2021
DOI: 10.1001/jamanetworkopen.2020.34993
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Association of Preexisting Disability With Severe Maternal Morbidity or Mortality in Ontario, Canada

Abstract: IMPORTANCE Severe maternal morbidity and mortality are important indicators of maternal health. Pregnancy rates are increasing in women with disabilities, but their risk of severe maternal morbidity and mortality is unknown, despite their significant social and health disparities. OBJECTIVE To determine the risk of severe maternal morbidity or mortality among women with a physical, sensory, or intellectual/developmental disability compared with women without disabilities. DESIGN, SETTING, AND PARTICIPANTS This… Show more

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Cited by 44 publications
(42 citation statements)
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“…These algorithms include diagnoses associated with need for accommodations when accessing health care, 32 functional limitations 37,38 and adverse health outcomes. 39 Other similar algorithms have shown a specificity of 100% and positive predictive value of 80% compared with data from disability service providers. 40 We considered dementia and psychiatric disorders as comorbidities rather than including them as part of the "disability" definition because both are strong risk factors for death from COVID-19 41,42 and are common in some groups with disability.…”
Section: Study Populationmentioning
confidence: 99%
“…These algorithms include diagnoses associated with need for accommodations when accessing health care, 32 functional limitations 37,38 and adverse health outcomes. 39 Other similar algorithms have shown a specificity of 100% and positive predictive value of 80% compared with data from disability service providers. 40 We considered dementia and psychiatric disorders as comorbidities rather than including them as part of the "disability" definition because both are strong risk factors for death from COVID-19 41,42 and are common in some groups with disability.…”
Section: Study Populationmentioning
confidence: 99%
“…A recent large population-based study found that women with disabilities are more likely to have severe maternal morbidity or mortality compared with women without disabilities (Brown et al, 2021), further supporting the importance of comprehensive social support and healthcare before, during and post-partum for individuals with disabilities (Table 4).…”
Section: Potential Negative Health Outcomesmentioning
confidence: 86%
“…Hysterectomy for contraception or peripartum complications are more common in women with disabilities. 13 , 36 Although these events are rare, they raise concern that women with disability may receive surgical intervention at lower threshold, possibly due to implicit provider bias.…”
Section: Discussionmentioning
confidence: 99%
“…Disability is umbrella term for functional impairments and activity limitations related to an individual's health condition and their environment, 10 and is emerging as an important determinant of women's health. Women with disability less often use long-acting reversible contraceptive methods, 11 more frequently experience unintended pregnancy, 12 have heightened risk of maternal morbidity, 13 and less often have up-to-date breast and cervical cancer screening. 14 These differences are not fully explained by comorbidities or socioeconomic factors.…”
Section: Introductionmentioning
confidence: 99%