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Journal article
Postpartum Readmission in People with Intellectual and Developmental Disability
American journal of preventive medicine, v 69(4), 107959
25 Jun 2025
PMID: 40578579
Featured in Collection : Research Supported by Drexel Libraries' OA Programs
Abstract
Introduction
Postpartum readmission (PPR) and severe maternal morbidity have been increasing in recent years in the U.S., but little is known about the risk of either for people with intellectual and developmental disabilities (IDD), including the autism spectrum. The purpose of the study is to establish an estimate of PPR in a nationally representative sample of people with IDD.
Methods
this study used the National Readmission Database to examine the deliveries of people with IDD (n=5721), people on the autism spectrum (n=1099) and deliveries in people without IDD or autism (n=3,890,553) in 2019 and 2020. Log-binomial regression was used to examine person and delivery characteristics associated with PPR in all deliveries.
Results
PPR was more common in people with IDD (6.6%) and people on the autism spectrum (3.3%) than in all other deliveries (1.5%). In adjusted analyses, people with IDD (aRR 3.50, 95% CI 3.15, 3.90) and people on the autism spectrum (aRR 2.06, 95% CI 1.42, 2.97) had increased risk of PPR compared to people without these conditions. Other characteristics were also associated with increased risk of PPR, including 2.80 times the risk of PPR in people with severe maternal morbidity compared to those without (95% CI 2.66, 2.94).
Conclusions
High rates of PPR in people with IDD point to the need for a better understanding of the drivers of such high rates in these populations. These drivers could include population differences in co-occurring health and mental health conditions, social and community support, and accessible health care.
Metrics
10 Record Views
Details
- Title
- Postpartum Readmission in People with Intellectual and Developmental Disability
- Creators
- Jessica E Rast (Corresponding Author) - Drexel University, A.J. Drexel Autism InstituteJennifer Bromberg - Drexel University, A.J. Drexel Autism InstituteArina Chesnokova - University of PennsylvaniaMolly Sadowsky - Drexel University, A.J. Drexel Autism InstituteJonas Ventimiglia - Drexel University, A.J. Drexel Autism InstituteLindsay Shea - Drexel University, Urban Health Collaborative
- Publication Details
- American journal of preventive medicine, v 69(4), 107959
- Publisher
- Elsevier
- Number of pages
- 9
- Grant note
- Health Resources and Services Administration of the HHS: UT2MC39440 Autism Intervention Research Network on Physical HealthNIH: 1R01HD116300
This project is supported by the Health Resources and Services Administration of the HHS under Award UT2MC39440 and the Autism Intervention Research Network on Physical Health. This work was also supported by the NIH (1R01HD116300) .
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- A.J. Drexel Autism Institute; Health Management and Policy
- Web of Science ID
- WOS:001539684100002
- Scopus ID
- 2-s2.0-105011144171
- Other Identifier
- 991022058836404721
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- Collaboration types
- Domestic collaboration
- Web of Science research areas
- Public, Environmental & Occupational Health