Objectives Maternal race, marital status, and social environment impact risk of preterm delivery and size for gestational age. Although some paternal characteristics such as age are associated with pregnancy outcomes, the influence of the paternal presence, race/ethnicity and adverse life events is not well known. The objective of the study was to assess birth outcomes in mothers with a paternal presence compared to those without during the post-partum period. The secondary aim was to determine whether paternal race is associated with birth outcomes. Methods This was a cross-sectional study using parental surveys linked with birth certificate data from 2016 to 2018. Adverse birth composite outcomes (ABCO) including small for gestational age (SGA), prematurity or neonatal intensive care unit admission (NICU) were assessed. Results A total of 695 parents were analyzed (239 single mothers and 228 mother-father pairs). Compared to mothers with a father present, mothers without a father present exhibited increased odds of ABCO, prematurity and NICU. Non-Hispanic Black fathers had increased odds of ABCO and NICU compared to Non-Hispanic Whites (NHW). Hispanic fathers had increased odds of NICU compared to NHW. Conclusions Paternal absence in the post-partum period and paternal race were both independently associated with ABCO and NICU. Assessment of paternal presence and paternal race in clinical practice may help identify opportunities for additional support necessary to optimize birth outcomes.

中文翻译：

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父亲在场和父母社会人口学特征对出生结果的影响

目标 孕产妇种族、婚姻状况和社会环境影响早产风险和胎龄大小。尽管某些父亲特征（例如年龄）与妊娠结局相关，但父亲的存在、种族/民族和不良生活事件的影响尚不为人所知。该研究的目的是评估在产后期间有父亲在场的母亲与没有父亲在场的母亲的分娩结果。次要目的是确定父系种族是否与出生结果相关。方法 这是一项横断面研究，使用与 2016 年至 2018 年出生证明数据相关的父母调查。评估了不良出生复合结局 (ABCO)，包括小于胎龄 (SGA)、早产或新生儿重症监护病房 (NICU)。结果共分析了695名父母（239名单身母亲和228对母父）。与有父亲在场的母亲相比，没有父亲在场的母亲表现出 ABCO、早产和新生儿重症监护病房的几率增加。与非西班牙裔白人 (NHW) 相比，非西班牙裔黑人父亲患 ABCO 和 NICU 的几率增加。与 NHW 相比，西班牙裔父亲的新生儿重症监护病房的几率增加。结论 产后父亲缺席和父亲种族均与 ABCO 和 NICU 独立相关。在临床实践中评估父亲的存在和父亲的种族可能有助于确定优化分娩结果所需的额外支持的机会。早产儿和新生儿重症监护病房。与非西班牙裔白人 (NHW) 相比，非西班牙裔黑人父亲患 ABCO 和 NICU 的几率增加。与 NHW 相比，西班牙裔父亲的新生儿重症监护病房的几率增加。结论 产后父亲缺席和父亲种族均与 ABCO 和 NICU 独立相关。在临床实践中评估父亲的存在和父亲的种族可能有助于确定优化分娩结果所需的额外支持的机会。早产儿和新生儿重症监护病房。与非西班牙裔白人 (NHW) 相比，非西班牙裔黑人父亲患 ABCO 和 NICU 的几率增加。与 NHW 相比，西班牙裔父亲的新生儿重症监护病房的几率增加。结论 产后父亲缺席和父亲种族均与 ABCO 和 NICU 独立相关。在临床实践中评估父亲的存在和父亲的种族可能有助于确定优化分娩结果所需的额外支持的机会。