Banca de QUALIFICAÇÃO: THAYANNE GURGEL DE MEDEIROS MENDES

Uma banca de QUALIFICAÇÃO de MESTRADO foi cadastrada pelo programa.
STUDENT : THAYANNE GURGEL DE MEDEIROS MENDES
DATE: 26/08/2024
TIME: 09:00
LOCAL: Sala de Aulas II GEP/MEJC
TITLE:

IMPACT OF GESTATIONAL HYPERTENSIVE SYNDROMES ON NUTRITIONAL OUTCOME IN PRETERM NEWBORN

KEY WORDS:

Hypertensive disorders in pregnancy, Preterm infant, Nutritional therapy, Neonatal intensive care unit

PAGES: 67
BIG AREA: Ciências da Saúde
AREA: Nutrição
SUMMARY:

Hypertensive syndromes in pregnancy (HGS) are common physiological conditions that occur during pregnancy. Prematurity is one of the main consequences of SHG for the fetus, which can impact neonatal outcomes. This research aimed to investigate the relationship between SHG and nutritional advances in preterm newborns (PTNB) admitted to the neonatal intensive care unit (NICU). The study was a prospective cohort study with a quantitative approach. The sample was made up of preterm infants born at Maternidade Escola Januário Cicco, in Natal-RN, between October 2021 and November 2023. Pregnancies with gestational age between ≥23 and <37 weeks and weighing less than 2500g were selected and newborns were excluded. diagnosed with severe congenital malformation or inborn errors of metabolism. The preterm infants were divided into 2 groups, according to exposure to SHG. Data were collected using electronic medical records and analysis was performed using SPSS version 28.0. Of the 220 pregnant women monitored, half had SHG. There was a statistically significant association between GHS and maternal age >35 years (p=0.013) and cesarean section (p<0.01). Preterm infants born to women with SHG required more parenteral nutrition (p=0.017) and presented a higher risk of inadequate full enteral nutrition (p=0.020). Even so, children of women with SHG had a higher prevalence of classification as small for gestational age at birth (p<0.001) and, upon discharge from the NICU, with extrauterine growth restriction (p=0.018), when compared to children of women with normotensive. The results confirm that SHG is involved in unfavorable nutritional advances in preterm infants. Children of women with SHG had difficulty maintaining adequate nutritional status, having lower Z scores at birth and upon discharge from the NICU. In this way, children of women with SHG undergo early and personalized nutritional treatments to improve recovery and growth during their stay in the NICU.

COMMITTEE MEMBERS:
Externa à Instituição - CLAUDIA SAUNDERS - UFRJ
Externa ao Programa - 1755394 - JULIANA FERNANDES DOS SANTOS DAMETTO - nullPresidente - 2315640 - MARCIA MARILIA GOMES DANTAS LOPES
Externa ao Programa - 4220250 - NIVIA MARIA RODRIGUES ARRAIS - null