8 results on '"Parish, Susan L."'
Search Results
2. Racial and Ethnic Disparities in Birth Outcomes and Labor and Delivery Charges Among Massachusetts Women With Intellectual and Developmental Disabilities.
- Author
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Akobirshoev, Ilhom, Mitra, Monika, Parish, Susan L., Valentine, Anne, and Simas, Tiffany A. Moore
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ETHNIC differences ,DEVELOPMENTAL disabilities ,INTELLECTUAL disabilities ,PREMATURE labor ,MINORITY women - Abstract
Copyright of Intellectual & Developmental Disabilities is the property of American Association on Intellectual & Developmental Disabilities and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
- Published
- 2020
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- View/download PDF
3. Postpartum emergency department use among women with intellectual and developmental disabilities: a retrospective cohort study.
- Author
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Mitra, Monika, Akobirshoev, Ilhom, Parish, Susan L., Valentine, Anne, Clements, Karen M., and Moore Simas, Tiffany A.
- Subjects
TREATMENT of developmental disabilities ,PEOPLE with intellectual disabilities ,HOSPITAL emergency services ,LONGITUDINAL method ,MEDICAL appointments ,MENTAL health services ,PSYCHOLOGY of People with disabilities ,POSTNATAL care ,PRIMARY health care ,ATTITUDES of mothers ,RETROSPECTIVE studies ,THERAPEUTICS - Published
- 2019
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4. Postpartum Hospital Utilization among Massachusetts Women with Intellectual and Developmental Disabilities: A Retrospective Cohort Study.
- Author
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Mitra, Monika, Parish, Susan L., Akobirshoev, Ilhom, Rosenthal, Eliana, and Moore Simas, Tiffany A.
- Subjects
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CONFIDENCE intervals , *DEVELOPMENTAL disabilities , *HOSPITAL care , *HOSPITAL emergency services , *LONGITUDINAL method , *PEOPLE with intellectual disabilities , *PROBABILITY theory , *PUERPERIUM , *RESEARCH funding , *SURVIVAL analysis (Biometry) , *WOMEN , *PROPORTIONAL hazards models , *RETROSPECTIVE studies , *DATA analysis software , *DESCRIPTIVE statistics - Abstract
Objectives This study examined the risk of postpartum hospital admissions and emergency department (ED) visits among US women with intellectual and developmental disabilities (IDD). Methods We used the 2002-2012 Pregnancy to Early Life Longitudinal Data System and identified deliveries to women with and without IDD. Women with IDD (n = 1104) or case subjects were identified from the International Classification of Diseases and Related Health Problems 9th Revision (ICD-9 CM) codes. The study primary outcome measures were any postpartum hospital admission and any ED visit during three critical postpartum periods (1-42, 43-90, and 1-365 days). We conducted unadjusted and adjusted survival analysis using Cox proportional hazard models to compare the occurrence of first hospital admission or ED visits between women with and without IDD. Results We found that women with IDD had markedly higher rates of postpartum hospital admissions and ED visits during the critical postpartum periods (within 1-42, 43-90, and 91-365 days) after a childbirth. Conclusion for Practice Given the heightened risk of pregnancy complications and adverse birth outcomes and the findings of this study, there is an urgent need for clinical guidelines related to the frequency and timing of postpartum care among new mothers with IDD. Further, this study provides evidence of the need for evidence-based interventions for new mothers with IDD to provide preventive care and routine assessments that would identify and manage complications for both the mother and the infant outside of the traditional postpartum health care framework. [ABSTRACT FROM AUTHOR]
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- 2018
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5. Postpartum Health Care Among Women With Intellectual and Developmental Disabilities.
- Author
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Clements, Karen M., Mitra, Monika, Zhang, Jianying, and Parish, Susan L.
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DEVELOPMENTAL disabilities , *INTELLECTUAL disabilities , *POSTNATAL care , *CHILDREN with intellectual disabilities , *MEDICAL care , *POISSON regression , *PREGNANCY complications , *PUERPERIUM , *RESEARCH funding - Abstract
Introduction: Postpartum health care among women with intellectual and developmental disabilities has not been well studied. This study uses administrative claims to compare postpartum outpatient visits among women with and without intellectual and developmental disabilities.Methods: Massachusetts All Payers Claims Database 2012-2015 was used to identify women with intellectual and developmental disabilities and a live birth during 2012-2014, matched by infant birth year to 3 women without intellectual and developmental disabilities. Women were followed up for 1 year after delivery. Analyses were conducted in 2019. Poisson regression compared guideline-concordant postpartum and other outpatient visits during the early (21-56 days after delivery) and late (57-365 days after delivery) periods. Types of nonpostpartum care visits were examined.Results: Overall, 962 and 2,886 women with and without intellectual and developmental disabilities, respectively, comprised the sample. Among women with intellectual and developmental disabilities, 23.9% had a postpartum visit in the early and 33.3% in the late postpartum periods, compared with 25.2% and 32.1% of women without intellectual and developmental disabilities who had visits in the early and late postpartum periods, respectively (p=0.49, 0.59). Women with intellectual and developmental disabilities were more likely to have other outpatient visits than those without intellectual and developmental disabilities, both in the early (63.1% vs 40.3%, adjusted RR=1.42, 95% CI=1.28, 1.58, p<0.001) and late (94.2% vs 82.3%, RR=1.11, 95% CI=1.08, 1.14, p=0.008) postpartum periods. Ancillary services, home health services, and alcohol/drug-related visits were much more common among women with intellectual and developmental disabilities.Conclusions: Women with intellectual and developmental disabilities are equally likely to receive guideline-concordant postpartum visits and more likely to have other outpatient visits than other women. Further research is needed to evaluate visit quality and identify best practices to support mothers with intellectual and developmental disabilities during the postpartum period. [ABSTRACT FROM AUTHOR]- Published
- 2020
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6. Antenatal Hospitalization Among U.S. Women With Intellectual and Developmental Disabilities: A Retrospective Cohort Study.
- Author
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Mitra M, Parish SL, Clements KM, Zhang J, and Simas TAM
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- Adolescent, Adult, Female, Gestational Age, Humans, Longitudinal Studies, Massachusetts, Pregnancy, Retrospective Studies, United States, Young Adult, Developmental Disabilities, Hospitalization statistics & numerical data, Intellectual Disability, Pregnancy Complications therapy
- Abstract
This population-based retrospective cohort study examines the prevalence of hospital utilization during pregnancy and the primary reason for antenatal hospital utilization among women with intellectual and developmental disabilities (IDD). Massachusetts residents with in-state deliveries that were ≥ 20 weeks gestational age were included via data from the 2002-2009 Massachusetts Pregnancy to Early Life Longitudinal Data System. Among women with IDD, 54.8% had at least one emergency department (ED) visit during pregnancy, compared to 23% of women without IDD. Women with IDD were more likely to have an antenatal ED visit, observational stays, and non-delivery hospital stays. This study highlights the need for further understanding of the health care needs of women with IDD during pregnancy.
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- 2018
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7. Associations Between Early Intervention Home Visits, Family Relationships and Competence for Mothers of Children with Developmental Disabilities.
- Author
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Crossman MK, Warfield ME, Kotelchuck M, Hauser-Cram P, and Parish SL
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- Adult, Child, Preschool, Family Relations, Female, Humans, Infant, Longitudinal Studies, Male, Massachusetts, New Hampshire, Developmental Disabilities diagnosis, Developmental Disabilities psychology, Developmental Disabilities therapy, Early Intervention, Educational methods, House Calls, Mothers psychology, Parenting psychology, Social Support
- Abstract
Objectives To examine the association between intensity of home visits in early intervention (EI), perceived helpfulness of home visits in EI, and positive family relationships as predictors of maternal competence at age 3, as well as moderating effects of predictors, controlling for child characteristics, family demographics, and negative life events. Methods Data were drawn from the Early Intervention Collaborative Study (EICS), a 24-year longitudinal investigation of approximately 190 families of children with developmental disabilities who participated in EI programs in Massachusetts and New Hampshire. The primary analytic strategy was multivariable regression modeling. Each independent predictor was tested individually and then all together to build the final model. Interactions between independent predictors were also examined. Results After controlling for child and family characteristics and negative life events, the intensity of home visits was not significantly associated with maternal competence at age 3. However, the helpfulness of home visits (β = 2.94, S.E. = 1.12, p < .01) and positive family relationships (β = 5.11, S.E. = 1.08, p < .001) were associated with higher maternal competence when the child was 3 years old. Conclusions for Practice Recommendations for programs and policy include collecting life course data on families, particularly on their family relationships and experiences in EI and home visiting, assessing family relationships at the beginning of EI using a strengths-based perspective, and closely monitoring the quality of services.
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- 2018
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8. Pregnancy outcomes among women with intellectual and developmental disabilities.
- Author
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Mitra M, Parish SL, Clements KM, Cui X, and Diop H
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- Adult, Black or African American, Age Factors, Female, Hispanic or Latino, Humans, Infant, Low Birth Weight, Massachusetts, Pregnancy, Premature Birth epidemiology, Prenatal Care statistics & numerical data, Smoking epidemiology, Socioeconomic Factors, United States epidemiology, White People, Developmental Disabilities epidemiology, Pregnancy Outcome epidemiology
- Abstract
Background: There is currently no population-based research on the maternal characteristics or birth outcomes of U.S. women with intellectual and developmental disabilities (IDDs). Findings from small-sample studies among non-U.S. women indicate that women with IDDs and their infants are at higher risk of adverse health outcomes., Purpose: To describe the maternal characteristics and outcomes among deliveries to women with IDDs and compare them to women with diabetes and the general obstetric population., Methods: Data from the 1998-2010 Massachusetts Pregnancy to Early Life Longitudinal database were analyzed between November 2013 and May 2014 to identify in-state deliveries to Massachusetts women with IDDs., Results: Of the 916,032 deliveries in Massachusetts between 1998 and 2009, 703 (<0.1%) were to women with IDDs. Deliveries to women with IDDs were to those who were younger, less educated, more likely to be black and Hispanic, and less likely to be married. They were less likely to identify the father on the infant's birth certificate, more likely to smoke during pregnancy, and less likely to receive prenatal care during the first trimester compared to deliveries to women in the control groups (p<0.01). Deliveries to women with IDDs were associated with an increased risk of adverse outcomes, including preterm delivery, very low and low birth weight babies, and low Apgar scores., Conclusions: Women with IDDs are at a heightened risk for adverse pregnancy outcomes. These findings highlight the need for a systematic investigation of the pregnancy-related risks, complications, costs, and outcomes of women with IDDs., (Copyright © 2015 American Journal of Preventive Medicine. Published by Elsevier Inc. All rights reserved.)
- Published
- 2015
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