The influence of visual impairment on pregnancy outcomes

Abstract

Visually impaired pregnant women are at high risk for CS and packed cell transfusion. Nevertheless, perinatal outcome is comparable to the general population.

Maternal disability and risk for pregnancy, delivery, and postpartum complications: a systematic review and meta-analysis

“…Table 3 describes the studies' characteristics. Studies were conducted in Australia (n ¼ 1), 55 Canada (n ¼ 3), 44e46 Israel (n ¼ 1), 62 Sweden (n ¼ 1), 52 the United Kingdom (n ¼ 4), 51,54,64,66 and the United States (n ¼ 13). 47e50, 53,56e61,63,65 Sixteen studies were retrospective cohort studies, 44e53,56,58-60,62,65 while 2 were prospective cohort studies 55,66 and 5 were cross-sectional studies.…”

“…Studies examined the impact of maternal disability overall (n ¼ 10) 47e50, 53,54,57,61,64,66 or physical (n ¼ 1), 60 sensory (n ¼ 2), 62,65 or intellectual and developmental disabilities separately (n ¼ 10). [44][45][46]51,52,55,56,58,59,63 Of the studies that examined the impact of maternal disability overall, 4 compared an any-disability group with a nodisability referent group, 50,57,61,66 and 6 also reported findings broken down by disability type.…”

“…", n ¼ 8) 50,54,55,57,60,61,64,66 and was measured at or after the time of delivery (n ¼ 17) 47-51,53e59,61,63e66 or using past records (n ¼ 6). [44][45][46]52,60,62 Studies examined, as their primary outcomes, pregnancy complications (eg, gestational diabetes, n ¼ 11), 45,48,50,51,55,57,59,60,62,63,65 delivery complications (eg, cesarean delivery, n ¼ 17), 44,47,49e54,56,57,60e66 and postpartum complications (…”

“…With regard to selection bias, most studies were population based and had good generalizability (n ¼ 15). 44e49,51e53, 56,58,59,62,63,65 However, 2 retrospective cohort studies relied on low-income Medicaid 50 or tertiary care center samples. 60 Of the 2 prospective cohort and 5 cross-sectional studies, 2 had a response rates <80% 54,57 and 4 did not report response rates.…”

Prenatal tactile three‐dimensional ultrasonography for visually impaired women

“…1 There is a gap between blind and non-blind people regarding pregnancy. 2 Visual impairment can lead to difficulties for prospective parents, such as pregnancy embodiment, mental representation, dependency on medical verbal description and early fetal attachment.…”