ArticleJournal of epidemiology and community health2019
Postpartum emergency department use among women with intellectual and developmental disabilities: a retrospective cohort study.
Article in Journal of epidemiology and community health, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 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
10 citing papers in PubMed, 3 syntheses or guidelines pooled it, 16 citations in OpenAlex.
- Mental health outcomes across the reproductive life course among women with disabilities: a systematic review.Archives of women's mental health · 2025Pooled it
- Care of the Postpartum Patient in the Emergency Department: A Systematic Review with Implications for Maternal Mortality.American journal of perinatology · 2023Pooled 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
- Longitudinal Trajectories of Maternal Stress for Mothers with Intellectual Disabilities and Borderline Intellectual Functioning: Evidence from the Future of Families and Child Wellbeing Study.Journal of autism and developmental disorders · 2026Article
- Enhancing Perinatal Care for Women With Intellectual Disabilities: Clinician Insights on Involving Family Caregivers.Journal of applied research in intellectual disabilities : JARID · 2026Article
- Nonfatal injury emergency department visits and inpatient hospitalizations among persons under age 65 with an intellectual and developmental disability or deaf or hard of hearing disability.Injury epidemiology · 2025Article
- Clinician-reported barriers to providing perinatal care to women with intellectual and developmental disabilities.Journal of intellectual & developmental disability · 2023Article
- Clinician perspectives on the need for training on caring for pregnant women with intellectual and developmental disabilities.Disability and health journal · 2022Article
- The Intersection of Disability and Pregnancy: Risks for Maternal Morbidity and Mortality.Journal of women's health (2002) · 2021Review
- Postpartum Health Care Among Women With Intellectual and Developmental Disabilities.American journal of preventive medicine · 2020Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors at 4 institutions in 1 country.
Funding
Abstract
backgroundAn emerging body of evidence underscores the often-intensive perinatal healthcare needs of women with intellectual and developmental disabilities (IDD). However, population-based research examining postpartum experiences of US women with IDD is sparse. We examined emergency department (ED) use in the postpartum period among Massachusetts mothers with IDD.
methodsWe analysed 2002-2010 Massachusetts Pregnancy to Early Life Longitudinal data to compare any and ≥2 ED visits between mothers with and without IDD: within 1-42 days post partum, 1-90 days post partum and 1-365 days post partum. We also determined whether or not such ED use was non-urgent or primary-care sensitive.
resultsWe identified 776 births in women with IDD and 595 688 births in women without IDD. Across all three postpartum periods, women with IDD were vastly more likely to have any postpartum ED use, to have ≥2 ED visits and to have ED visits for mental health reasons. These findings persisted after controlling for numerous sociodemographic and clinical characteristics. Women with IDD were less likely to have non-urgent ED visits during the three postpartum periods and they were less likely to have primary-care sensitive ED visits during the postpartum period.
conclusionThese findings contribute to the emerging research on perinatal health and healthcare use among women with IDD. Further research examining potential mechanisms behind the observed ED visit use is warranted. High ED use for mental health reasons among women with IDD suggests that their mental health needs are not being adequately met.
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Registered trials
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