. Av. Brigadeiro Trompowisky CCS/Bl. J/2º/sala 07, Ilha do Fundão. 00000-000 Rio de Janeiro RJ, Brazil. antonietamss@globo.com
authors.forename: Marta Maria Antonieta de Souza
authors.initials: MM
authors.lastname: Santos
authors.forename: Denise Cavalcante
authors.initials: DC
authors.lastname: de Barros
authors.forename: Mirian Ribeiro
authors.initials: MR
authors.lastname: Baião
authors.forename: Claudia
authors.initials: C
authors.lastname: Saunders
mesh_terms: D000293:Adolescent; D005069:Evaluation Studies as Topic; D005260:Female; D006801:Humans; D011247:Pregnancy; D011295:Prenatal Care; D039401:Prenatal Nutritional Physiological Phenomena; D015430:Weight Gain