ArticleDisability and health journal2019
Pregnancy course, infant outcomes, rehospitalization, and mortality among women with intellectual disability.
Article in Disability and health journal, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers, 3 of them syntheses that pooled it.
What it found
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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.
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Who cites it
29 citing papers in PubMed, 3 syntheses or guidelines pooled it, 44 citations in OpenAlex.
- Considerations for Contraception Following Spinal Cord Injury: A Systematic Review.Topics in spinal cord injury rehabilitation · 2024Pooled it
- 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
- Intellectual and developmental disability diagnoses in California delivery records and adverse maternal outcomes.Pregnancy (Hoboken, N.J.) · 2026Article
- Exploring the inter-professional experiences of student nurses and midwives to facilitate better outcomes for mothers with a learning disability in maternity services: a qualitative case study.Journal of research in nursing : JRN · 2026Article
- Enhancing Perinatal Care for Women With Intellectual Disabilities: Clinician Insights on Involving Family Caregivers.Journal of applied research in intellectual disabilities : JARID · 2026Article
- Maternal outcomes among women with intellectual disabilities in comparison with the general population (IDcare).AJOG global reports · 2025Article
- Obstetric Care and Pregnancy Health in Autistic Individuals and Those with Other Developmental Disabilities in an Integrated Healthcare Setting in California.Autism in adulthood · 2025Article
- Maternal Disability and Emergency Department Use for Infants.JAMA network open · 2025Article
- Pregnancy Experiences of Women With Intellectual and Developmental Disabilities.Intellectual and developmental disabilities · 2025Article
- Birth Outcomes and Rehospitalizations Among Pregnant Women With Rheumatoid Arthritis and Systemic Lupus Erythematosus and Their Offspring.Arthritis care & research · 2023Article
- Reproductive Concerns Among Women with Disability: A Host of Opportunities for Reproductive Health Care Professionals.Journal of obstetrics and gynaecology of India · 2023Review
- Clinician-reported barriers to providing perinatal care to women with intellectual and developmental disabilities.Journal of intellectual & developmental disability · 2023Article
- Comparison of the use of prenatal care services and the risk of preterm birth between pregnant women with disabilities and those without disabilities: A nationwide cohort study.Frontiers in public health · 2023Article
- Pregnancy recommendations from women with intellectual and developmental disabilities to their peers.Disability and health journal · 2022Article
- Severe maternal morbidity and other perinatal complications among women with physical, sensory, or intellectual and developmental disabilities.Paediatric and perinatal epidemiology · 2022Article
- Reproductive and pregnancy health care for women with intellectual and developmental disabilities: A scoping review.Journal of applied research in intellectual disabilities : JARID · 2022Article
- A population-based analysis of postpartum acute care use among women with disabilities.American journal of obstetrics & gynecology MFM · 2022Article
- Challenges in Providing Reproductive and Gynecologic Care to Women With Intellectual Disabilities: A Review of Existing Literature.Journal of family & reproductive health · 2022Review
- Prenatal Care Adequacy Among Women With Disabilities: A Population-Based Study.American journal of preventive medicine · 2022Article
Corrections and comments
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Authors and funding
5 authors at 2 institutions in 1 country.
Funding
Abstract
backgroundPregnant women with intellectual disability (ID) may have greater levels of comorbidity and decreased care access, social support, or ability to monitor their status and communicate needs, but few studies have examined their pregnancy course and outcome, and little is known about their longer-term maternal and infant health.
objectiveWe compared pre-pregnancy characteristics, pregnancy outcomes, and rehospitalization <2 years after delivery among women with and without ID.
methodWe identified all women with ID and randomly selected a 10:1 comparison group of women without ID with singleton live birth deliveries in Washington State population-based linked birth-hospital discharge data 1987-2012. Multivariable regressions estimated adjusted odds ratios comparing pre-pregnancy characteristics. In cohort analyses, we estimated relative risks (RR) and 95% confidence intervals (CI) for outcomes.
resultsWomen with ID (N = 103) more often had gestational diabetes (RR 3.39, 95% CI 1.81-6.37), preeclampsia (RR 1.88, 95% CI 1.03-3.42), and inadequate prenatal care (RR 2.48, 95% CI 1.67-3.70). Their infants more often were small for gestational age (RR 1.78, 95% CI 1.10-2.89). Need for rehospitalization postpartum was not increased among women with ID or their infants.
conclusionReasons for increased preeclampsia and gestational diabetes among pregnant women with ID are unclear. Barriers to inadequate prenatal care are multifactorial and warrant further study, with consideration that wellness during pregnancy and other times involves social, familial and clinical support systems responsive to each woman's needs.
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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.