ArticleBMJ paediatrics open2024
Parental separation following preterm delivery in Canada: a population-based cohort study.
Article in BMJ paediatrics open, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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13 authors.
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Abstract
objectiveTo examine the association between preterm delivery and parental separation and identify associated risk factors.
methodsAll opposite sex, married or common-law parents whose relationship status was available at index delivery and for the next 5 years were eligible in this retrospective population-based cohort study in Manitoba, Canada. Parents of children born preterm were matched 1:5 to parents of children born full-term. Parental separation within 5 years of childbirth was the primary outcome. Secondary outcome was the time to separation. Multivariable Poisson regression model was created to estimate the 5-year incidence rate ratios (IRR) of the primary outcome.
resultsParents of 6367 children born preterm (n=164 for <28 weeks, n=1196 for 28-33 weeks, n=5007 for 34-36 weeks) and parents of 30 663 children born full-term were included. Compared with parents of children born term (4.2%), only parents of children born at 34-36 weeks had a higher incidence rate of separation (5.5%, IRR: 1.26; 1.09-1.45, p=0.002), although parents of children born at 28-33 weeks (5.4%, IRR: 1.20; 0.93-1.55, p=0.16), and at<28 weeks (5.5%, IRR: 1.27; 0.66-2.45, p=0.48) had similar IRRs. Time to separation was similar between all groups.
conclusionsParents of children born at 34-36 weeks had higher separation rates than parents of children born full-term. The risk factors identified can be used to identify and provide supports to at-risk parents.
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