RESUMO
A possible association between pregnancy-induced hypertension and new father for the concerned pregnancy has been published. This prospective study explored the association between the duration of sexual cohabitation before conception with the father and pregnancy-induced hypertension (PIH) in primigravid and in multigravid women. During 5 months, 1011 women who consecutively delivered in the Maternity Ward were interviewed. Information about paternity and duration of sexual cohabitation before conception for the current pregnancy was collected. In 48/72 (66.7 percent) of PIH multigravidae, the father of the current pregnancy was different from that of the former, compared to 9/52 (17.3 percent) among chronic hypertensiver women and 152/633 (24.0 percent) in controls (p<0.0001). In primigravid and multigravid PIH women, the duration of sexual cohabitation was significantly shorter than in controls (p<0.0001). The length of sexual cohabitation before conception was correlated with PIH, especially for women with a cohabitation of 0-4 months, association regularly decreasing until 12 months. These results remained after controlling for ethnicity, level of education, maternal age, marital status and gravidity. PIH seems to be a problem of primipaternity (rather than primigravidity). In primipaternity pregnancies, a long duration of sexual cohabitation before conception could be protective against this disorder in women (AU)
Assuntos
Estudo Comparativo , Humanos , Feminino , Gravidez , Hipertensão/etiologia , Paternidade , Complicações Cardiovasculares na Gravidez , Comportamento SexualRESUMO
Few authors have published investigations regarding a possible association between preeclampsia and changing paternity. This study employs an epidemiological approach to explore the relationship between severe preeclampsia and changes in paternity patterns among multigravidae in a Caribbean community (Guadeloupe, French West Indies). Multiparae who were diagnosed with preeclampsia or eclampsia with fetal complications (transfer of their infants in the Neonatal Department) and controls were examined (134 mothers' interviews). Information concerning paternity for the index and previous pregnancies was collected from three groups: women with pregnancy-induced hypertension (PIH); women with chronic hypertension (CH); and a control group consisting of women without hypertension during pregnancy. In 21/34 (61.7%) of PIH mothers, the father of the current pregnancy was different than that of the former, compared to 4/40 (10%) among CH and 10/60 (16.6%) in the controls (P < 0.0001). Moreover, considering three and four consecutive pregnancies, there was a significant trend (P < 0.005 and P < 0.02) for an increase in PIH with having a different father in each successive pregnancy. Patterns of changing paternity were significantly correlated with pregnancy-induced hypertension in multiparae but not with chronic hypertension and controls.