EVALUATION OF EFFICACY AND EFFECTIVENESS OF PRENATAL NUTRITIONAL CARE ON PERINATAL OUTCOME OF PREGNANT WOMEN; RIO DE JANEIRO, BRAZIL.
OBJECTIVE
to evaluate the impact of a prenatal nutritional assistance proposal (PNA) for adult pregnant women.


METHODS
a study of the impact of an applied nutritional intervention throughout the prenatal on perinatal outcomes - adequacy of total gestational weight gain, gestational anemia frequency and pregnancy complications in a public maternity hospital in Rio de Janeiro. The data represent three groups of adult pregnant women, during 10 years: GI (1999-2001, n = 225), GII (2005-2006, n = 208) and GIII (2007-2008, n = 394).


RESULTS
in GII (reference group) it was included a detailed nutritional assessment, an individualized eating plan and an attendance of at least four scheduled appointments with a nutritionist. PNA coverage occurred in only 20.4% of GI, 100% of GII and 42.1% in GIII (p < 0.001). Women in GI had a higher proportion of inadequate total weight gain (OR 1.82, 95% CI: 1.20 -2.75), anemia (OR 2.18, 95% CI: 1.35 - 3.55) and pregnancy complications (OR 1.57, 95% CI: 1.04 - 2.36), as well as those who joined GIII, - OR 1.68 (95% CI: 1.16 - 2.44), OR 2.45 (95% CI: 1.56 - 3.84), OR 2.07 (95% CI: 1.42 - 3.00) - when compared to women in GII.


CONCLUSIONS
the model tested in GII PNA demonstrated to be effective in the outcomes studied.
Professor of the Departament of Nutrition and Dietetics from Instituto de Nutrição Josué de Castro (INJC)- Universidade Federal do Rio de Janeiro (UFRJ- Federal University of Rio de Janeiro). 2Grupo de Pesquisa em Saúde Materna e Infantil (GPSMI - Research group in Maternal and Infant Health).. paticpadilha@yahoo.com.br.
Patricia
P
de Carvalho Padilha
Grupo de Pesquisa em Saúde Materna e Infantil GPSMI - Research group in Maternal and Infant Health). Maternidade Escola da UFRJ (UFRJ Maternity Hospital), Brazil.. paticpadilha@yahoo.com.br.
Larissa
L
Mello de Oliveira
Grupo de Pesquisa em Saúde Materna e Infantil GPSMI - Research group in Maternal and Infant Health).. paticpadilha@yahoo.com.br.
Elisabete
E
Queiróz Caldeiras Neves
Grupo de Pesquisa em Saúde Materna e Infantil GPSMI - Research group in Maternal and Infant Health).. paticpadilha@yahoo.com.br.
Anna Carolina
AC
Ghedini
Grupo de Pesquisa em Saúde Materna e Infantil GPSMI - Research group in Maternal and Infant Health).. paticpadilha@yahoo.com.br.
Thaísa
T
Costa
Professor of the Departament of Nutrition and Dietetics from Instituto de Nutrição Josué de Castro (INJC)- Universidade Federal do Rio de Janeiro (UFRJ- Federal University of Rio de Janeiro). 2Grupo de Pesquisa em Saúde Materna e Infantil (GPSMI - Research group in Maternal and Infant Health). Maternidade Escola da UFRJ (UFRJ Maternity Hospital), Brazil.. paticpadilha@yahoo.com.br.
Cláudia
C
Saunders
D000328:Adult; D001938:Brazil / Q000453:epidemiology; D005260:Female; D006801:Humans; D008875:Middle Aged; D015596:Nutrition Assessment; D018529:Nutritional Support; D011247:Pregnancy; D011248:Pregnancy Complications; D011256:Pregnancy Outcome; D011295:Prenatal Care; D062486:Public Health Surveillance; D012307:Risk Factors; D015430:Weight Gain; D055815:Young Adult