Health of Newborns and Infants Born to Women With Disabilities: A Meta-analysis

Overview

Journal Pediatrics

Specialty Pediatrics

Date 2020 Nov 18

PMID 33203648

Citations 15

Authors

Lesley A Tarasoff

Fahmeeda Murtaza

Adele Carty

Dinara Salaeva

Angela D Hamilton

Hilary K Brown

Affiliations

Soon will be listed here.

Abstract

Context: Women with disabilities are at elevated risk for pregnancy, delivery, and postpartum complications. However, there has not been a synthesis of literature on the neonatal and infant health outcomes of their offspring.

Objective: We examined the association between maternal disability and risk for adverse neonatal and infant health outcomes.

Data Sources: Cumulative Index to Nursing and Allied Health Literature, Embase, Medline, and PsycINFO were searched from database inception to January 2020.

Study Selection: Studies were included if they reported original data on the association between maternal physical, sensory, or intellectual and/or developmental disabilities and neonatal or infant health outcomes; had a referent group of women with no disabilities; were peer-reviewed journal articles or theses; and were written in English.

Data Extraction: We used standardized instruments to extract data and assess study quality. DerSimonian and Laird random effects models were used for pooled analyses.

Results: Thirty-one studies, representing 20 distinct cohorts, met our inclusion criteria. Meta-analyses revealed that newborns of women with physical, sensory, and intellectual and/or developmental disabilities were at elevated risk for low birth weight and preterm birth, with smaller numbers of studies revealing elevated risk for other adverse neonatal and infant outcomes.

Limitations: Most studies had moderate ( = 9) or weak quality ( = 17), with lack of control for confounding a common limitation.

Conclusions: In future work, researchers should explore the roles of tailored preconception and perinatal care, along with family-centered pediatric care particularly in the newborn period, in mitigating adverse outcomes among offspring of women with disabilities.

Citing Articles

Disability justice and collective access to labour and delivery care: a qualitative study.

Evans M, Tarasoff L, Lunsky Y, Welsh K, Proulx L, Havercamp S BMC Pregnancy Childbirth. 2024; 24(1):832.

PMID: 39707204 PMC: 11660975. DOI: 10.1186/s12884-024-07036-3.

Maternal disability and initiation and duration of breastfeeding: analysis of a Canadian cross-sectional survey.

Brown H, Pablo L, Scime N, Aker A, Dennis C Int Breastfeed J. 2023; 18(1):70.

PMID: 38129879 PMC: 10734132. DOI: 10.1186/s13006-023-00608-7.

Unmet needs, limited access: A qualitative study of postpartum health care experiences of people with disabilities.

Tarasoff L, Lunsky Y, Welsh K, Proulx L, Havercamp S, Parish S J Adv Nurs. 2023; 79(9):3324-3336.

PMID: 36932042 PMC: 10440283. DOI: 10.1111/jan.15642.

Comparison of the use of prenatal care services and the risk of preterm birth between pregnant women with disabilities and those without disabilities: A nationwide cohort study.

Tang M, Kung P, Chiu L, Tsai W Front Public Health. 2023; 11:1090051.

PMID: 36778582 PMC: 9911428. DOI: 10.3389/fpubh.2023.1090051.

Impact of social-, health-, and disability-related factors on pregnancy outcomes in women with intellectual and developmental disabilities: A population-based latent class analysis.

Kassee C, Lunsky Y, Patrikar A, Brown H Disabil Health J. 2023; 16(2):101426.

PMID: 36621355 PMC: 10073261. DOI: 10.1016/j.dhjo.2022.101426.

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