Rapid repeat pregnancy among women with intellectual and developmental disabilities: a population-based cohort study.

Rapid repeat pregnancy among women with intellectual and developmental disabilities: a population-based cohort study. CMAJ. 2018 Aug 13;190(32):E949-E956 Authors: Brown HK, Ray JG, Liu N, Lunsky Y, Vigod SN Abstract BACKGROUND: Rapid repeat pregnancy within 12 months of a live birth is associated with adverse perinatal outcomes. We evaluated the risk for rapid repeat pregnancy among women with intellectual and developmental disabilities, with whom sharing of information about pregnancy planning and contraception may be inadequate. METHODS: We accessed population-based health administrative data for all women with an index live birth in Ontario, Canada, for the period 2002-2013. We used modified Poisson regression to compare relative risks (RRs) for a rapid repeat pregnancy within 12 months of the index live birth in women with and without intellectual and developmental disabilities, first adjusting for demographic factors and then additionally adjusting for social, health and health care disparities. RESULTS: We compared 2855 women with intellectual and developmental disabilities and 923 367 women without such disabilities. At the index live birth, women with intellectual and developmental disabilities were more likely to be younger than 25 years of age (46.8% v. 18.2%) and to be disadvantaged on each measure of social, health and health care disparities. These women had a higher rate of rapid repeat pregnancy than th...
Source: Canadian Medical Association Journal - Category: General Medicine Tags: CMAJ Source Type: research