ArticlePloS one2020
Pregnancy complications and maternal birth outcomes in women with intellectual and developmental disabilities in Wisconsin Medicaid.
Article in PloS one, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.
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Who cites it
17 citing papers in PubMed, 1 synthesis or guideline pooled it, 30 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
- Intellectual and developmental disability diagnoses in California delivery records and adverse maternal outcomes.Pregnancy (Hoboken, N.J.) · 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 mental disorders and neonatal outcomes: Danish population-based cohort study.The British journal of psychiatry : the journal of mental science · 2025Article
- Changes in postpartum insurance and care use by disability status during the COVID-19 pandemic.Disability and health journal · 2024Article
- Mothers with Intellectual/Developmental Disabilities and Behavioral Health Conditions and Community Experts Provide Recommendations for Treatment/Services, Systems, and Research.International journal of environmental research and public health · 2023Article
- Clinician-reported barriers to providing perinatal care to women with intellectual and developmental disabilities.Journal of intellectual & developmental disability · 2023Article
- 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
- Barriers to and facilitators of effective communication in perinatal care: a qualitative study of the experiences of birthing people with sensory, intellectual, and/or developmental disabilities.BMC pregnancy and childbirth · 2022Article
- Clinician perspectives on the need for training on caring for pregnant women with intellectual and developmental disabilities.Disability and health journal · 2022Article
- Birth outcomes among women with congenital neuromuscular disabilities.Disability and health journal · 2022Article
- Challenges in Providing Reproductive and Gynecologic Care to Women With Intellectual Disabilities: A Review of Existing Literature.Journal of family & reproductive health · 2022Review
- Birth outcomes affecting infants of mothers with intellectual and developmental disabilities.Paediatric and perinatal epidemiology · 2021Article
- Maternal Health Experiences of Black Deaf and Hard of Hearing Women in the United States.Women's health issues : official publication of the Jacobs Institute of Women's HealthArticle
- A Socio-Ecological Approach to Understanding the Perinatal Care Experiences of People with Intellectual and/or Developmental Disabilities in Ontario, Canada.Women's health issues : official publication of the Jacobs Institute of Women's HealthArticle
Corrections and comments
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Authors and funding
6 authors at 2 institutions in 1 country.
Funding
Abstract
backgroundWomen with intellectual and developmental disabilities (IDD) may face greater risk for poor pregnancy outcomes. Our objective was to examine risk of maternal pregnancy complications and birth outcomes in women with IDD compared to women without IDD in Wisconsin Medicaid, from 2007-2016.
methodsData were from the Big Data for Little Kids project, a data linkage that creates an administrative data based cohort of mothers and children in Wisconsin. Women with ≥1 IDD claim the year before delivery were classified as having IDD. Common pregnancy complications and maternal birth outcomes were identified from the birth record. We calculated risk ratios (RR) using log-linear regression clustered by mother. We examined outcomes grouped by IDD-type and explored interaction by race.
resultsOf 177,691 women with live births, 1,032 (0.58%) had an IDD claim. Of 274,865 deliveries, 1,757 were to mothers with IDD (0.64%). Women with IDD were at greater risk for gestational diabetes (RR: 1.28, 95% CI: 1.0, 1.6), gestational hypertension (RR: 1.22, 95% CI: 1.0, 1.5), and caesarean delivery (RR 1.32, 95% CI: 1.2, 1.4) compared to other women. Adjustment for demographic covariates did not change estimates. Women with intellectual disability were at highest risk of gestational hypertension. Black women with IDD were at higher risk of gestational hypertension than expected under a multiplicative model.
conclusionsWomen with IDD have increased risk of pregnancy complications and adverse outcomes in Wisconsin Medicaid. Results were robust to adjustment. Unique patterns by IDD types and Black race warrant further exploration.
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