W. Hellerstedt

Ponencia:

  • close

    Is perceived partner pregnancy intention associated
    withmaternal prenatal and postpartumwell-being?
    Hellerstedt, W
    Division of Epidemiology & Community Health, School of Public
    Health, University of Minnesota, Canada
    Background: While ‘pregnancy intention’ is often crudely assessed
    by a question concerning satisfaction with pregnancy timing, data
    with this measure support that unintended and unwanted
    pregnancies are associated with adverse infant and maternal health
    outcomes. Few studies have examined similar associations with
    perceived paternal intention.
    Methods: We examined data from Minnesota’s (USA) Pregnancy
    Risk Assessment Monitoring System (PRAMS), involving 7266
    women surveyed 2–4 months after delivery of a live-born between
    2004 and 2008. We used weighted multivariate logistic regression

    to examine the associations of perceived partner intention with
    maternal demographics, as well as prenatal and postpartum
    behaviors and experiences.
    Results: Thirty-seven percent of recent mothers reported that
    their pregnancies were unintended by their partners. Compared to
    those who perceived their partners intended the pregnancy, these
    mothers were significantly (P < 0.01) more likely to report that
    they themselves did not intend the pregnancy, smoked prenatally,
    experienced intimate partner violence, experienced postpartum
    depressive symptoms and had prenatal mood problems. They
    were less likely to report that they received adequate prenatal,
    postpartum or well-woman care; father helped with infant care; or
    that they used contraceptives in the postpartum.
    Conclusions: In this population-based sample, more than one-
    third reported their partner did not intend their recent pregnancy.
    We cannot validate whether maternal report of perceived paternal
    intention is accurate, but we also have no reason to doubt it.
    Irrespective of the objectivity of this measure, perceived partner
    pregnancy intention is an independent indicator of a variety of
    maternal and infant risk markers.