Perinatal mental health and risk of severe maternal morbidity in women with physical disabilities, Massachusetts 2003-2015.

Anne Valentine, Ilhom Akobirshoev, Jiangying Zhang, Tiffany A Moore Simas, Monika Mitra

Abstract read

In one paragraph

Article in Disability and health journal, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

5 authors.

Anne ValentineLurie Institute for Disability Policy, Heller School for Social Policy and Management, 035 415 South Street, Brandeis University, Waltham, MA, 02454-9110, USA. Electronic address: anvalent@brandeis.edu.

Ilhom AkobirshoevLurie Institute for Disability Policy, Heller School for Social Policy and Management, 035 415 South Street, Brandeis University, Waltham, MA, 02454-9110, USA. Electronic address: ilhom@brandeis.edu.

Jiangying ZhangLurie Institute for Disability Policy, Heller School for Social Policy and Management, 035 415 South Street, Brandeis University, Waltham, MA, 02454-9110, USA. Electronic address: jianyingzhang@brandeis.edu.

Tiffany A Moore SimasDepartment of Obstetrics & Gynecology, Obstetrics & Gynecology, Pediatrics, Psychiatry, and Population & Quantitative Health Sciences, University of Massachusetts Chan Medical School/UMass Memorial Health, 55 N Lake Ave, Worcester, MA, 01655, USA. Electronic address: TiffanyA.MooreSimas@umassmemorial.org.

Monika MitraLurie Institute for Disability Policy, Heller School for Social Policy and Management, 035 415 South Street, Brandeis University, Waltham, MA, 02454-9110, USA. Electronic address: mmitra@brandeis.edu.

Funding

ACL HHS 90DPHF0011ACL HHS 90DPHF0013

6 · The paper itself

Abstract

backgroundPerinatal mental health and substance use disorders contribute to adverse maternal outcomes. Women with disabilities experience increased risk for severe maternal morbidity (SMM). No studies have examined the association between perinatal mental health and SMM risk in women with physical disabilities.

objectiveTo examine the association between perinatal mental health and substance use disorders and SMM risk in women with physical disabilities.

methodsWe analyzed delivery hospitalizations from 2003 to 2015 from the Massachusetts Pregnancy to Early Life Longitudinal (PELL) data system. We identified physical disability using International Classification of Diseases, Ninth Revision codes. Perinatal mental health status was based on the presence of at least one emergency department visit, observational, or in-patient stay attributed to a mental health or substance use disorder anytime from gestation to delivery. We used modified Poisson regressions to obtain risk ratios (RR) for SMM in women with either a physical disability or no disability by perinatal mental health status. Non-disabled women with no perinatal mental health or substance use disorder visit served as the referent group.

resultsDeliveries in women with no physical disability and a perinatal mental health visit were not associated with risk of SMM. Compared to the referent group, women with a physical disability and a perinatal mental health or substance use disorder visit had greater risk of both SMM (RR = 1.84, 95 % CI:1.32-2.56), and nontransfusion SMM (RR = 2.35 1.52, 3.64), after adjusting for demographic and socioeconomic characteristics.

conclusionsIncreased attention should be paid to perinatal mental health status in women with physical disabilities.

Indexed as

Mental DisordersMental HealthPersons with DisabilitiesPregnancy ComplicationsSubstance-Related DisordersAdolescentAdultFemaleHospitalizationHumansLongitudinal StudiesMassachusettsMorbidityPregnancyYoung AdultPerinatal mental healthPhysical disabilitySMMSubstance use disorder

Identifiers

PMID39794218

DOI10.1016/j.dhjo.2024.101772

PMCPMC13159049

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