Willi Horner?Johnson|Frances M. Biel|Aaron B. Caughey|Blair G. Darney
Differences in Prenatal Care by Presence and Type of Maternal Disability
Oregon Health & Science University|Oregon Health & Science University|Oregon Health & Science University|Instituto Nacional de Salud Pública|Oregon Health & Science University
introduction prior studies found women disabilities less likely receive adequate prenatal care women without disabilities however little known differences patterns prenatal care type disability therefore study examined timing frequency prenatal care among women physical sensory intellectualdevelopmental disabilities compared women without disabilities methods retrospective cohort study using linked maternal infant hospital discharge birth certificate data births california 20002012 n6745201 analyses conducted 20172018 modified poisson regression analyses compared women type disability women without disabilities trimester prenatal care initiation number prenatal care visits results women intellectualdevelopmental disabilities limited hearing significantly higher rr delaying prenatal care initiation second third trimester intellectualdevelopmental disabilities adjusted rr121 95 ci109 133 hearing adjusted rr111 95 ci102 121 whereas women physical disabilities limited vision lower risk delaying care physical adjusted rr091 95 ci088 094 vision adjusted rr085 95 ci073 099 women limited hearing vision intellectualdevelopmental disabilities higher risk receiving fewer prenatal visits recommended compared women without disabilities women physical disabilities intellectualdevelopmental disabilities higher rr receiving typical number visits conclusions key differences prenatal care utilization disability type reflective particularly pronounced disparities women intellectualdevelopmental disabilities women limited hearing delays receipt prenatal care low numbers prenatal care visits may contribute poorer birth outcomes observed previously groups targeted interventions needed improve uptake prenatal care vulnerable populations