Reproductive and pregnancy health care for women with intellectual and developmental disabilities: A scoping review.

Reproductive and pregnancy health care for women with intellectual and developmental disabilities: A scoping review.
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DOI:
10.1111/jar.12977
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发表时间:
2022-05
影响因子:
2.4
通讯作者:
Rubenstein, Eric
Rubenstein, Eric
中科院分区:
医学3区
文献类型:
--
作者:
Ransohoff, Jade, I;Kumar, Prisha Sujin;Flynn, David;Rubenstein, Eric

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有智力和发育障碍的妇女面临较差的生育和怀孕结果,部分原因是保健不平等。我们的目标是对智力和发育残疾妇女的生殖和妊娠相关保健进行范围审查。我们系统地回顾了三个数据库的关键词有关怀孕,生殖健康,智力和发育障碍。两名审稿人筛选摘要并提取全文。我们综合了收录的论文,确定了共同的主题。36篇论文符合评审标准。与同龄人相比,有智力和发育障碍的妇女生育率较低,接受适当性教育的可能性较小。虽然大多数妇女接受了产前护理,但与没有智力和发育障碍的妇女相比,她们的接受程度较低,接受时间也较晚。患有智力和发育障碍的妇女往往缺乏与怀孕有关的保健。有些差距阻碍了我们的理解,阻碍了我们采取行动减少健康差距。
Women with intellectual and developmental disabilities face poorer reproductive and pregnancy outcomes partially due to health care inequity. Our objective was to conduct a scoping review of reproductive and pregnancy related health care among women with intellectual and developmental disabilities. We systematically reviewed three databases for keywords pertaining to pregnancy, reproductive health, and intellectual and developmental disabilities. Two reviewers screened abstracts and extracted full text. We synthesised included papers, identifying common themes. Thirty-six papers met review criteria. Women with intellectual and developmental disabilities had lower fertility rates and were less likely to receive adequate sexual education compared to peers. While most women received prenatal care, uptake was lower and received later than women without intellectual and developmental disabilities. Pregnancy-related health care is often lacking for women with intellectual and developmental disabilities. There are gaps inhibiting our understanding which prevents action to reduce health disparities.
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