Godbole Nupur B, Moberg Megan S, Patel Parth, Kosambiya Jayesh, Salihu Hamisu M, Campos Elba Adriana, Menezes Lynette, Verma Ragini, Wilson Ronee
Morsani College of Medicine, University of South Florida, Tampa, FL, USA.
Department of P&SM, Medical College New Civil Hospital, Surat, India.
Int J MCH AIDS. 2020;9(1):161-166. doi: 10.21106/ijma.348. Epub 2020 Feb 14.
While the impact of maternal factors on birth outcomes are widely reported, the extent to which paternal involvement and varying cultural family dynamics influence birth outcomes particularly in an international context, remain understudied. The purpose of this study was to assess the relationship between paternal involvement and adverse birth outcomes in South Gujarat, India.
An in-person questionnaire was administered to adult women at delivery or during the one-month postpartum visit at New Civil Hospital, in South Gujarat, India between May and June 2016 to assess level of paternal support and attendance at prenatal appointments and household structure. Pregnancy variables including birthweight and gestational age at delivery were collected from maternal and newborn record/chart review. Chi-square and t-test were used to assess demographics, as appropriate. Logistic regression was used to examine the association between paternal involvement and pregnancy birth outcomes.
Of the 404 infants born during the study period, 26.7% were premature (<37 weeks gestation) and 29% were of low birth weight (<2500g). More than 40% of the women surveyed reported their in-laws were the primary household decision-makers; however, those who reported high paternal attendance were less likely to report in-laws as the primary decision-maker (p=0.03). Adjusted logistic regression analysis indicated the odds of delivering a low birth weight infant were greater among mothers who reported low paternal support and low paternal attendance at prenatal visits (OR=2.99 (95% Confidence Interval (CI): 1.84-4.86) and OR=2.16 (95% CI: 1.35-3.47), respectively).
Low paternal support during pregnancy may be a missed opportunity to increase healthy practices during pregnancy as well as decrease the risks associated with limited social support during pregnancy. It is important to consider varying socio-cultural family dynamics in different populations and how they may influence paternal involvement during pregnancy.
虽然母亲因素对分娩结局的影响已有广泛报道，但在国际背景下，父亲参与程度和不同文化家庭动态对分娩结局的影响程度仍研究不足。本研究的目的是评估印度古吉拉特邦南部地区父亲参与程度与不良分娩结局之间的关系。
2016年5月至6月期间，在印度古吉拉特邦南部新公民医院，对分娩时或产后1个月访视的成年女性进行面对面问卷调查，以评估父亲的支持程度、产前检查的陪同情况和家庭结构。从母亲和新生儿记录/病历审查中收集包括出生体重和分娩时孕周在内的妊娠变量。根据情况，使用卡方检验和t检验评估人口统计学特征。使用逻辑回归分析来研究父亲参与程度与妊娠分娩结局之间的关联。
在研究期间出生的404名婴儿中，26.7%为早产（孕周<37周），29%为低出生体重（<2500g）。超过40%的受访女性表示，她们的姻亲是家庭主要决策者；然而，那些报告父亲陪同频率高的女性，将姻亲作为主要决策者的可能性较小（p=0.03）。调整后的逻辑回归分析表明，在产前检查中报告父亲支持程度低和陪同频率低的母亲，生出低出生体重婴儿的几率更高（比值比分别为2.99（95%置信区间（CI）：1.84 - 4.86）和2.16（95%CI：1.35 - 3.47））。
孕期父亲支持程度低可能是一个错失的机会，无法在孕期增加健康行为，也无法降低孕期社会支持有限带来的风险。考虑不同人群中不同的社会文化家庭动态以及它们如何影响孕期父亲的参与程度非常重要。
