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  • Primipaternities and human ...
    Robillard, Pierre-Yves; Dekker, Gustaaf; Chaouat, Gérard; Scioscia, Marco; Boukerrou, Malik

    Journal of reproductive immunology, September 2021, 2021-Sep, 2021-09-00, 20210901, Volume: 147
    Journal Article

    •It has been knowned for 160 years that primiparas have lighter babies than multiparas.•In this study, we show that there is an identical phenomenon in case of new paternity in multiparas.•First pregnancy at a level of a couple (“primipaternity”) may include and explain the well-known effect of primiparas having lighter babies than multiparas. To investigate in singleton multiparous pregnancies the effect of having a new father for an index pregnancy on new-borns’ birthweights and intrauterine growth restriction. 20 year-observational cohort study (2001–2020). Centre Hospitalier Universitaire Hospitalier Sud Reunion’s maternity (French overseas department, Indian Ocean). Comparing the 811 multiparas (cases) who had a new partner with the 49,712 who did not (controls), there were no differences concerning maternal age, education, ovulation induction/IVF, previous miscarriages, exams during pregnancies, pre-pregnancy BMI, gestational diabetes, and chronic hypertension. Cases had more previous pregnancies than controls (gravidity 4.2 vs 2.8, p < 0.001), volunteer abortions (OR1.93, p < 0.001), in vitro fecundations (OR 4.34, p < 0.001), were more likely to be unmarried (OR 2.94, p < 0.001) smoker (OR 2.2, p < 0.0001) and consuming alcohol during pregnancy (OR 2.35, p = 0.001). Cases had a much higher risk of preeclampsia than controls (OR 3.94, p < 0.001), especially early-onset preeclampsia (< 34 weeks) with an OR 4.1 (p < 0.001). Controlling for confounding factors (preeclampsia, smoking, alcohol use, early prematurity < 33 weeks, maternal ethnicity), primipaternity was an independent factor for small for gestational age newborns (OR 1.48, p < 0.001). It has been known for decades that primiparas have lighter babies than multiparas. Primipaternity represents also a risk for lower birth weights. Human birthweight seems to be linked with a “couple habituation” (to paternal genes) which may be not fully established in the first pregnancy of the couple.