ArticleJournal of women's health (2002)2017
Postpartum Acute Care Utilization Among Women with Intellectual and Developmental Disabilities.
Article in Journal of women's health (2002), 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 3 of them syntheses that pooled it.
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Who cites it
22 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- Mental health outcomes across the reproductive life course among women with disabilities: a systematic review.Archives of women's mental health · 2025Pooled it
- Care of the Postpartum Patient in the Emergency Department: A Systematic Review with Implications for Maternal Mortality.American journal of perinatology · 2023Pooled 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
- Enhancing Perinatal Care for Women With Intellectual Disabilities: Clinician Insights on Involving Family Caregivers.Journal of applied research in intellectual disabilities : JARID · 2026Article
- Factors Associated with Adverse Birth Outcomes in Women with an Intellectual or Other Developmental Disability.Healthcare (Basel, Switzerland) · 2025Article
- Preliminary Evaluation of the Step-by-Step Parenting Program for Expfectant Parents With Intellectual Disabilities.Journal of applied research in intellectual disabilities : JARID · 2025Article
- Disability justice and collective access to labour and delivery care: a qualitative study.BMC pregnancy and childbirth · 2024Article
- Perinatal and Postpartum Health Among People With Intellectual and Developmental Disabilities.JAMA network open · 2024Article
- Perinatal mental illness among women with disabilities: a population-based cohort study.Social psychiatry and psychiatric epidemiology · 2022Article
- Neonatal Outcomes of Mothers With a Disability.Pediatrics · 2022Article
- Severe maternal morbidity and other perinatal complications among women with physical, sensory, or intellectual and developmental disabilities.Paediatric and perinatal epidemiology · 2022Article
- A population-based analysis of postpartum acute care use among women with disabilities.American journal of obstetrics & gynecology MFM · 2022Article
- Clinician perspectives on the need for training on caring for pregnant women with intellectual and developmental disabilities.Disability and health journal · 2022Article
- Emergency Medical Care of People with Intellectual Disabilities: A Scoping Review.Open access emergency medicine : OAEM · 2022Article
- Postpartum Health Care Among Women With Intellectual and Developmental Disabilities.American journal of preventive medicine · 2020Article
- Postpartum visits in the gynecological emergency room: How can we improve?BMC pregnancy and childbirth · 2020Article
- Pregnancy Intendedness by Maternal Disability Status and Type in the United States.Perspectives on sexual and reproductive health · 2020Article
- Recent Trends and Future Directions in Research Regarding Parents with Intellectual and Developmental Disabilities.Current developmental disorders reports · 2020Review
- Postpartum emergency department use among women with intellectual and developmental disabilities: a retrospective cohort study.Journal of epidemiology and community health · 2019Article
- Postpartum Hospital Utilization among Massachusetts Women with Intellectual and Developmental Disabilities: A Retrospective Cohort Study.Maternal and child health journal · 2018Article
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundWomen with intellectual and developmental disabilities have high rates of pregnancy complications. However, their postpartum health is largely unknown. We compared risks for postpartum hospital admissions and emergency department visits among women with and without intellectual and developmental disabilities.
methodsWe conducted a population-based study using linked Ontario (Canada) health and social services administrative data to identify singleton live births to women with (N = 3,803) and without intellectual and developmental disabilities (N = 378,313) (2002-2012). Outcomes were hospital admissions and emergency department visits in the 42 days following delivery discharge. We classified these as medical or psychiatric depending on the recorded primary discharge diagnosis.
resultsWomen with intellectual and developmental disabilities, compared to those without, had increased risk for postpartum hospital admissions overall (2.4% vs. 1.2%; adjusted hazard ratios [aHR]: 1.76, 95% confidence interval [CI]: 1.43-2.17) and for psychiatric reasons (0.8% vs. 0.1%; aHR: 10.46, 95% CI: 6.96-15.70), but not for medical reasons. They also had increased risk for postpartum emergency department visits overall (16.6% vs. 7.9%; aHR: 1.85, 95% CI: 1.71-2.01) and for both medical (15.8% vs. 7.8%; aHR: 1.80, 95% CI: 1.66-1.96) and psychiatric reasons (1.3% vs. 0.1%; aHR: 5.66, 95% CI: 4.17-7.69).
conclusionsHigh rates of postpartum hospital admissions and emergency department visits among women with intellectual and developmental disabilities demonstrate that this group may be vulnerable to acute complications or inadequate preventive care after childbirth. Providing enhanced health services during the postpartum period, in the form of longer or more frequent visits or specialized supports, could optimize their outcomes following delivery.
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