ArticleAmerican journal of preventive medicine2019
Differences in Prenatal Care by Presence and Type of Maternal Disability.
Article in American journal of preventive medicine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 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
24 citing papers in PubMed, 3 syntheses or guidelines pooled it, 65 citations in OpenAlex.
- 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
- Maternal disability and risk for pregnancy, delivery, and postpartum complications: a systematic review and meta-analysis.American journal of obstetrics and gynecology · 2020Pooled it
- "It should have been my decision": A mixed methods investigation of contraceptive coercion among U.S. patients with and without disabilities.Social science & medicine (1982) · 2026Article
- 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
- Factors Associated with Adverse Birth Outcomes in Women with an Intellectual or Other Developmental Disability.Healthcare (Basel, Switzerland) · 2025Article
- Identifying Pregnant Women With Disabilities and Maternal and Newborn Outcomes.JAMA network open · 2025Article
- Article
- Comparison of Emergency Department Use Between Pregnant People With and Without Disabilities in Ontario, Canada.JAMA network open · 2023Article
- 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
- 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
- Continuity of primary care and prenatal care adequacy among women with disabilities in Ontario: A population-based cohort study.Disability and health journal · 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
- Challenges in Providing Reproductive and Gynecologic Care to Women With Intellectual Disabilities: A Review of Existing Literature.Journal of family & reproductive health · 2022Review
- Improved Obstetric Care for People with Disabilities: An Urgent Call for Accessibility and Inclusion.Journal of women's health (2002) · 2022Article
- Prenatal Care Adequacy Among Women With Disabilities: A Population-Based Study.American journal of preventive medicine · 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
- Birth intentions among US fathers with disabilities.Disability and health journal · 2021Article
Corrections and comments
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Authors and funding
4 authors at 1 institution in 3 countries.
Funding
Abstract
introductionPrior studies have found that women with disabilities are less likely to receive adequate prenatal care than women without disabilities. However, little is known about differences in patterns of prenatal care by type of disability. Therefore, this study examined timing and frequency of prenatal care among women with physical, sensory, or intellectual/developmental disabilities compared with women without disabilities.
methodsThis was a retrospective cohort study using linked maternal and infant hospital discharge and birth certificate data for all births in California in 2000-2012 (N=6,745,201). Analyses were conducted in 2017-2018. Modified Poisson regression analyses compared women with each type of disability with women without disabilities on trimester of prenatal care initiation and number of prenatal care visits.
resultsWomen with intellectual/developmental disabilities or with limited hearing had significantly higher RR of delaying prenatal care initiation until the second or third trimester (intellectual/developmental disabilities: adjusted RR=1.21, 95% CI=1.09, 1.33; hearing: adjusted RR=1.11, 95% CI=1.02, 1.21), whereas women with physical disabilities and limited vision had lower risk of delaying care (physical: adjusted RR=0.91, 95% CI=0.88, 0.94; vision: adjusted RR=0.85, 95% CI=0.73, 0.99). Women with limited hearing or vision or intellectual/developmental disabilities had higher risk of receiving fewer prenatal visits than recommended, compared with women without disabilities. Women with physical disabilities or intellectual/developmental disabilities had higher RR of receiving more than the typical number of visits.
conclusionsThere were key differences in prenatal care utilization by disability type, reflective of particularly pronounced disparities for women with intellectual/developmental disabilities and women with limited hearing. Delays in receipt of prenatal care and low numbers of prenatal care visits may contribute to the poorer birth outcomes that have been observed previously in these groups. Targeted interventions are needed to improve uptake of prenatal care in these vulnerable populations.
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Registered trials
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