Open AccessAntenatal Hospitalization Among U.S. Women With Intellectual and Developmental Disabilities: A Retrospective Cohort Study
Author(s) -
Monika Mitra,
Susan L. Parish,
Karen M. Clements,
Jianying Zhang,
Tiffany A. Moore Simas
Publication year - 2018
Publication title -
american journal on intellectual and developmental disabilities
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.735
H-Index - 85
eISSN - 1944-7588
pISSN - 1944-7558
DOI - 10.1352/1944-7558-123.5.399
Subject(s) - medicine , pregnancy , retrospective cohort study , observational study , cohort study , cohort , population , pediatrics , family medicine , obstetrics , environmental health , genetics , pathology , biology
This population-based retrospective cohort study examines the prevalence of hospital utilization during pregnancy and the primary reason for antenatal hospital utilization among women with intellectual and developmental disabilities (IDD). Massachusetts residents with in-state deliveries that were ≥ 20 weeks gestational age were included via data from the 2002-2009 Massachusetts Pregnancy to Early Life Longitudinal Data System. Among women with IDD, 54.8% had at least one emergency department (ED) visit during pregnancy, compared to 23% of women without IDD. Women with IDD were more likely to have an antenatal ED visit, observational stays, and non-delivery hospital stays. This study highlights the need for further understanding of the health care needs of women with IDD during pregnancy.