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Paternal Involvement and Maternal Perinatal Behaviors: Pregnancy Risk Assessment Monitoring System, 2012-2015.

Katherine Kortsmit1,2, Craig Garfield3, Ruben A Smith1

  • 1Division of Reproductive Health, National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, Atlanta, GA, USA.

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Summary
This summary is machine-generated.

Paternal involvement, indicated by acknowledgment of paternity (AOP), is linked to better maternal health behaviors. Unmarried mothers without an AOP showed poorer prenatal care and higher substance use during pregnancy.

Keywords:
maternal perinatal behaviorspaternal involvement

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Area of Science:

  • Public Health
  • Maternal and Child Health
  • Sociology

Background:

  • Paternal involvement positively influences infant and maternal health outcomes.
  • Understanding factors affecting maternal perinatal behaviors is crucial for public health initiatives.

Purpose of the Study:

  • To compare maternal behaviors related to infant health across different paternal involvement levels.
  • To assess the association between acknowledgment of paternity (AOP) and maternal perinatal behaviors.

Main Methods:

  • Analysis of 2012-2015 data from the Pregnancy Risk Assessment Monitoring System (PRAMS).
  • Inclusion of a representative sample of over 113,000 mothers with recent live births across 32 US sites.
  • Calculation of adjusted prevalence ratios (aPRs) to examine associations between paternal involvement (marital status, AOP) and maternal behaviors.

Main Results:

  • Unmarried women without an AOP were less likely to initiate prenatal care in the first trimester and breastfeed for at least 8 weeks compared to married women and those with an AOP.
  • Unmarried women without an AOP exhibited higher rates of alcohol and tobacco use during and after pregnancy.
  • Married women and unmarried women with an AOP demonstrated more favorable maternal health behaviors.

Conclusions:

  • Acknowledgment of paternity (AOP) serves as a valuable indicator of paternal involvement, alongside marital status.
  • Considering AOP provides a more comprehensive understanding of factors influencing maternal perinatal behaviors.
  • This research highlights the importance of paternal involvement in supporting positive maternal health outcomes.