title: Association of pregnancy-induced hypertension with duration of sexual cohabitation before conception.
abstract: Pregnancy-induced hypertension affects at least 10% of all pregnancies. An association with first pregnancy or a change in paternity for subsequent pregnancies has been suggested. We studied the duration of sexual cohabitation with the father prior to conception and the incidence of pregnancy-induced hypertension. During a five-month period, 1011 consecutive women who delivered in an obstetric unit were interviewed about paternity and duration of sexual cohabitation before conception. Obstetric charts were abstracted to identify three groups: those with pregnancy-induced hypertension, chronic hypertension, and normal blood pressure. The incidence of pregnancy-induced hypertension was 11.9% among primigravidae, 4.7% among same-paternity multigravidae, and 24.0% among new-paternity multigravidae. For both primigravidae and multigravidae, length of sexual cohabitation before conception was inversely related to the incidence of pregnancy-induced hypertension (p < 0.0001). Similar results were observed after control for race, education, maternal age, marital status, and number of pregnancies. Pregnancy-induced hypertension may be a problem of primipaternity rather than primigravidity. Furthermore, an extended duration of sexual cohabitation before conception may protect against pregnancy-induced hypertension.
authors.affiliation: Paediatrics and Gynaecology Obstetrics Unit, University Hospital of Pointe à Pitre, Guadeloupe, French West Indies, France.
authors.forename: P Y
authors.initials: PY
authors.lastname: Robillard
authors.forename: T C
authors.initials: TC
authors.lastname: Hulsey
authors.forename: J
authors.initials: J
authors.lastname: Périanin
authors.forename: E
authors.initials: E
authors.lastname: Janky
authors.forename: E H
authors.initials: EH
authors.lastname: Miri
authors.forename: E
authors.initials: E
authors.lastname: Papiernik
mesh_terms: D000293:Adolescent; D000328:Adult; D003075:Coitus; D005260:Female; D006801:Humans; D006973:Hypertension / Q000276:immunology / Q000517:prevention & control; D007231:Infant, Newborn; D008297:Male; D008423:Maternal Age; D016017:Odds Ratio; D010298:Parity; D010334:Paternity; D011225:Pre-Eclampsia / Q000276:immunology / Q000517:prevention & control; D011247:Pregnancy; D011249:Pregnancy Complications, Cardiovascular / Q000276:immunology / Q000517:prevention & control; D011295:Prenatal Care; D013094:Spermatozoa / Q000276:immunology