Evaluation of obstetric outcomes for women in commuter versus non-commuter marriages: A comparative study

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dc.contributor.authorAdeniran AS
dc.contributor.authorFawole AA
dc.contributor.authorFilani ST
dc.contributor.authorAdesina KT
dc.contributor.authorAlatishe-Muhammad BW
dc.contributor.authorAboyeji AP
dc.date.accessioned2022-07-26T11:50:16Z
dc.date.available2022-07-26T11:50:16Z
dc.date.issued2022
dc.descriptionJournal of Taibah University Medical Sciences
dc.description.abstractObjectives 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 p < 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; p = 0.047), higher mean gestational age at booking (22.2 ± 7.70 years vs. 19.9 ± 6.93 years; p = 0.005), higher antenatal illness-associated hospital admission (n = 39 vs. 19; p = 0.004), preterm delivery (33.8% vs. 6.9%; p = 0.001), and low birth weight (16.3% vs. 5.0%; p = 0.001). The mean gestational age at delivery (35.1 ± 2.53 years vs. 38.0 ± 2.38 years, p = 0.001) and birth weight (2445 ± 749 vs. 3146 ± 1646 g, p = 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.
dc.identifier.citation10.1016/j.jtumed.2021.12.017
dc.identifier.issn1658-3612
dc.identifier.urihttps://nerd.ethesis.ng/handle/123456789/246
dc.language.isoen
dc.subjectCommuter marriage
dc.subjectMarriage
dc.subjectObstetric effect
dc.subjectPregnancy complications
dc.subjectPregnancy outcome
dc.subjectUnmet needs
dc.titleEvaluation of obstetric outcomes for women in commuter versus non-commuter marriages: A comparative study
dc.typeArticle
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