You are here

Partner disengagement from pregnancy and adverse maternal and infant outcomes

TitlePartner disengagement from pregnancy and adverse maternal and infant outcomes
Year of Publication2017
AuthorsUrquia, M. L., Pulver A., Heaman M. I., Ray J. G., Daoud N., and O'Campo P.
JournalJournal of Women's Health
Volume26
Pages234 - 240
Keywordsfamily health, health disparities, intimate partner violence, postpartum depression, primary care
Abstract

OBJECTIVE: To assess whether partner disengagement from pregnancy is associated with adverse maternal and infant outcomes. MATERIALS AND METHODS: We analyzed data from the 2006-2007 Canadian Maternity Experiences Survey, comprising a cross-sectional representative sample of 6,421 childbearing women. Multiple logistic regression assessed the association between adverse outcomes and three indicators of partner disengagement: (1) partner did not want the pregnancy, (2) partner argued more than usual in the year prior to the baby's birth, and (3) partner was absent at the delivery. RESULTS: Of all respondents, 3.8% had partners who did not want the pregnancy, 16.1% argued more than usual with their partner in the past year, and 7.6% had partners who were absent at the delivery. Women whose partner did not want the pregnancy were more likely to report intimate partner violence (IPV) (adjusted odds ratio [AOR] 3.55; 95% confidence interval [95% CI] 2.36-5.14), elevated depressive symptoms in the extended postpartum period (AOR 2.56, 95% CI 1.70-3.83), and nonroutine child healthcare visits after birth (AOR 1.54, 95% CI 1.13-2.11). Women whose partner argued more in the past year had higher odds of IPV (AOR 4.82, 95% CI 3.69-6.30), elevated depressive symptoms in the extended postpartum period (AOR 3.63; 95% CI 2.84-4.64), and nonroutine child healthcare visits (AOR 1.49, 95% CI 1.26-1.77), after adjustment for potential confounders. CONCLUSIONS: Partner disengagement is common and is associated with adverse maternal and infant outcomes. Affected women may benefit from special assistance during pregnancy and after delivery.

URLhttp://online.liebertpub.com/doi/abs/10.1089/jwh.2015.5627
DOI10.1089/jwh.2015.5627
Document URLhttp://online.liebertpub.com/doi/pdf/10.1089/jwh.2015.5627