Maternal Characteristics, Pregnancy Complications, and Adverse Birth Outcomes Among Women With Disabilities

Dados Bibliográficos

ID9104478
AutoresM Mitra (0000-0002-4089-3240, University of Massachusetts Chan Medical School, autor correspondente), Karen M Clements (0000-0001-9538-8586, University of Massachusetts Chan Medical School, autor correspondente), Jianying Zhang (0000-0002-6086-309X, University of Massachusetts Chan Medical School, autor correspondente), Lisa I Iezzoni (0000-0002-1416-5039, Massachusetts General Hospital), Suzanne C Smeltzer (0000-0002-1970-2243, Villanova University), Linda M Long‐bellil (University of Massachusetts Chan Medical School, autor correspondente), Linda M Long-Bellil
Ano2015
Volume53
Fascículo12
Páginas1027-1032
Data de publicação2015-12-01
Peer ReviewedSim
Open AccessNão
TipoARTICLE
PeriódicoMedical Care (JOURNAL)
Identificadores do periódicoISSN: 0025-7079 • E-ISSN: 1537-1948
EditoraOvid Technologies (Wolters Kluwer Health) (PUBLISHER)
DOI10.1097/mlr.0000000000000427
PMID26492209
OpenAlexW2463613932
IdiomaEN
Citações recebidas25
Referências citadas25

OBJECTIVES: The objective of this study is to describe the maternal characteristics, pregnancy complications, and birth outcomes among a representative sample of Rhode Island women with disabilities who recently gave birth. METHODS: Data from the 2002-2011 Rhode Island Pregnancy Risk Assessment Monitoring System survey were analyzed. RESULTS: Approximately 7% of women in Rhode Island reported a disability. Women with disabilities reported significant disparities in their health care utilization, health behaviors, and health status before and during pregnancy and during the postpartum period. Compared with nondisabled women, they were significantly more likely to report stressful life events and medical complications during their most recent pregnancy, were less likely to receive prenatal care in the first trimester, and more likely to have preterm births (13.4%; 95% CI, 11.6-15.6 compared with 8.9%; 95% CI, 8.5-9.3 for women without disabilities) and low-birth-weight babies (10.3%; 95% CI, 9.4-11.2 compared with 6.8%; 95% CI, 6.8-6.9). There was no difference in the rates of cesarean section between women with and without disabilities. CONCLUSIONS: These findings support the need for clinicians providing care to pregnant women with disabilities to be aware of the increased risk for medical problems during pregnancy and factors that increase the risk for poor infant outcomes

Environmental health · Low birth weight · Obstetrics · Population · Pregnancy · Prenatal care · Disability Rights and Representation · Medicine · Pregnancy-related medical research · Spinal Cord Injury Research