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• W2956249940 endingPage "27.e32" @default.
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• W2956249940 abstract "Abstract Background Women with disabilities are increasingly becoming pregnant, and growing evidence suggests maternal disability may be associated with increased risk for perinatal complications. Objective A systematic review and meta-analysis was undertaken to examine the association between maternal disabilities and risk for perinatal complications. Study Design Medline, CINAHL, EMBASE, and PsycINFO were searched from inception to July 2018 for full-text publications in English on pregnancy, delivery, and postpartum complications in women with any disability and those with physical, sensory, and intellectual and developmental disabilities specifically. Searches were limited to quantitative studies with a comparison group of women without disabilities. Reviewers used standardized instruments to extract data from and assess the quality of included studies. Pooled odds ratios and 95% confidence intervals (CI) were generated using DerSimonian and Laird random effects models for outcomes with data available from ≥ 3 studies. Results The review included 23 studies, representing 8,514,356 women in 19 cohorts. Women with sensory (pooled unadjusted odds ratio [uOR] 2.85, 95% CI: 0.79-10.31) and intellectual and developmental disabilities (pooled uOR 1.10, 95% CI: 0.76-1.58) had elevated but not statistically significant risk for gestational diabetes. Women with any disability (pooled uOR 1.45, 95% CI: 1.16-1.82) and intellectual and developmental disabilities (pooled uOR 1.77, 95% CI 1.21-2.60) had increased risk for hypertensive disorders of pregnancy; risk was elevated but not statistically significant for women with sensory disabilities (pooled uOR 2.84, 95% CI: 0.85-9.43). Women with any (pooled uOR 1.31, 95% CI: 1.02-1.68), physical (pooled uOR 1.60, 95% CI: 1.21-2.13), and intellectual and developmental disabilities (pooled uOR 1.29, 95% CI: 1.02-1.63) had increased risk for cesarean section; risk among women with sensory disabilities was elevated but not statistically significant (pooled uOR 1.28, 95% CI: 0.84-1.93). There was heterogeneity in all analyses, and 13 studies had weak quality ratings, with lack of control for confounding being the most common limitation. Conclusions Evidence that maternal disability is associated with increased risk for perinatal complications demonstrates that more high-quality research is needed to examine the reasons for this risk and to determine what interventions could be implemented to support women with disabilities during the perinatal period." @default.
• W2956249940 created "2019-07-23" @default.
• W2956249940 creator A5003819916 @default.
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• W2956249940 date "2020-01-01" @default.
• W2956249940 modified "2023-10-18" @default.
• W2956249940 title "Maternal disability and risk for pregnancy, delivery, and postpartum complications: a systematic review and meta-analysis" @default.
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• W2956249940 doi "https://doi.org/10.1016/j.ajog.2019.07.015" @default.
• W2956249940 hasPubMedCentralId "https://www.ncbi.nlm.nih.gov/pmc/articles/6937395" @default.
• W2956249940 hasPubMedId "https://pubmed.ncbi.nlm.nih.gov/31306650" @default.
• W2956249940 hasPublicationYear "2020" @default.
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