Document Detail

The couple context of pregnancy and its effects on prenatal care and birth outcomes.
MedLine Citation:
PMID:  19381792     Owner:  NLM     Status:  MEDLINE    
The couple context of pregnancy and newborn health is gaining importance with the increase in births to unmarried couples, a disproportionate number of which were not intended. This study investigates the association of early prenatal care, preterm birth, and low birth weight with the couple relationship context, including partners' joint intentions for the pregnancy, their marital status at conception, and the presence of relationship problems during pregnancy. Data are drawn from the first wave of the Early Childhood Longitudinal Study--Birth Cohort, a representative study of births in 2001. The sample is composed of parents residing together with their biological child at the time the child is 9 months old, where both the mother and father completed the self-report interview (N = 5,788). Couple-level multivariate logistic regression models, weighted to account for the complex sampling design, were used in the analysis. Risk of inadequate prenatal care and preterm birth was increased when partners did not share intentions or when neither partner intended the pregnancy. Couples were at additional risk of inadequate prenatal care when the pregnancy was conceived nonmaritally and when the mother did not tell the father about the pregnancy, particularly when neither partner intended the pregnancy. The risk of premature birth was particularly high when the partners were unmarried and either or both did not intend the pregnancy. The couple context of pregnancy is important for a healthy pregnancy and birth. When the partner is present, practitioners and programs should maintain a focus on the couple, and researchers should make every effort to include the father's own perspective.
Bryndl Hohmann-Marriott
Publication Detail:
Type:  Journal Article     Date:  2009-04-21
Journal Detail:
Title:  Maternal and child health journal     Volume:  13     ISSN:  1573-6628     ISO Abbreviation:  Matern Child Health J     Publication Date:  2009 Nov 
Date Detail:
Created Date:  2009-10-09     Completed Date:  2010-01-25     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9715672     Medline TA:  Matern Child Health J     Country:  United States    
Other Details:
Languages:  eng     Pagination:  745-54     Citation Subset:  IM    
Department of Anthropology, Gender, and Sociology, University of Otago, 2C20 Richardson Building, Dunedin, New Zealand.
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MeSH Terms
Infant, Low Birth Weight
Infant, Newborn
Interpersonal Relations*
Logistic Models
Longitudinal Studies
Marital Status
Pregnancy Outcome*
Pregnancy, Unwanted / psychology
Premature Birth
Prenatal Care / utilization*
Social Support

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