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Objective To determine the prevalence of preeclampsia (PE) in adolescents and to evaluate its association with risk factors for, and the occurrence of, adverse maternal and fetal outcomes. Results Of 3006 deliveries, 533 (17.7%) were from teenage mothers, with twenty-eight (5.3%) presenting PE; 17.8% of these cases were classed as severe. Vitamin and mineral supplementation was associated with the occurrence of PE ( p = 0.034). Puerperal complications and prematurity were more frequent in the PE group. Conclusions Prevalence of PE among adolescents was similar to the literature data and was associated with high rates of preterm birth and puerperal complications.

Introduction: Adolescence and pregnancy increase nutritional needs. Pregnant adolescents have higher energy requirements to maintain maternal health and ensure adequate fetal growth and development. Aim: Identify patterns of diet consumption among Pregnant adolescents. Methods: We carried out a cross-sectional study between November 2014 and July 2016 among teenage mothers. Food intake was analyzed using asemiquantitative food frequency questionnaire (FFQ). We identified the food patterns as a posteriori using cluster analysis. Results: 294 adolescents participated in the study. The mean age was 17.83 ± 1.29 years. Sixty-five percent of participants self-declared as Caucasian and 83.3% were primiparous. Pregestational BMI was 23.71 ± 5.04 kg/m2 , and 42.9% of the sample showed excessive weight gain during pregnancy. Two food patterns were identified, labeled as Traditional Diet and Junk Food. The Traditional Diet was characterized by a higher intake of protein (p = 0.03), magnesium, folate, iron (p ≤ 0.0001), and potassium (p = 0.005). In comparison, the Junk Food pattern had a higher intake of total fat (p ≤ 0.0001). We did not find significant associations between eating patterns and sociodemographic variables or pre-gestational BMI. Conclusion: The study confirmed that pregnant teenagers tend to adopt the food pattern Junk Food, regardless of sociodemographic aspects.

Objective: To evaluate the relationship between pregestational obesity and maternal and fetal outcomes in pregnant adolescents. Methods: Cross-sectional study conducted among puerperal teenagers of a university hospital in Southern Brazil. Structured questionnaires on sociodemographic and obstetric data were applied. Results: We evaluated 500 puerperal adolescents with a mean age of 17.77 ± 1.36. Of these, 31.2% (n=156) had pregestational weight excess. Pregestational weight excess was significantly associated with gestational hypertension (p=0.037) and diabetes (p=0.045), cesarean delivery (p=0.040), and lower adherence to prenatal care (24.7%, p=0.007). Mothers with pregestational weight excess also gained more weight than recommended during pregnancy and had babies with a higher weight (p=0.02) and length (p=0.018). Conclusion: Pregestational weight excess in adolescence is related to unfavorable maternal and fetal outcomes. We emphasize the importance of a closer look at this population still in development to identify nutritional disbalances and promote adequate weight gain.

Objetivo: Identificar e descrever as práticas alimentares de crianças de zero a dois anos de vida internadas em um hospital universitário de Porto Alegre-RS. Métodos: Identificaram-se as práticas alimentares de 261 crianças, por instrumento composto por questões que analisam atributos, componentes e marcadores da alimentação complementar. As variáveis foram expressas em percentual e valor absoluto, média e desvio padrão ou mediana e intervalo interquartil. Resultados: O aleitamento materno exclusivo até os seis meses esteve presente em 25,3% da amostra, com mediana de duração de 45 dias, e a introdução da alimentação complementar foi iniciada em tempo adequado (seis a sete meses) em 57%. Dentre as crianças que já haviam iniciado a alimentação complementar através da papa de fruta ou refeição principal (n = 128), a mediana de idade de introdução foi de 5 (4-6) meses. Em relação à adequação, alimentos fonte de vitamina A e ferro estiveram presentes em 83,6% das crianças, e 62,5% consumiam todos os grupos alimentares. A consistência da alimentação estava adequada em 52,3%. O consumo de alimentos ultraprocessados estava presente na alimentação de 60,2% das crianças. Conclusões: Foram observadas baixa prevalência de aleitamento materno exclusivo, introdução precoce da alimentação complementar e alta frequência de consumo de alimentos ultraprocessados. As práticas alimentares inadequadas identificadas podem comprometer a saúde da criança, sendo importante realizar ações para a promoção do aleitamento materno e da introdução adequada da alimentação complementar. Objective: To identify and describe the eating practices of children from zero to two years of age admitted to a university hospital in Porto AlegreRS. Methods: The dietary practices of 261 children were identified by an instrument composed of questions that analyze attributes, components and markers of complementary feeding. The variables were expressed as percentage and absolute value, mean and standard deviation or median and interquartile range. Results: Exclusive breastfeeding up to six months was present in 25.3% of the sample, with a median duration of 45 days, and the introduction of complementary feeding was started at an appropriate time (six to seven months) in 57%. Among children who had already started complementary feeding through fruit porridge or main meal (n= 128), the median age of introduction was 5 (4-6) months. Regarding adequacy, food sources of vitamin A and iron were present in 83.6% of the children, and 62.5% consumed all food groups. Consistency of food was adequate in 52.3%. The consumption of ultraprocessed foods was present in the diet of 60.2% of the children. Conclusions: Low prevalence of exclusive breastfeeding, early introduction of complementary feeding and high frequency of ultraprocessed foods were observed. The identified improper eating practices can compromise the health of the child, and it is important to take actions to promote breastfeeding and the adequate introduction of complementary feeding.