Partner disengagement from pregnancy and adverse maternal and infant outcomes
Authors: Marcelo L. Urquia, Ariel Pulver, Maureen I. Heaman, Joel G. Ray, Nihaya Daoud, and Patricia O'Campo
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.
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Patterns of social inequalities across pregnancy and birth outcomes: A comparison of individual and neighborhood socioeconomic measures
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Marital status, duration of cohabitation, and psychosocial well-being among childbearing women: A Canadian nationwide survey
American Journal of Public Health , e8-e15
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Neighbourhood context and abuse among immigrant and non-immigrant women in Canada: findings from the Maternity Experiences Survey
International Journal of Public Health , 679-689