The Influence of Antenatal Partner Support on Pregnancy Outcomes
The Influence of Antenatal Partner Support on Pregnancy Outcomes
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DOI：
10.1089/jwh.2015.5462
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发表时间：
2016-07-01
影响因子：
3.5
通讯作者：
Taveras, Elsie M.
中科院分区：
文献类型：
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作者：
Cheng, Erika R.;Rifas-Shiman, Sheryl L.;Taveras, Elsie M.
背景资料：虽然有相当多的关注，产妇因素，有助于围产期条件和不良的出生结果，很少有研究旨在了解父亲或合作伙伴的影响。我们研究了产前伴侣的支持与心理变量，吸烟行为，妊娠结局在两个社会经济学不同的prebirth cohols.Materials和方法：数据来自1764名妇女从城市郊区的小组实践（项目万岁）和877名妇女从城市社区卫生中心（项目访问），无论是在波士顿地区。通过特纳支持量表评估伴侣的支持。多变量线性和逻辑回归分析确定的影响，低产前合作伙伴的支持上的结果interests.Results：在怀孕早期，6.4%的Viva和23.0%的ACCESS参与者报告低合作伙伴的支持。调整后，在两个队列中，低伴侣支持与高妊娠相关焦虑（Viva AOR 1.8; 95% CI：1.0-3.4和ACCESS AOR 1.9; 95% CI：1.1-3.3）以及ACCESS中的抑郁（AOR 1.9; 95% CI：1.1-3.3）呈横断面相关。在Viva中，伴侣支持度低也与妊娠中期抑郁（AOR 3.1; 95% CI：1.7-5.7）和吸烟（AOR 2.2; 95% CI：1.3-3.8）有关。出生体重，胎龄和胎儿生长与合作伙伴support.Conclusions：这项研究的两个经济和种族不同的队列在波士顿地区强调产前焦虑，抑郁和吸烟的孕妇谁报告低合作伙伴的支持水平较高。伴侣的支持可能是改善妊娠结局的干预措施的一个重要和潜在的可修改目标。
Background: While there has been considerable attention given to the multitude of maternal factors that contribute to perinatal conditions and poor birth outcomes, few studies have aimed to understand the impact of fathers or partners. We examined associations of antenatal partner support with psychological variables, smoking behavior, and pregnancy outcomes in two socioeconomically distinct prebirth cohorts.Materials and Methods: Data were from 1764 women recruited from an urban-suburban group practice (Project Viva) and 877 women from urban community health centers (Project ACCESS), both in the Boston area. Antenatal partner support was assessed by the Turner Support Scale. Multivariable linear and logistic regression analyses determined the impact of low antenatal partner support on the outcomes of interest.Results: In early pregnancy, 6.4% of Viva and 23.0% of ACCESS participants reported low partner support. After adjustment, low partner support was cross-sectionally associated with high pregnancy-related anxiety in both cohorts (Viva AOR 1.8; 95% CI: 1.0-3.4 and ACCESS AOR 1.9; 95% CI: 1.1-3.3) and with depression in ACCESS (AOR 1.9; 95% CI: 1.1-3.3). In Viva, low partner support was also related to depression mid-pregnancy (AOR 3.1; 95% CI: 1.7-5.7) and to smoking (AOR 2.2; 95% CI: 1.3-3.8). Birth weight, gestational age, and fetal growth were not associated with partner support.Conclusions: This study of two economically and ethnically distinct cohorts in the Boston area highlights higher levels of antenatal anxiety, depression, and smoking among pregnant women who report low partner support. Partner support may be an important and potentially modifiable target for interventions to improve pregnancy outcomes.