SynthesisAmerican journal of obstetrics and gynecology2020
Maternal disability and risk for pregnancy, delivery, and postpartum complications: a systematic review and meta-analysis.
Synthesis in American journal of obstetrics and gynecology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 70 papers, 1 of them a synthesis that pooled 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.
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.
Who cites it
70 citing papers in PubMed, 1 synthesis or guideline pooled it, 152 citations in OpenAlex.
- Pooled it
- Pregnancy occurrence, intendedness, and outcomes among U.S. females with and without disability, 2011-2019.Disability and health journal · 2026Article
- Intellectual and developmental disability diagnoses in California delivery records and adverse maternal outcomes.Pregnancy (Hoboken, N.J.) · 2026Article
- Review
- Maternal morbidity and cumulative infant mortality among women with disabilities: a nationwide population-based study in Korea, 2013-2022.Obstetrics & gynecology science · 2026Article
- Perinatal Quality Collaboratives and Patient Safety Bundles: Key Contributors to Improving Maternal Health Care Quality across the United States.Obstetrics and gynecology clinics of North America · 2026Review
- Incidence and Outcomes of Surgically Managed Ectopic Pregnancy in Women With Disabilities: A Population-Based Cross-Sectional Study.Paediatric and perinatal epidemiology · 2026Article
- Evaluating the factor structure of the pregnancy-related anxiety scale: implications for maternal and infant wellbeing.Journal of reproductive and infant psychology · 2026Article
- Between borders and barriers: disability prevalence, pregnancy outcomes and maternal care access on the Thai-Myanmar border, a mixed methods study.Frontiers in global women's health · 2026Article
- Health inequalities among people with disabilities: an umbrella review and evidence synthesis.EClinicalMedicine · 2026Review
- Psychometric Validation of a Patient-Reported Measure of Pregnancy and Motherhood Experiences in Turkish Women with Physical Disabilities.International journal of women's health · 2026Article
- Women with disabilities' experiences with respectful maternity care in Nepal: a phenomenological study.BMC pregnancy and childbirth · 2025Article
- Maternal outcomes among women with intellectual disabilities in comparison with the general population (IDcare).AJOG global reports · 2025Article
- Enabling Access to Enhanced Care Models for Vulnerable Women.The practising midwife · 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
- A qualitative meta-synthesis of the perinatal healthcare experiences of people with disability.Disability and health journal · 2025Review
- Perinatal mental health and risk of severe maternal morbidity in women with physical disabilities, Massachusetts 2003-2015.Disability and health journal · 2025Article
- Severe Maternal Morbidity and Other Perinatal Complications Among Black, Hispanic, and White Birthing Persons With and Without Physical Disabilities.Journal of women's health (2002) · 2025Article
- A lack of evidence for disability-inclusive maternal health interventions and promising progress: an updated systematic review.Frontiers in global women's health · 2025Review
- Experiences with and Perceptions of the Child Welfare System During the Perinatal Period of Mothers with Intellectual and Developmental Disabilities.Journal of public child welfare · 2025Article
10 more citing papers are in PubMed but not listed here.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors at 3 institutions in 1 country.
Funding
Abstract
backgroundWomen with disabilities are increasingly becoming pregnant, and growing evidence suggests maternal disability may be associated with increased risk for perinatal complications.
objectiveA systematic review and meta-analysis were undertaken to examine the association between maternal disabilities and risk for perinatal complications. STUDY
designMedline, CINAHL, EMBASE, and PsycINFO were searched from inception to July 2018 for full-text publications in English on pregnancy, delivery, and postpartum complications in women with any disability and those with physical, sensory, and intellectual and developmental disabilities specifically. Searches were limited to quantitative studies with a comparison group of women without disabilities. Reviewers used standardized instruments to extract data from and assess the quality of included studies. Pooled odds ratios and 95% confidence intervals were generated using DerSimonian and Laird random effects models for outcomes with data available from ≥3 studies.
resultsThe review included 23 studies, representing 8,514,356 women in 19 cohorts. Women with sensory (pooled unadjusted odds ratio, 2.85, 95% confidence interval, 0.79-10.31) and intellectual and developmental disabilities (pooled unadjusted odds ratio, 1.10, 95% confidence interval, 0.76-1.58) had elevated but not statistically significant risk for gestational diabetes. Women with any disability (pooled unadjusted odds ratio, 1.45, 95% confidence interval, 1.16-1.82) and intellectual and developmental disabilities (pooled unadjusted odds ratio, 1.77, 95% confidence interval, 1.21-2.60) had increased risk for hypertensive disorders of pregnancy; risk was elevated but not statistically significant for women with sensory disabilities (pooled unadjusted odds ratio, 2.84, 95% confidence interval, 0.85-9.43). Women with any (pooled unadjusted odds ratio, 1.31, 95% confidence interval, 1.02-1.68), physical (pooled unadjusted odds ratio, 1.60, 95% confidence interval, 1.21-2.13), and intellectual and developmental disabilities (pooled unadjusted odds ratio, 1.29, 95% confidence interval, 1.02-1.63) had increased risk for cesarean delivery; risk among women with sensory disabilities was elevated but not statistically significant (pooled unadjusted odds ratio, 1.28, 95% confidence interval, 0.84-1.93). There was heterogeneity in all analyses, and 13 studies had weak-quality ratings, with lack of control for confounding being the most common limitation.
conclusionEvidence that maternal disability is associated with increased risk for perinatal complications demonstrates that more high-quality research is needed to examine the reasons for this risk and to determine what interventions could be implemented to support women with disabilities during the perinatal period.
Indexed as
Identifiers
What OpenQuestion holds
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.