American women have the highest rate of maternal deaths among high-income countries, with outcomes worse for minoritized groups.
Drexel UniversityAug 16 2024 In an effort to understand the maternal health of pregnant people with intellectual and developmental disabilities, including autism and intellectual disability, researchers from Drexel University's Policy and Analytics Center in the A.J. Drexel Autism Institute examined Medicaid data to identify perinatal and postpartum outcomes among people with intellectual and developmental disabilities. The study was recently published in JAMA Network Open.
The data showed people with intellectual and developmental disabilities were younger at the time of their first delivery and had higher risks for multiple medical and mental health conditions, including gestational diabetes, gestational hypertension and preeclampsia. Autistic pregnant people had significantly higher probability of postpartum anxiety and postpartum depression, compared to people with intellectual disabilities only and people without intellectual and developmental disabilities.
Co-author Molly Sadowsky, project director in the Policy and Analytics Center in the Autism Institute, explained how the findings suggest several opportunities for policymakers, providers and researchers. Reproductive health education, perinatal care and delivery services should be tailored to ensure comprehensive and targeted support for birthing people with intellectual and developmental disabilities.
Depression Autism Diabetes Disability Gestational Diabetes Maternal Health Medicaid Mental Health Postpartum Depression Pregnancy Reproductive Health Research
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