Prolonged postpartum length of hospital stay among women with disabilities.
Prolonged postpartum length of hospital stay among women with disabilities.
复制标题
DOI：
10.1016/j.dhjo.2020.100934
复制
发表时间：
2020-10
影响因子：
4.5
通讯作者：
Caughey AB
中科院分区：
文献类型：
--
作者：
Horner-Johnson W;Darney BG;Biel FM;Caughey AB
先前的研究发现，与非残疾妇女相比，残疾妇女剖腹产的比例更高，产后住院时间更长。然而，没有研究评估不同类型残疾的妇女在考虑分娩方式的同时，住院时间可能有何不同。研究残疾状况和残疾类型与住院时间的关系，并考虑到与残疾有关的分娩方式差异。我们使用2000年至2012年期间加州所有出生的孕产妇和婴儿出院和生命记录数据进行了一项回顾性队列研究（n= 6，745，201）。我们使用多变量回归分析来评估残疾状态和类型与住院时间延长（阴道分娩>2天或剖宫产>4天）的相关性，同时控制协变量。与非残疾女性相比，残疾女性住院时间延长的调整后几率显著升高（aOR=1.40，95%CI =1.32-1.49）。视力残疾女性的校正比值最高（aOR=1.67，95%CI =1.46-1.90），其次是IDD女性（aOR=1.53，95%CI =1.30-1.80）和肢体残疾女性（aOR=1.41，95%CI =1.32-1.50）。听力障碍女性住院时间延长的调整优势最低（aOR=1.17，95%CI =1.03-1.33）。住院时间的延长似乎并不完全是由于该人群中剖宫产率较高。需要开展进一步研究，以更好地了解残疾妇女住院时间延长的原因，并制定战略，协助残疾妇女做好分娩准备和产后恢复。
Prior studies have found higher proportions of cesarean deliveries and longer postpartum hospital stays among women with disabilities compared to women without disabilities. However, no research has assessed how length of stay may differ for women with different types of disability while also considering mode of delivery. To examine the association of disability status and disability type with length of stay, taking into account disability-related differences in mode of delivery. We conducted a retrospective cohort study using linked maternal and infant hospital discharge and vital records data for all births in California between 2000 and 2012 (n=6,745,201). We used multivariable regression analyses to assess association of disability status and type with prolonged length of stay (>2 days for vaginal delivery or >4 days for cesarean) while controlling for covariates. Women with disabilities had significantly elevated adjusted odds of prolonged length of stay compared to women without disabilities (aOR=1.40, 95% CI=1.32–1.49). Adjusted odds were highest for women with vision disabilities (aOR=1.67, 95% CI=1.46–1.90), followed by women with IDD (aOR=1.53, 95% CI=1.30–1.80), and women with physical disabilities (aOR=1.41, 95% CI=1.32–1.50). Women with hearing disability had the lowest adjusted odds of prolonged length of stay (aOR=1.17, 95% CI=1.03–1.33). Prolonged length of stay did not appear to be due solely to the higher proportion of cesarean deliveries in this population. Further research is needed to better understand the reasons for prolonged length of stay among women with disabilities and develop strategies to assist women with disabilities in preparing for and recovering from childbirth.
登录
查看更多内容
孕妇特征，妊娠并发症和残疾女性的不良出生结果。
影响因子：
3
作者：
Mitra M;Clements KM;Zhang J;Iezzoni LI;Smeltzer SC;Long-Bellil LM
通讯作者：
Long-Bellil LM
DOI：
10.1111/1471-0528.14120
发表时间：
2016-04-01
影响因子：
5.8
作者：
Brown, H. K.;Speechley, K. N.;Campbell, M. K.
通讯作者：
Campbell, M. K.
影响因子：
5.5
作者：
Mitra, Monika;Parish, Susan. L.;Diop, Hafsatou
通讯作者：
Diop, Hafsatou
影响因子：
2.1
作者：
Crane, Deborah A.;Doody, David R.;Mueller, Beth A.
通讯作者：
Mueller, Beth A.
影响因子：
1.3
作者：
Van Otterloo, Lucy;Connelly, Cynthia;Main, Elliott
通讯作者：
Main, Elliott