Maternal Characteristics, Pregnancy Complications, and Adverse Birth Outcomes Among Women With Disabilities.
Maternal Characteristics, Pregnancy Complications, and Adverse Birth Outcomes Among Women With Disabilities.
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孕妇特征，妊娠并发症和残疾女性的不良出生结果。
DOI：
10.1097/mlr.0000000000000427
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发表时间：
2015-12
期刊：
影响因子：
3
通讯作者：
Long-Bellil LM
中科院分区：
文献类型：
--
作者：
Mitra M;Clements KM;Zhang J;Iezzoni LI;Smeltzer SC;Long-Bellil LM
这项研究的目的是描述罗德岛最近分娩的残疾妇女的母亲特征、妊娠并发症和分娩结局。对2002-2011年罗德岛怀孕风险评估监测系统(PRMS)的调查数据进行了分析。罗德岛州约有7%的妇女报告有残疾。残疾妇女报告说，她们在怀孕前、怀孕期间和产后期间的保健利用、健康行为和健康状况方面存在显著差异。与非残疾妇女相比，她们在最近一次怀孕期间更有可能报告应激性生活事件和医疗并发症，在怀孕早期接受产前护理的可能性较低，并且更有可能早产(13.4%；95%CI，11.6-15.6比8.9%；95%CI，非残疾妇女8.5-9.3)和低出生体重儿(10.3%；95%CI，9.4-11.2比6.8%；95%CI，6.8-6.9)。残疾妇女和非残疾妇女之间的剖宫产率没有差异。这些发现支持为残疾孕妇提供护理的临床医生需要意识到怀孕期间出现医疗问题的风险增加，以及增加婴儿结局不良风险的因素。
The objective of this study is to describe the maternal characteristics, pregnancy complications, and birth outcomes among a representative sample of Rhode Island women with disabilities who recently gave birth. Data from the 2002–2011 Rhode Island Pregnancy Risk Assessment Monitoring System (PRAMS) survey were analyzed. Approximately 7% of women in Rhode Island reported a disability. Women with disabilities reported significant disparities in their health care utilization, health behaviors and health status before and during pregnancy and during the postpartum period. Compared to nondisabled women, they were significantly more likely to report stressful life events and medical complications during their most recent pregnancy, were less likely to receive prenatal care in the first trimester, and more likely to have preterm births (13.4%; 95% CI, 11.6–15.6 compared to 8.9%; 95% CI, 8.5–9.3 for women without disabilities) and low birth weight babies (10.3%; 95% CI, 9.4–11.2 compared to 6.8%; 95% CI, 6.8–6.9). There was no difference in the rates of cesarean section between women with and without disabilities. These findings support the need for clinicians providing care to pregnant women with disabilities to be aware of the increased risk for medical problems during pregnancy and factors that increase the risk for poor infant outcomes.