Samuel Lurie1, Anath Zalmanovitch, Abraham Golan, Oscar Sadan. 1. Department of Obstetrics and Gynecology, Edith Wolfson Medical Center, Holon, and the Sackler School of Medicine, Tel Aviv University, Tel Aviv, Israel. drslurie@hotmail.com
Abstract
AIMS: Previous studies have observed an association between unmarried status of the mother and adverse perinatal outcome such as increased rate of preterm deliveries, low birthweight and small-for-gestational-age infants. In Israel, attendance of prenatal care is imposed by the state and is not related to socioeconomic status; therefore, unmarried women are expected to have a similar prenatal care as married women. The objective of this study is to test the hypothesis that unmarried and married pregnant women have a similar perinatal outcome. MATERIAL & METHODS: In a retrospective case-control study, analysis of the records of women who gave birth at the delivery ward of Edith Wolfson Medical Center (a tertiary health care center) over a one-year period (2005) with respect to marital status was performed. The cases group included 304 unmarried women who were matched with 1:1 ratio for maternal age, parity, and number of fetuses in the current pregnancy. RESULTS: Unmarried women (n = 304) were more likely to smoke during pregnancy (35.2% vs 15.2%, P < 0.001), had a longer second stage (44.4 ± 9.8 min vs 54.4 ± 4.4 min, P < 0.05) and a shorter first stage (484.0 ± 34.8 min vs 421.0 ± 25.3 min P < 0.05) of labor. The unmarried women had similar length of gestation, preterm delivery rate, mode of delivery, low birthweight rates, low Apgar scores or meconium passage during labor as married women. CONCLUSION: In Israel, unmarried and married pregnant women may have almost similar pregnancy outcomes on length of gestation, mode of delivery and Apgar score.
AIMS: Previous studies have observed an association between unmarried status of the mother and adverse perinatal outcome such as increased rate of preterm deliveries, low birthweight and small-for-gestational-age infants. In Israel, attendance of prenatal care is imposed by the state and is not related to socioeconomic status; therefore, unmarried women are expected to have a similar prenatal care as married women. The objective of this study is to test the hypothesis that unmarried and married pregnant women have a similar perinatal outcome. MATERIAL & METHODS: In a retrospective case-control study, analysis of the records of women who gave birth at the delivery ward of Edith Wolfson Medical Center (a tertiary health care center) over a one-year period (2005) with respect to marital status was performed. The cases group included 304 unmarried women who were matched with 1:1 ratio for maternal age, parity, and number of fetuses in the current pregnancy. RESULTS: Unmarried women (n = 304) were more likely to smoke during pregnancy (35.2% vs 15.2%, P < 0.001), had a longer second stage (44.4 ± 9.8 min vs 54.4 ± 4.4 min, P < 0.05) and a shorter first stage (484.0 ± 34.8 min vs 421.0 ± 25.3 min P < 0.05) of labor. The unmarried women had similar length of gestation, preterm delivery rate, mode of delivery, low birthweight rates, low Apgar scores or meconium passage during labor as married women. CONCLUSION: In Israel, unmarried and married pregnant women may have almost similar pregnancy outcomes on length of gestation, mode of delivery and Apgar score.
Authors: Ila R Falcão; Rita de Cássia Ribeiro-Silva; Marcia Furquim de Almeida; Rosemeire L Fiaccone; Natanael J Silva; Enny S Paixao; Maria Yury Ichihara; Laura C Rodrigues; Mauricio L Barreto Journal: Am J Clin Nutr Date: 2021-07-01 Impact factor: 7.045
Authors: Enny S Paixão; Qeren Hapuk R Ferreira Fernandes; Luciana L Cardim; Julia M Pescarini; Maria Conceicao N Costa; Ila R Falcão; Elizabeth B Brickley; Andreia Costa Santos; André Portela Souza; Rita de Cassia Oliveira Carvalho-Sauer; Liam Smeeth; Laura C Rodrigues; Mauricio L Barreto; Maria Gloria Teixeira Journal: BMJ Glob Health Date: 2022-09