ArticleDisability and health journal2017
Time trends in births and cesarean deliveries among women with disabilities.
Article in Disability and health journal, 2017. 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.
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.
Who cites it
27 citing papers in PubMed, 3 syntheses or guidelines pooled 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
- 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 health-seeking behaviour of peri-urban women living with disability in Busiro South Health sub District, Wakiso district, Uganda: a community-based study.African health sciences · 2022Article
- Perinatal mental illness among women with disabilities: a population-based cohort study.Social psychiatry and psychiatric epidemiology · 2022Article
- Severe maternal morbidity and other perinatal complications among women with physical, sensory, or intellectual and developmental disabilities.Paediatric and perinatal epidemiology · 2022Article
- Neonatal Outcomes of Mothers With a Disability.Pediatrics · 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
- Improved Obstetric Care for People with Disabilities: An Urgent Call for Accessibility and Inclusion.Journal of women's health (2002) · 2022Article
- The Use of Self-Reported Functional Limitation to Examine Pregnancy and Reproductive Health Experiences in a National Sample of Women.Women's health reports (New Rochelle, N.Y.) · 2022Article
- Prevalence of Births and Interactions with Child Protective Services of Children Born to Mothers Diagnosed with an Intellectual and/or Developmental Disability.Maternal and child health journal · 2021Article
- Association of Preexisting Disability With Severe Maternal Morbidity or Mortality in Ontario, Canada.JAMA network open · 2021Article
- Reproductive Health in Women with Physical Disability: A Conceptual Framework for the Development of New Patient-Reported Outcome Measures.Journal of women's health (2002) · 2020Article
- Medical indications for primary cesarean delivery in women with and without disabilities.The journal of maternal-fetal & neonatal medicine : the official journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians · 2020Article
- Prolonged postpartum length of hospital stay among women with disabilities.Disability and health journal · 2020Article
- Assessment of the Accuracy of Identification of Selected Disabilities and Conditions in Hospital Discharge Data for Pregnant Women.Epidemiology (Cambridge, Mass.) · 2020Article
- Disability and Pregnancy: A Cross-Federal Agency Collaboration to Collect Population-Based Data About Experiences Around the Time of Pregnancy.Journal of women's health (2002) · 2020Article
Corrections and comments
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Authors and funding
4 authors.
Funding
Abstract
backgroundAlthough it is likely that childbearing among women with disabilities is increasing, no empirical data have been published on changes over time in the numbers of women with disabilities giving birth. Further, while it is known that women with disabilities are at increased risk of cesarean delivery, temporal trends in cesarean deliveries among women with disabilities have not been examined.
objectiveTo assess time trends in births by any mode and in primary cesarean deliveries among women with physical, sensory, or intellectual/developmental disabilities.
methodsWe conducted a retrospective cohort study using linked vital records and hospital discharge data from all deliveries in California, 2000-2010 (n = 4,605,061). We identified women with potential disabilities using ICD-9 codes. We used descriptive statistics and visualizations to examine time patterns. Logistic regression analyses assessed the association between disability and primary cesarean delivery, stratified by year.
resultsAmong all women giving birth, the proportion with a disability increased from 0.27% in 2000 to 0.80% in 2010. Women with disabilities had significantly elevated odds of primary cesarean delivery in each year, but the magnitude of the odds ratio decreased over time from 2.60 (95% CI = 2.25 = 2.99) in 2000 to 1.66 (95% CI = 1.51-1.81) in 2010.
conclusionAdequate clinician training is needed to address the perinatal care needs of the increasing numbers of women with disabilities giving birth. Continued efforts to understand cesarean delivery patterns and reasons for cesarean deliveries may help guide further reductions in proportions of cesarean deliveries among women with disabilities relative to women without disabilities.
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Registered trials
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