Association of Preexisting Disability With Severe Maternal Morbidity or Mortality in Ontario, Canada | Zendy

Hilary K. Brown | Zendy; Joel G. Ray | Zendy; Simon Chen | Zendy; Astrid Guttmann | Zendy; Susan M. Havercamp | Zendy; Susan L. Parish | Zendy; Simone N. Vigod | Zendy; Lesley A. Tarasoff | Zendy; Yona Lunsky | Zendy

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Association of Preexisting Disability With Severe Maternal Morbidity or Mortality in Ontario, Canada

Author(s) -

Hilary K. Brown,

Joel G. Ray,

Simon Chen,

Astrid Guttmann,

Susan M. Havercamp,

Susan L. Parish,

Simone N. Vigod,

Lesley A. Tarasoff,

Yona Lunsky

Publication year - 2021

Publication title -

jama network open

Language(s) - English

Resource type - Journals

SCImago Journal Rank - 3.278

H-Index - 39

ISSN - 2574-3805

DOI - 10.1001/jamanetworkopen.2020.34993

Subject(s) - medicine , cohort , rurality , intellectual disability , cohort study , population , pregnancy , demography , pediatrics , psychiatry , environmental health , rural area , pathology , sociology , biology , genetics

Key Points Question What is the risk of severe maternal morbidity or mortality in women with a preexisting disability compared with women without disabilities? Findings This population-based cohort study evaluated more than 1.8 million births in Ontario, Canada. Compared with women without a disability, the adjusted relative risk of severe maternal morbidity or death was 29% higher among women with a physical disability, 14% higher among women with a sensory disability, 57% higher among women with an intellectual/developmental disability, and 74% higher among women with 2 or more disabilities. Meaning These findings suggest that preconception and perinatal care provisions should be considered among women with a disability to reduce the risk of adverse outcomes.

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