Evidence map›Paper›PMID 29650748›Full record

ArticleCanadian family physician Medecin de famille canadien2018

Exploring the prenatal experience of women with intellectual and developmental disabilities: In a southeastern Ontario family health team.

Elaine Xie, Meg Gemmill

Abstract read
In one paragraph

Article in Canadian family physician Medecin de famille canadien, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 pooled it
1.5field-weighted citation impact, top 15% 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

11 citing papers in PubMed, 1 synthesis or guideline pooled it, 13 citations in OpenAlex.

  1. Pooled it
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  5. Preconception health disparities among reproductive-aged women with and without disabilities in Canada.Canadian journal of public health = Revue canadienne de sante publique · 2024
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  6. Review
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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

2 authors at 2 institutions in 1 country.

Elaine XieFamily medicine resident at the University of Toronto in Ontario. elainesiyaoxie@gmail.com.
Meg GemmillFamily physician and Assistant Professor in the Department of Family Medicine and the Centre for Studies in Primary Care at Queen's University in Kingston, Ont.
Queen's University · CAUniversity of Toronto · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo identify psychosocial challenges facing pregnant women with intellectual and developmental disabilities (IDD) using retrospective, routinely collected electronic medical record data.

designA retrospective qualitative study using narratives and supporting documents found in the electronic medical record of an academic family health team (FHT).

settingAcademic FHT in southeastern Ontario.

participantsA sample of 10 women with a diagnosis of IDD, rostered to physicians at the academic FHT, who delivered a child between January 2010 and June 2015 (14 pregnancies). Exclusion criteria included women who received prenatal care from a midwife and women for whom no delivery or antenatal records were available.

methodsThematic analysis of data collected from a retrospective chart review. MAIN

findingsMany women with IDD had yes marked on their antenatal records for poor social supports, family violence, and parenting concerns. Women with IDD had pregnancies that were characterized by complex social environments, financial instability, discord between their perceptions and their physicians' perceptions, and stressful encounters with Child and Family Services.

conclusionFindings in this study support previous research that pregnant women with IDD are a vulnerable population, at higher risk of adverse health outcomes. There is a need for specific care guidelines for health care providers, as well as additional resources and social supports.

Indexed as

AdultDevelopmental DisabilitiesDomestic ViolenceFemaleHumansIntellectual DisabilityOntarioPregnancyPregnancy ComplicationsPrenatal CarePrimary Health CareQualitative ResearchRetrospective StudiesSocial SupportVulnerable Populations

Identifiers

PMID29650748
PMCPMC5906775
OpenAlexW2797194472

What OpenQuestion holds

Textmetadata
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.