Evidence map›Paper›PMID 25417861›Full record

ArticleActa obstetricia et gynecologica Scandinavica2015

Effects of disability on pregnancy experiences among women with impaired mobility.

Lisa I Iezzoni, Amy J Wint, Suzanne C Smeltzer, Jeffrey L Ecker

Abstract read
In one paragraph

Article in Acta obstetricia et gynecologica Scandinavica, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed, 1 pooled it
4.8field-weighted citation impact, top 5% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

27 citing papers in PubMed, 1 synthesis or guideline pooled it, 52 citations in OpenAlex.

  1. Pooled it
  2. Pregnancy Outcomes Among Individuals With Cerebral Palsy: A Population-Based Cohort Study.BJOG : an international journal of obstetrics and gynaecology · 2026
    Article
  3. Review
  4. Article
  5. Virtual Assessment of Functional Mobility in Lower Extremity Prosthesis Clients: An Exploratory Study.Archives of rehabilitation research and clinical translation · 2024
    Article
  6. Article
  7. Review
  8. Article
  9. Pregnancy Outcomes in Women with Spinal Cord Injuries: A Population-Based Study.PM & R : the journal of injury, function, and rehabilitation · 2019
    Article
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  11. Article
  12. Article
  13. Article
  14. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 3 institutions in 1 country.

Lisa I IezzoniMongan Institute for Health Policy, Massachusetts General Hospital, Boston, MA, USA; Department of Medicine, Harvard Medical School, Boston, MA, USA.
Amy J Wint
Suzanne C Smeltzer
Jeffrey L Ecker
Massachusetts General Hospital · USHarvard University · USVillanova University · US

Funding

Pregnancy Experience of Women with Physical DisabilitiesR21HD068756 · NICHD · MASSACHUSETTS GENERAL HOSPITAL · PI IEZZONI, LISA I. · 2012 to 2013
$469k
NICHD NIH HHS 1R21HD068756-02NICHD NIH HHS R21 HD068756
6 · The paper itself

Abstract

objectiveLittle is known about how functional impairments might affect the pregnancies of women with mobility disability. We aimed to explore complications that arise during pregnancy that are specifically related to physical functional impairments of women with significant mobility disabilities.

designQualitative descriptive analysis.

settingTelephone interviews with women from 17 USA states. SAMPLE: 22 women with significant mobility difficulties who had delivered babies within the prior 10 years; most participants were recruited through social networks.

methodsWe conducted 2-h, in-depth telephone interviews using a semi-structured, open-ended interview protocol. We used NVIVO software to sort interview transcript texts for conventional content analyses.

main outcome measuresFunctional impairment-related complications during pregnancy.

resultsThe women's mean (standard deviation) age was 34.8 (5.3) years. Most were white, well-educated, and higher income; eight women had spinal cord injuries, four cerebral palsy, and 10 had other conditions; 18 used wheeled mobility aids; and 14 had cesarean deliveries (eight elective). Impairment-related complications during pregnancy included: falls; urinary tract and bladder problems; wheelchair fit and stability problems that reduced mobility and compromised safety; significant shortness of breath, sometimes requiring respiratory support; increased spasticity; bowel management difficulties; and skin integrity problems (this was rare, but many women greatly increased skin monitoring during pregnancy to prevent pressure ulcers).

conclusionsIn addition to other pregnancy-associated health risks, women with mobility disabilities appear to experience problems relating to their functional impairments. Pre-conception planning and in-depth discussions during early pregnancy could potentially assist women with mobility disabilities to anticipate and address these difficulties.

Indexed as

Mobility LimitationPersons with DisabilitiesPregnancy ComplicationsPregnancy OutcomeAdultFemaleHumansMiddle AgedPregnancySpinal Cord InjuriesThoracic VertebraeUrinary Tract Infectionsdisabilityfallsfunctional impairmentPregnancypressure ulcersrespiratory supportspasticitywheelchair

Identifiers

PMID25417861
PMCPMC4803279
OpenAlexW2152274758

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.