Contraceptive Provision to Postpartum Women With Intellectual and Developmental Disabilities: A Population‐Based Cohort Study.
CONTEXT: Women with intellectual and developmental disabilities who experience pregnancy, like all women, require postpartum care that supports their contraceptive knowledge and decision making. Yet, little is known about the postpartum contraceptive care these women receive, or how it compares with...
| Publicado en: | Perspectives on Sexual & Reproductive Health Vol. 50; no. 3; pp. 93 - 100 |
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| Autores principales: | , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Wiley-Blackwell
Sep2018
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=132090428&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 132090428 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 15386341 K87 jtl: Perspectives on Sexual & Reproductive Health issn: 15386341 maglogo: Y pubinfo: dt: Sep2018 vid: 50 iid: 3 pid: 480 pub: Wiley-Blackwell place: Malden, Massachusetts artinfo: ui: 132090428 132090428 132090428 10.1363/psrh.12060 132090428 ppf: 93 ppct: 7 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Contraceptive Provision to Postpartum Women With Intellectual and Developmental Disabilities: A Population‐Based Cohort Study. aug: au: Brown, Hilary K. Kirkham, Yolanda A. Lunsky, Yona Cobigo, Virginie Vigod, Simone N. affil: Assistant professor, Interdisciplinary Centre for Health and Society, University of Toronto Scarborough, and Institute for Clinical Evaluative Sciences (ICES), Toronto, Ontario sug: subj: Women Postnatal Period Intellectual Disability Developmental Disabilities Contraception Human Prospective Studies Canada Female Poisson Distribution Regression Comparative Studies Contraceptive Devices Contraceptives, Oral Descriptive Statistics Female ab: CONTEXT: Women with intellectual and developmental disabilities who experience pregnancy, like all women, require postpartum care that supports their contraceptive knowledge and decision making. Yet, little is known about the postpartum contraceptive care these women receive, or how it compares with care given to other women. METHODS: A population‐based study using linked health and social services administrative data examined provision of postpartum contraceptive care to women who had a live birth in Ontario, Canada, in 2002–2014 and were beneficiaries of Ontario's publicly funded drug plan. Modified Poisson regression was used to compare care between 1,181 women with and 36,259 women without intellectual and developmental disabilities. Outcomes were provision of any nonbarrier contraceptive in the year following the birth and type of method provided. RESULTS: In the first year postpartum, women with intellectual and developmental disabilities were provided with contraceptives at a higher rate than were other women (relative risk 1.3); the difference was significant for both nonsurgical and surgical methods (1.2 and 1.8, respectively). The higher rate of nonsurgical contraceptive provision was explained by provision of injectables (1.9); there were no differences for pills or IUDs. CONCLUSION: Nonbarrier contraceptives may be the most appropriate methods for some women with intellectual and developmental disabilities. However, future research should investigate why women with such disabilities are more likely than others to receive injectable contraceptives, which have possible negative side effects, and surgical contraception, which is irreversible. Research also should investigate how these women perceive their participation in contraceptive decision making. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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