Reproductive health of women with intellectual disability: antenatal care, pregnancies and outcomes in the Dutch population.
Background: Research in a handful of countries found that women with intellectual disability (ID) faced barriers and risks regarding antenatal care and reproductive health. This study tested disparities between women in the Netherlands with and without ID in antenatal care, pregnancy rates and pregn...
| Published in: | Journal of Intellectual Disability Research Vol. 67; no. 12; pp. 1306 - 1317 |
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| Main Authors: | , , , |
| Format: | research tables/charts Journal Article |
| Published: |
Wiley-Blackwell
Dec2023
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| Online Access: | View this record in EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=173485418&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 173485418 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 09642633 EUL jtl: Journal of Intellectual Disability Research issn: 09642633 maglogo: Y pubinfo: dt: Dec2023 vid: 67 iid: 12 pid: 480 pub: Wiley-Blackwell place: Malden, Massachusetts artinfo: ui: 173485418 159341108 173485418 173485418 10.1111/jir.12982 173485418 ppf: 1306 ppct: 11 formats: fmt: – @attributes: type: T – @attributes: type: C – @attributes: type: P tig: atl: Reproductive health of women with intellectual disability: antenatal care, pregnancies and outcomes in the Dutch population. aug: au: Schuengel, C. Cuypers, M. Bakkum, L. Leusink, G. L. affil: Department of Educational and Family Sciences and Amsterdam Public Health Research Institute, Vrije Universiteit Amsterdam, Amsterdam, The Netherlands sug: subj: Women's Health Netherlands Reproductive Health Intellectual Disability Prenatal Care Birth Rate Pregnancy Outcomes Healthcare Disparities Human Female Pregnancy Netherlands Adolescence Young Adult Adult Middle Age Secondary Analysis Descriptive Statistics Comparative Studies Odds Ratio Confidence Intervals Contraception Health Promotion Family Planning Contraceptive Agents Funding Source Adolescent: 13-18 years Adult: 19-44 years Middle Aged: 45-64 years Female ab: Background: Research in a handful of countries found that women with intellectual disability (ID) faced barriers and risks regarding antenatal care and reproductive health. This study tested disparities between women in the Netherlands with and without ID in antenatal care, pregnancy rates and pregnancy outcomes. Methods: Secondary analyses on the large representative panel of primary health patients in the Netherlands by the Netherlands Institute for Health Services Research (NIVEL) compared women in their reproductive age (18–49 years) with (n = 2397) and without (n = 228 608) indicators of ID. Bias due to underreporting and under‐identification was reduced by linkage with an index of ID for the total Dutch population from Statistical Netherlands. Results: Women with ID were more likely to receive contraceptive care [95% confidence interval (CI) for odds ratio (OR) = 1.37–1.61] and became somewhat more often pregnant (95% CI OR = 1.06–2.30) than women from the general population, adjusting for age difference and follow‐up time. No statistical differences were found in medical complications during pregnancy, delivery and immediately after birth, but women with indicators of ID had a higher risk of losing their pregnancy, including through induced abortion (95% CI OR = 1.26–1.99). Conclusions: Women with ID have specific needs around contraceptive care and risks around their pregnancy that may require more awareness among practitioners and better understanding of the processes of care and decision‐making. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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