ArticleCanadian journal of psychiatry. Revue canadienne de psychiatrie2016
Perinatal Health of Women with Intellectual and Developmental Disabilities and Comorbid Mental Illness.
Article in Canadian journal of psychiatry. Revue canadienne de psychiatrie, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers, 3 of them syntheses that pooled it.
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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.
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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.
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Who cites it
27 citing papers in PubMed, 3 syntheses or guidelines pooled it, 39 citations in OpenAlex.
- Association between maternal multimorbidity and preterm birth: a systematic review and meta-analysis.BMC pregnancy and childbirth · 2026Pooled it
- Pregnancy with multiple high-risk factors: a systematic review and meta-analysis.Journal of global health · 2025Pooled it
- The Right to Sexuality, Reproductive Health, and Found a Family for People with Intellectual Disability: A Systematic Review.International journal of environmental research and public health · 2023Pooled it
- Pregnancy Experiences of Women With Intellectual and Developmental Disabilities.Intellectual and developmental disabilities · 2025Article
- Factors Associated with Adverse Birth Outcomes in Women with an Intellectual or Other Developmental Disability.Healthcare (Basel, Switzerland) · 2025Article
- Health conditions and service use of autistic women and men: A retrospective population-based case-control study.Autism : the international journal of research and practice · 2023Article
- Paternal and maternal psychiatric history and risk of preterm and early term birth: A nationwide study using Swedish registers.PLoS medicine · 2023Article
- Mothers with Intellectual/Developmental Disabilities and Behavioral Health Conditions and Community Experts Provide Recommendations for Treatment/Services, Systems, and Research.International journal of environmental research and public health · 2023Article
- Impact of social-, health-, and disability-related factors on pregnancy outcomes in women with intellectual and developmental disabilities: A population-based latent class analysis.Disability and health journal · 2023Article
- Clinician-reported barriers to providing perinatal care to women with intellectual and developmental disabilities.Journal of intellectual & developmental disability · 2023Article
- Depressive symptoms during the perinatal period by disability status: Findings from the United States Pregnancy Risk Assessment Monitoring System.Journal of advanced nursing · 2023Article
- Pregnancy recommendations from women with intellectual and developmental disabilities to their peers.Disability and health journal · 2022Article
- Reproductive and pregnancy health care for women with intellectual and developmental disabilities: A scoping review.Journal of applied research in intellectual disabilities : JARID · 2022Article
- Severe Maternal Morbidity and Maternal Mortality in Women With Intellectual and Developmental Disabilities.American journal of preventive medicine · 2021Article
- Birth outcomes affecting infants of mothers with intellectual and developmental disabilities.Paediatric and perinatal epidemiology · 2021Article
- The Intersection of Disability and Pregnancy: Risks for Maternal Morbidity and Mortality.Journal of women's health (2002) · 2021Review
- Role of family caregivers regarding sexual and reproductive health for women and girls with intellectual disability: A scoping review.Journal of intellectual disability research : JIDR · 2020Article
- Pregnancy complications and maternal birth outcomes in women with intellectual and developmental disabilities in Wisconsin Medicaid.PloS one · 2020Article
- Postpartum emergency department use among women with intellectual and developmental disabilities: a retrospective cohort study.Journal of epidemiology and community health · 2019Article
- Racial and ethnic disparities in birth outcomes and labour and delivery-related charges among women with intellectual and developmental disabilities.Journal of intellectual disability research : JIDR · 2019Article
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Authors and funding
5 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveWomen with intellectual and developmental disabilities (IDD) have high rates of adverse perinatal outcomes. However, the perinatal health of women with co-occurring IDD and mental illness (dual diagnosis) is largely unknown. Our objectives were to 1) describe a cohort of women with dual diagnosis in terms of their social and health characteristics and 2) compare their risks for adverse maternal and neonatal outcomes to those of women with IDD only.
methodWe conducted a population-based study using linked Ontario (Canada) health and social services administrative data to identify singleton obstetric deliveries to women with dual diagnosis (n = 2080) and women with IDD only (n = 1852; 2002-2012). Primary maternal outcomes were gestational diabetes, gestational hypertension, preeclampsia/eclampsia, and venous thromboembolism. Primary neonatal outcomes were preterm birth, small for gestational age, and large for gestational age. We also examined several secondary outcomes.
resultsWomen with dual diagnosis were more likely than women with IDD only to live in poor neighborhoods and to have prepregnancy health conditions; however, they had more frequent prenatal care. Infants born to women with dual diagnosis had increased risks for preterm birth (adjusted relative risk [aRR] 1.31, 95% confidence interval [CI] 1.08 to 1.59) and neonatal morbidity (aRR 1.35, 95% CI 1.03 to 1.76) compared with infants born to women with IDD only. All other primary and secondary outcomes were nonsignificant.
conclusionsComorbid mental illness contributes little additional risk for adverse perinatal outcomes among women with IDD. Women with dual diagnosis and women with IDD alone require increased surveillance for maternal and neonatal complications.
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