Observational studyWomen's health issues : official publication of the Jacobs Institute of Women's Health
Primary Cesarean Delivery Patterns among Women with Physical, Sensory, or Intellectual Disabilities.
Observational study in Women's health issues : official publication of the Jacobs Institute of Women's Health. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 57 papers, 4 of them syntheses that pooled it.
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The trial behind it
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Who cites it
57 citing papers in PubMed, 4 syntheses or guidelines pooled it, 88 citations in OpenAlex.
- 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
- Pooled it
- Identifying reproductive-aged women with physical and sensory disabilities in administrative health data: A systematic review.Disability and health journal · 2020Pooled it
- Maternal disability and risk for pregnancy, delivery, and postpartum complications: a systematic review and meta-analysis.American journal of obstetrics and gynecology · 2020Pooled it
- Physical Assault During the Perinatal Period by Disability Status and Racial/Ethnic Background.Journal of interpersonal violence · 2026Article
- Severe Maternal Morbidity at the Intersection of Race and Disability: Evidence of Compounded Disparities in the U.S. Maternal Healthcare System.American journal of preventive medicine · 2026Article
- Patient Disability Status and the Use of Stigmatizing Language in Clinical Notes During Hospital Admission for Birth.Journal of obstetric, gynecologic, and neonatal nursing : JOGNN · 2025Article
- Maternal outcomes among women with intellectual disabilities in comparison with the general population (IDcare).AJOG global reports · 2025Article
- Article
- Perinatal mental health and risk of severe maternal morbidity in women with physical disabilities, Massachusetts 2003-2015.Disability and health journal · 2025Article
- Severe Maternal Morbidity and Other Perinatal Complications Among Black, Hispanic, and White Birthing Persons With and Without Physical Disabilities.Journal of women's health (2002) · 2025Article
- Maternal Disability and Emergency Department Use for Infants.JAMA network open · 2025Article
- Intersectional inequities in maternal mortality: Examining the compounded risks for black birthing individuals with physical disabilities.Disability and health journal · 2025Article
- Factors Associated with Adverse Birth Outcomes in Women with an Intellectual or Other Developmental Disability.Healthcare (Basel, Switzerland) · 2025Article
- Identifying Pregnant Women With Disabilities and Maternal and Newborn Outcomes.JAMA network open · 2025Article
- The use of general anesthesia for dental treatment of children with special healthcare needs in Alberta, Canada.International journal of paediatric dentistry · 2025Article
- Article
- Comparison of long-term healthcare use among older adults with disabilities following hospitalization for COVID-19, sepsis, or influenza: a population-based cohort study.Lancet regional health. Americas · 2024Article
- Article
- Maternal disability and newborn discharge to social services: a population-based study.International journal of population data science · 2024Article
Corrections and comments
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Authors and funding
5 authors at 1 institution in 3 countries.
Funding
Abstract
backgroundLittle is known about the relationship between disability and mode of delivery. Prior research has indicated elevated risk of cesarean delivery among women with certain disabilities, but has not examined patterns across multiple types of disability or by parity.
objectiveThis study sought to determine whether physical, sensory, or intellectual and developmental disabilities are independently associated with primary cesarean delivery.
methodsWe conducted a retrospective cohort study of all deliveries in California from 2000 to 2010 using linked birth certificate and hospital discharge data. We identified physical, sensory, and intellectual and developmental disabilities using International Classification of Diseases, 9th revision, clinical modification codes. We used logistic regression to examine the association of these disabilities and primary cesarean delivery, controlling for sociodemographic characteristics and comorbidities, and stratified by parity.
resultsIn our sample, 0.45% of deliveries (20,894/4,610,955) were to women with disabilities. A greater proportion of women with disabilities were nulliparous, had public insurance, and had comorbidities (e.g., gestational diabetes) compared with women without disabilities (p < .001 for all). The proportion of primary cesarean in women with disabilities was twice that in women without disabilities (32.7% vs. 16.3%; p < .001; adjusted odds ratio, 2.05; 95% confidence interval, 1.94-2.17). The proportion of deliveries by cesarean was highest among women with physical disabilities due to injuries compared with women without disabilities (57.8% vs. 16.3%; p < .001; adjusted odds ratio, 6.83; 95% confidence interval, 5.46-8.53).
conclusionsWomen across disability subgroups have higher odds of cesarean delivery, and there is heterogeneity by disability type. More attention is needed to this population to ensure better understanding of care practices that may impact maternal and perinatal outcomes.
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Registered trials
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.