Evidence map›Paper›PMID 28431989›Full record

ArticleDisability and health journal2017

Live birth, miscarriage, and abortion among U.S. women with and without disabilities.

Willi Horner-Johnson, Sheetal Kulkarni-Rajasekhara, Blair G Darney, Mekhala Dissanayake, Aaron B Caughey

Abstract read
In one paragraph

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 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
2.2field-weighted citation impact, top 12% 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

14 citing papers in PubMed, 30 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Associations between Disability and Infertility among U.S. Reproductive-Aged Women.International journal of environmental research and public health · 2021
    Article
  8. Review
  9. Article
  10. Article
  11. Pregnancy Prevalence and Outcomes in U.S. Jails.Obstetrics and gynecology · 2020
    Article
  12. Article
  13. Article
  14. Article
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

5 authors at 1 institution in 3 countries.

Willi Horner-JohnsonInstitute on Development and Disability, Oregon Health & Science University, Portland, OR, USA. Electronic address: hornerjo@ohsu.edu.
Sheetal Kulkarni-RajasekharaInstitute on Development and Disability, Oregon Health & Science University, Portland, OR, USA.
Blair G DarneyDepartment of Obstetrics and Gynecology, Oregon Health & Science University, Portland, OR, USA; National Institute of Public Health, Center for Health Systems Research, Cuernavaca, Mexico.
Mekhala DissanayakeDepartment of Obstetrics and Gynecology, Oregon Health & Science University, Portland, OR, USA.
Aaron B CaugheyDepartment of Obstetrics and Gynecology, Oregon Health & Science University, Portland, OR, USA.
Oregon Health & Science University · US

Funding

Oregon Patient Centered Outcomes Research K12 ProgramK12HS022981 · AHRQ · OREGON HEALTH & SCIENCE UNIVERSITY · PI GUISE, JEANNE-MARIE · 2014 to 2018
$4.1M
Prevalence and outcomes of pregnancy in women with disabilitiesR21HD081309 · NICHD · OREGON HEALTH & SCIENCE UNIVERSITY · PI HORNER-JOHNSON, WILLI · 2014 to 2015
$419k
AHRQ HHS K12 HS022981NICHD NIH HHS R21 HD081309
6 · The paper itself

Abstract

backgroundPrior studies have found that women with disabilities who give birth are more likely to have preterm deliveries and low birthweight infants. However, it is not known what proportion of pregnant women with disabilities experience live birth, versus miscarriage or abortion.

objectiveTo compare proportions of live birth, miscarriage, and abortion among women with basic action difficulties, women with complex activity limitations, and women without disabilities in a nationally representative sample.

methodsWe analyzed pooled Medical Expenditure Panel Survey (MEPS) data from Panels 1-11 (covering years 1996-2007), which included a Pregnancy Detail module assessing outcomes for women who were pregnant during panel participation. We used chi-square tests and multivariable logistic regression to compare disability groups on pregnancy outcomes.

resultsAmong women with a recorded pregnancy outcome, women with disabilities were less likely to have live births (80.8% of women with basic action difficulties and 75.3% of women with complex activity limitations versus 85.0% of women without disabilities), but differences related to disability were not significant when adjusting for covariates. Women with complex activity limitations were significantly more likely to report miscarriages, even when controlling for covariates. Disability was not significantly associated with abortion in the adjusted analysis.

conclusionsOur findings add to the growing literature on pregnancy outcomes among women with disabilities, providing important information about outcomes that are not reflected in delivery records. We found few differences between women with and without disabilities, and good likelihood of live birth among women with disabilities experiencing pregnancy.

Indexed as

Abortion, InducedAbortion, SpontaneousAdolescentAdultAge DistributionFemaleHumansInfant, NewbornLive BirthPersons with DisabilitiesPopulation SurveillancePregnancyUnited StatesYoung AdultInduced abortionLive birthMiscarriagePeople with disabilitiesWomen

Identifiers

PMID28431989
PMCPMC5544009
OpenAlexW2604793396

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.