ArticlePaediatric and perinatal epidemiology2022
Severe maternal morbidity and other perinatal complications among women with physical, sensory, or intellectual and developmental disabilities.
Article in Paediatric and perinatal epidemiology, 2022. 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, 27 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
- Review
- Equitable therapeutic design: how inclusively designed spaces help NICU families heal, connect, and thrive.Journal of perinatology : official journal of the California Perinatal Association · 2026Review
- Race, ethnicity, and nativity differences in pregnancy and birth outcomes among Medicaid-enrolled women with disabilities.Disability and health journal · 2026Article
- Physical Assault During the Perinatal Period by Disability Status and Racial/Ethnic Background.Journal of interpersonal violence · 2026Article
- Intersectional Disparities in Severe Maternal Morbidity Across the Perinatal Continuum: A Population-Based Analysis.Journal of obstetrics and gynaecology Canada : JOGC = Journal d'obstetrique et gynecologie du Canada : JOGC · 2026Article
- Severe Maternal Morbidity at the Intersection of Race and Disability: Evidence of Compounded Disparities in the U.S. Maternal Healthcare System.American journal of preventive medicine · 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
- 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
- Intersectional inequities in maternal mortality: Examining the compounded risks for black birthing individuals with physical disabilities.Disability and health journal · 2025Article
- Pregnancy Experiences of Women With Intellectual and Developmental Disabilities.Intellectual and developmental disabilities · 2025Article
- Identifying Pregnant Women With Disabilities and Maternal and Newborn Outcomes.JAMA network open · 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
- Article
- Pregnancy in women with disabilities: Past, present and future.Paediatric and perinatal epidemiology · 2022Article
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5 authors at 1 institution in 1 country.
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Abstract
backgroundLittle is known about severe maternal morbidity (SMM) among women with disabilities.
objectiveWe assessed differences in SMM and other perinatal complications by presence and type of disability. We hypothesised that SMM and other complications would be more common in births to women with disabilities than to women without disabilities.
methodsWe conducted a retrospective cohort study of California births from 2000 to 2012, using birth and death certificate data linked with hospital discharge data. We included singleton deliveries with gestational age of 23-42 weeks. We classified women as having any disability or not and identified disability type (physical, hearing, vision, intellectual/developmental disabilities [IDD]). Our primary outcome was a composite indicator of SMM. Secondary outcomes included additional perinatal complications: gestational hypertension, preeclampsia, gestational diabetes, venous thromboembolism, chorioamnionitis, puerperal endometritis and mental health disorders complicating pregnancy, childbirth or the puerperium. We used modified Poisson regression to obtain covariate-adjusted relative risks (RR) and 95% confidence intervals (CI) for the association of disability status and type with SMM and secondary outcomes.
resultsOf 5,787,090 deliveries, 33,044 (0.6%) were to women with disabilities. Of these, 311 per 10,000 were complicated by SMM, compared with 84 per 10,000 deliveries to women without disabilities. In multivariable analyses, risk of SMM for births to women with disabilities was nearly three times that for women without disabilities (RR 2.84, 95% CI 2.67, 3.02). Proportion and risk of SMM were greatest for vision disability (793 per 10,000; RR 4.04, 95% CI 3.41, 4.78). Secondary outcomes were also more common among women with disabilities. In particular, more than a third of births to women with IDD (37.4%) were complicated by mental health disorders (versus 2.2% for women without disabilities).
conclusionAs hypothesised, SMM and other perinatal complications were more common among women with disabilities than among women without disabilities.
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