{"id":1958,"date":"2022-08-08T00:00:00","date_gmt":"2022-08-08T04:00:00","guid":{"rendered":"https:\/\/icesontario.wpengine.com\/journal-articles\/neonatal-outcomes-of-mothers-with-a-disability\/"},"modified":"2023-06-14T20:01:27","modified_gmt":"2023-06-15T00:01:27","slug":"neonatal-outcomes-of-mothers-with-a-disability","status":"publish","type":"journal_article","link":"https:\/\/www.ices.on.ca\/fr\/publications\/journal-articles\/neonatal-outcomes-of-mothers-with-a-disability\/","title":{"rendered":"Neonatal outcomes of mothers with a disability"},"content":{"rendered":"<p><strong>Objectives<\/strong> &#x2014; To assess the risk of neonatal complications among women with a physical, sensory, and\/or intellectual\/developmental disability.<\/p>\n<p><strong>Methods<\/strong> &#x2014; This population-based cohort study comprised all hospital singleton livebirths in Ontario, Canada from 2003-2018. Newborns of women with a physical (<em>N<\/em>=144,187), sensory (<em>N<\/em>=44,988), intellectual\/developmental (<em>N<\/em>=2,207), or &#x2265;2 disabilities (<em>N<\/em>=8,823) were each compared to 1,593,354 newborns of women without a disability. Outcomes were preterm birth &lt;37 and &lt;34 weeks, small for gestational age birthweight (SGA), large for gestational age birthweight, neonatal morbidity and mortality &lt;28 days after birth, neonatal abstinence syndrome (NAS), and neonatal intensive care unit (NICU) admission. Relative risks (aRR) were adjusted for maternal age, parity, income quintile, rurality, immigrant status, preconception physical and mental health, and prenatal care adequacy.<\/p>\n<p><strong>Results<\/strong> &#x2014; Risks for neonatal complications were elevated among newborns of women with disabilities compared to those without disabilities. aRRs were especially high for newborns of women with an intellectual\/developmental disability, including preterm birth &lt;37 weeks (1.37, 95% CI 1.19-1.58), SGA (1.37, 1.24-1.59), neonatal morbidity (1.42, 1.27-1.60), NAS (1.53, 1.12-2.08), and NICU admission (1.53, 1.40-1.67). The same was seen for newborns of women with &#x2265;2 disabilities, including preterm birth &lt;37 weeks (1.48, 1.39-1.59), SGA (1.13, 1.07-1.20), neonatal morbidity (1.28, 1.20-1.36), NAS (1.87, 1.57-2.23), and NICU admission (1.35, 1.29-1.42).<\/p>\n<p><strong>Conclusions<\/strong> &#x2014; There is mild to moderate elevated risk for complications among newborns of women with an intellectual\/developmental disability, and those with multiple disabilities. These women may need adapted and enhanced preconception and prenatal care, and their newborns may require extra support after birth.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Objectives &#x2014; To assess the risk of neonatal complications among women with a physical, sensory, and\/or intellectual\/developmental disability. Methods &#x2014; This population-based cohort study comprised all hospital singleton livebirths in Ontario, Canada from 2003-2018. Newborns of women with a physical (N=144,187), sensory (N=44,988), intellectual\/developmental (N=2,207), or &#x2265;2 disabilities (N=8,823) were each compared to 1,593,354 newborns [&hellip;]<\/p>\n","protected":false},"template":"","migration-helper-automated":[],"migration-manual":[],"topic":[],"migration-helper-qa-sample-set":[],"class_list":["post-1958","journal_article","type-journal_article","status-publish","hentry"],"acf":{"citation":"Brown HK, Chen S, Guttmann A, Havercamp SM, Parish S, Ray JG, Vigod SN, Tarasoff LA, Lunsky Y. <em>Pediatrics<\/em>. 2022; 150(3):e2021055318. Epub Aug 8.","source_url":"https:\/\/publications.aap.org\/pediatrics\/article\/doi\/10.1542\/peds.2021-055318\/188733\/Neonatal-Outcomes-of-Mothers-With-a-Disability","ices_scientist":[1164,1296,1238,1338,1116],"site":[],"research_program":[],"news_release":[7402],"journal_article":[],"atlas":[],"research_report":[],"infographic":[9265],"video":[17608],"downloads":null,"links":null,"sitecore_item_id":"06C8C6AF-2208-464B-AC5B-C54CCC186273","sitecore_item_name":"Neonatal-outcomes-of-mothers-with-a-disability","sitecore_field_values":"{\n  \"Title\": \"Neonatal outcomes of mothers with a disability\",\n  \"Summary\": \"The study aim was to assess the risk of neonatal complications among women with a physical, sensory, and\/or intellectual\/developmental disability.\",\n  \"Citation\": \"<p>Brown HK, Chen S, Guttmann A, Havercamp SM, Parish S, Ray JG, Vigod SN, Tarasoff LA, Lunsky Y. <em>Pediatrics<\/em>. 2022; 150(3):e2021055318. Epub Aug 8. DOI: <a href=\"https:\/\/doi.org\/10.1542\/peds.2021-055318\" title=\"opens external link\">https:\/\/doi.org\/10.1542\/peds.2021-055318<\/a><\/p>\",\n  \"Abstract\": \"<p><strong>Objectives<\/strong> &mdash; To assess the risk of neonatal complications among women with a physical, sensory, and\/or intellectual\/developmental disability.<\/p>n<p><strong>Methods<\/strong> &mdash; This population-based cohort study comprised all hospital singleton livebirths in Ontario, Canada from 2003-2018. Newborns of women with a physical (<em>N<\/em>=144,187), sensory (<em>N<\/em>=44,988), intellectual\/developmental (<em>N<\/em>=2,207), or &ge;2 disabilities (<em>N<\/em>=8,823) were each compared to 1,593,354 newborns of women without a disability. Outcomes were preterm birth &lt;37 and &lt;34 weeks, small for gestational age birthweight (SGA), large for gestational age birthweight, neonatal morbidity and mortality &lt;28 days after birth, neonatal abstinence syndrome (NAS), and neonatal intensive care unit (NICU) admission. Relative risks (aRR) were adjusted for maternal age, parity, income quintile, rurality, immigrant status, preconception physical and mental health, and prenatal care adequacy.<\/p>n<p><strong>Results<\/strong> &mdash; Risks for neonatal complications were elevated among newborns of women with disabilities compared to those without disabilities. aRRs were especially high for newborns of women with an intellectual\/developmental disability, including preterm birth &lt;37 weeks (1.37, 95% CI 1.19-1.58), SGA (1.37, 1.24-1.59), neonatal morbidity (1.42, 1.27-1.60), NAS (1.53, 1.12-2.08), and NICU admission (1.53, 1.40-1.67). The same was seen for newborns of women with &ge;2 disabilities, including preterm birth &lt;37 weeks (1.48, 1.39-1.59), SGA (1.13, 1.07-1.20), neonatal morbidity (1.28, 1.20-1.36), NAS (1.87, 1.57-2.23), and NICU admission (1.35, 1.29-1.42).<\/p>n<p><strong>Conclusions<\/strong> &mdash; There is mild to moderate elevated risk for complications among newborns of women with an intellectual\/developmental disability, and those with multiple disabilities. These women may need adapted and enhanced preconception and prenatal care, and their newborns may require extra support after birth.<\/p>n<p><a href=\"https:\/\/publications.aap.org\/pediatrics\/article\/doi\/10.1542\/peds.2021-055318\/188733\/Neonatal-Outcomes-of-Mothers-With-a-Disability\" title=\"opens external link\">View full text<\/a><\/p>\",\n  \"ICES Scientists\": \"{45B6D5FA-6B3A-46F6-B313-A87531DD2A2F}|{FCA9F2BB-4312-4EEE-BCC3-7AA5A1B9D61E}|{DF9D6D4F-1B33-4FB9-AD9B-576798163C2C}|{7044C4BC-3501-44A2-8F5B-DB6E2ACD12A6}|{BF772976-8535-47C9-B4B5-A9BE2045544C}\",\n  \"Posted Date\": \"20220808T000000\",\n  \"Show on Publications Landing Page\": \"1\"\n}","previous_url":"https:\/\/www.ices.on.ca\/Publications\/Journal-Articles\/2022\/August\/Neonatal-outcomes-of-mothers-with-a-disability"},"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.3 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>ICES | Neonatal outcomes of mothers with a disability<\/title>\n<meta name=\"description\" content=\"Objectives &#x2014; 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