Parish Susan L, Mitra Monika, Son Esther, Bonardi Alexandra, Swoboda Paul T, Igdalsky Leah
Am J Intellect Dev Disabil. 2015 Sep;120(5):433-43. doi: 10.1352/1944-7558-120.5.433.
The existing research on pregnancy outcomes for women with intellectual and developmental disabilities (IDD) is sparse. This study analyzed the 2010 Healthcare Cost and Utilization Project Nationwide Inpatient Sample and compared deliveries among women with IDD (n = 340) to the general obstetric population. Women with IDD had longer hospital stays and were more likely to have Caesarean deliveries in contrast to other women. Rates of adverse pregnancy outcomes were elevated for women with IDD across a range of measures, including early labor, preterm birth, and preeclampsia, and their infants were more likely to have low birth weight, even after adjusting for age, race, ethnicity, and insurance type. Targeted interventions are needed to address these deleterious outcomes.
现有关于智力和发育障碍（IDD）女性妊娠结局的研究较为稀少。本研究分析了2010年医疗保健成本与利用项目全国住院患者样本，并将IDD女性（n = 340）的分娩情况与普通产科人群进行了比较。与其他女性相比，IDD女性的住院时间更长，剖宫产的可能性更大。在一系列指标中，包括早产、早产和先兆子痫，IDD女性不良妊娠结局的发生率更高，即使在调整了年龄、种族、民族和保险类型后，她们的婴儿出生体重低的可能性也更大。需要有针对性的干预措施来解决这些有害结局。
