Comparison of the use of prenatal care services and the risk of preterm birth between pregnant women with disabilities and those without disabilities: A nationwide cohort study

Abstract

ObjectiveThe difficulties faced by pregnant women with disabilities in accessing health care may make them less likely to receive prenatal care. The aims of this study were to compare the number of prenatal services and the risk of preterm birth between pregnant women with and without disabilities.MethodsA total of 2999 pregnant women aged ≥20 years with birth records in 2011–2014 in Taiwan were enrolled. Data were obtained from the Registration File for Physical and Mental Disabilities and the National Health Insurance Research Database. A 1:4 matching between pregnant women with disabilities and those without disabilities was performed. The logistic regression analysis with generalized estimating equations was used to analyze.ResultsThe median of prenatal care services used by pregnant women with disabilities was 9.00 (interquartile range, IQR: 2.00). Pregnant women with disabilities used fewer services than those without disabilities (median, 10.00; IQR: 1.00). The disabled group (8.44%) had a significantly higher proportion of preterm births than did the non-disabled group (5.40%). The disabled group was at a 1.30 times higher risk of preterm births than was the non-disabled group.ConclusionsPregnant women with disabilities used significantly fewer prenatal care services and had a significantly higher risk of preterm birth than pregnant women without disabilities.

Maternal healthcare use by women with disabilities in Rajasthan, India: a secondary analysis of the Annual Health Survey

“…Women who receive ANC have better birth outcomes, complications can be identified earlier, and they are more likely to deliver at a facility with a skilled provider [ 20 ]. For example, a study in Taiwan found WWD used fewer ANC services and had higher risk of preterm birth [ 21 ]. Because of this, all women should have access to ANC, regardless of their disability status [ 13 ].…”

Barriers and facilitators to perinatal care of women with disabilities in lower- and middle-income countries: a study protocol for scoping review of qualitative studies

“…The evidence suggests that utilisation of perinatal care services in women with disabilities is significantly lower than women without disabilities. 25 Moreover, most of WWD deliver babies at home and receive care from traditional providers. 26 Furthermore, these women remain dependent on spouses, family members and relatives to access healthcare facilities and also face economic challenges to seek high-quality care.…”