Partner Disengagement from Pregnancy and Adverse Maternal and Infant Outcomes

Marcelo L. Urquia, Ariel Pulver, Maureen I. Heaman, Joel G. Ray, Nihaya Daoud, Patricia O'Campo

Research output: Contribution to journalArticlepeer-review

7 Scopus citations

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.

Original languageEnglish
Pages (from-to)234-240
Number of pages7
JournalJournal of Women's Health
Volume26
Issue number3
DOIs
StatePublished - 1 Mar 2017

Keywords

  • family health
  • health disparities
  • intimate partner violence
  • postpartum depression
  • primary care

ASJC Scopus subject areas

  • Medicine (all)

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