{"id":22376,"date":"2025-09-17T16:48:22","date_gmt":"2025-09-17T20:48:22","guid":{"rendered":"https:\/\/www.ices.on.ca\/?post_type=journal_article&p=22376"},"modified":"2025-09-17T16:48:23","modified_gmt":"2025-09-17T20:48:23","slug":"concurrent-emergency-department-use-by-a-new-mother-with-a-disability-and-her-newborn","status":"publish","type":"journal_article","link":"https:\/\/www.ices.on.ca\/fr\/publications\/journal-articles\/concurrent-emergency-department-use-by-a-new-mother-with-a-disability-and-her-newborn\/","title":{"rendered":"Concurrent emergency department use by a new mother with a disability and her newborn"},"content":{"rendered":"

Objectives<\/strong>\u00a0\u2014 To assess the risk of concurrent emergency department use (Co-ED) among women with a preexisting disability and their infants.<\/p>\n

Methods<\/strong>\u00a0\u2014 This population-based cohort study was completed in Ontario, Canada. Included were all mother\u2013infant pairs with a hospital delivery, 2008\u20132023. Those with a maternal physical (N\u2009=\u2009152\u2009171), sensory (N\u2009=\u200954\u2009716), or intellectual\/developmental (N\u2009=\u20092913) disability or multiple disabilities (N\u2009=\u200911\u2009800) were compared with those with no disability (N\u2009=\u20091\u2009548\u2009178). Multinomial logistic regression\u2013generated odds ratios (ORs) and 95% CI for Co-ED (ie, mother and infant both had emergency department (ED) visits within 90 days after hospital discharge), a maternal ED visit only, or an infant ED visit only were calculated, each vs no ED visit. Models were adjusted for maternal age, parity, income quintile, rurality, immigration status, and delivery year.<\/p>\n

Results<\/strong> \u2014 Co-ED was more likely among women with (5.4%) than without (3.4%) a disability (adjusted OR [aOR], 1.66; 95% CI, 1.62\u20131.71). The median number of days between the first maternal and first infant ED visit was 19 (IQR, 4\u201341) days, and 18.3% occurred within 24 hours of each other. The aOR for maternal ED visit alone was 1.38 (95% CI, 1.35\u20131.40) and 1.20 (95% CI, 1.19\u20131.22) for an infant ED visit alone.<\/p>\n

Conclusions<\/strong> \u2014 Co-ED was an important outcome for all mother\u2013infant pairs, particularly so for mothers with a disability, of whom about 1 in 20 experienced Co-ED. These dyads may benefit from careful postdischarge planning during the birth hospital stay and enhanced outpatient health care.<\/p>\n","protected":false},"excerpt":{"rendered":"

Objectives\u00a0\u2014 To assess the risk of concurrent emergency department use (Co-ED) among women with a preexisting disability and their infants. Methods\u00a0\u2014 This population-based cohort study was completed in Ontario, Canada. Included were all mother\u2013infant pairs with a hospital delivery, 2008\u20132023. Those with a maternal physical (N\u2009=\u2009152\u2009171), sensory (N\u2009=\u200954\u2009716), or intellectual\/developmental (N\u2009=\u20092913) disability or multiple disabilities […]<\/p>\n","protected":false},"template":"","migration-helper-automated":[],"migration-manual":[],"topic":[24,19,26],"migration-helper-qa-sample-set":[],"class_list":["post-22376","journal_article","type-journal_article","status-publish","hentry","topic-acute-and-emergency-services","topic-marginalized-populations","topic-maternity-and-neonatal-care"],"acf":{"citation":"Brown HK, Varner CE, Lunsky Y, Santiago-Jimenez M, Fung K, Cohen E, Guttmann A, Pituch E, Saunders N, Telner D, Vigod SN, Zwicker J, Ray JG. Pediatrics<\/em>. 2025; e2025071883. Epub 2025 Sep 17.","source_url":"https:\/\/doi.org\/10.1542\/peds.2025-071883","ices_scientist":[1164,1296,1199,1238,1348,1116,1338],"site":[6733],"research_program":[6744],"news_release":"","journal_article":"","atlas":"","research_report":"","infographic":[22648],"video":"","downloads":null,"links":null,"sitecore_item_id":"","sitecore_item_name":"","sitecore_field_values":"","previous_url":""},"yoast_head":"\nICES | Concurrent emergency department use by a new mother with a disability and her newborn<\/title>\n<meta name=\"description\" content=\"Objectives\u00a0\u2014 To assess the risk of concurrent emergency department use (Co-ED) among women with a preexisting disability and their infants. 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