通勤婚姻与非通勤婚姻女性的产科结局评估：一项比较研究。
Evaluation of obstetric outcomes for women in commuter versus non-commuter marriages: A comparative study.
作者信息
Adeniran Abiodun S, Fawole Adegboyega A, Filani Stella T, Adesina Kikelomo T, Alatishe-Muhammad Bilqis W, Aboyeji Abiodun P
机构信息
Obstetrics & Gynaecology Department, University of Ilorin/University of Ilorin Teaching Hospital, Ilorin, Nigeria.
Obstetrics & Gynaecology Department, General Hospital, Ilorin, Nigeria.
出版信息
J Taibah Univ Med Sci. 2022 Apr 21;17(5):826-833. doi: 10.1016/j.jtumed.2021.12.017. eCollection 2022 Oct.
OBJECTIVES
The study aims to determine obstetric outcomes for women in commuter marriages (CoMs) compared to women in non-CoMs, as well as the influence of living-in-companions on the obstetric outcomes.
METHODS
A prospective, multicentre, comparative study was conducted among antenatal clinic attendees in CoMs (160 women) and non-CoMs (160 women). Following consent, participants were recruited and monitored from antenatal booking until six weeks postpartum. The primary outcome measure was the obstetric outcomes (miscarriages, antenatal illness-associated hospital admissions, gestational ages at delivery, pregnancy-induced hypertension, gestational diabetes, and birth weights), while the secondary outcome measure was the influence of living-in-companions on the obstetric outcomes, which was measured by comparing the outcomes in women with those without living-in-companions. Data analysis was conducted using chi-square and t-tests, as applicable; a < 0.05 was significant.
RESULTS
The commuting partners were males in the majority (n = 151; 94.4%), due to work-transfer (n = 76; 47.5%) or new employment (n = 60; 37.5%). There was a statistically significant association between CoM and delay before index pregnancy (n = 27 vs. 15; = 0.047), higher mean gestational age at booking (22.2 ± 7.70 years vs. 19.9 ± 6.93 years; = 0.005), higher antenatal illness-associated hospital admission (n = 39 vs. 19; = 0.004), preterm delivery (33.8% vs. 6.9%; = 0.001), and low birth weight (16.3% vs. 5.0%; = 0.001). The mean gestational age at delivery (35.1 ± 2.53 years vs. 38.0 ± 2.38 years, = 0.001) and birth weight (2445 ± 749 vs. 3146 ± 1646 g, = 0.043) were lower and statistically significant among women in CoMs without than among those with living-in-companions.
CONCLUSION
CoM was associated with adverse obstetric outcomes; however, living-in-companions appeared to ameliorate these adverse outcomes.
目的
本研究旨在确定通勤婚姻（CoM）女性与非通勤婚姻女性相比的产科结局，以及同居伴侣对产科结局的影响。
方法
对CoM组（160名女性）和非CoM组（160名女性）的产前门诊就诊者进行了一项前瞻性、多中心、比较性研究。获得同意后，从产前登记开始招募并监测参与者直至产后六周。主要结局指标是产科结局（流产、与产前疾病相关的住院、分娩时的孕周、妊娠高血压、妊娠期糖尿病和出生体重），次要结局指标是同居伴侣对产科结局的影响，通过比较有同居伴侣和没有同居伴侣的女性的结局来衡量。根据适用情况，使用卡方检验和t检验进行数据分析；P<0.05具有统计学意义。
结果
通勤伴侣大多数为男性（n = 151；94.4%），原因是工作调动（n = 76；47.5%）或新就业（n = 60；37.5%）。CoM与首次妊娠前的延迟（n = 27对15；P = 0.047）、登记时较高的平均孕周（22.2±7.70岁对19.9±6.93岁；P = 0.005）、与产前疾病相关的较高住院率（n = 39对19；P = 0.004）、早产（33.8%对6.9%；P = 0.001）和低出生体重（16.3%对5.0%；P = 0.001）之间存在统计学显著关联。在没有同居伴侣的CoM女性中，分娩时的平均孕周（35.1±2.53岁对38.0±2.38岁，P = 0.001）和出生体重（2445±749对3146±1646 g，P = 0.043）较低且具有统计学显著性。
结论
CoM与不良产科结局相关；然而，同居伴侣似乎改善了这些不良结局。
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