{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,21]],"date-time":"2026-07-21T10:26:33Z","timestamp":1784629593856,"version":"3.55.0"},"reference-count":29,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2021,3,26]],"date-time":"2021-03-26T00:00:00Z","timestamp":1616716800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Aust NZ J Obst Gynaeco"],"published-print":{"date-parts":[[2021,8]]},"abstract":"<jats:sec><jats:title>Background<\/jats:title><jats:p>In Australia, it is estimated that 9.5% of women of childbearing age have a disability; however, little is known about their perinatal outcomes. Disability status is not routinely recorded in perinatal datasets.<\/jats:p><\/jats:sec><jats:sec><jats:title>Aims<\/jats:title><jats:p>To compare the outcomes of women with a disability who received pregnancy care through a specialised disability clinic at the Royal Women\u2019s Hospital (the Women\u2019s) in Melbourne, Australia with hospital\u2010wide perinatal outcome data.<\/jats:p><\/jats:sec><jats:sec><jats:title>Materials and Methods<\/jats:title><jats:p>Routinely collected perinatal data for women who received pregnancy care from the \u2018Women with Individual Needs\u2019 (WIN) clinic from 2014\u20102018 (<jats:italic>N<\/jats:italic>\u00a0=\u00a0111) were analysed and then compared with routinely collected electronic hospital data obtained from all women who had given birth at the Women\u2019s in 2017 and 2018 (<jats:italic>N<\/jats:italic>\u00a0=\u00a015\u00a0024).<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Women who attended the WIN clinic were more likely to have a caesarean section birth (52% vs 32%; <jats:italic>P<\/jats:italic>\u00a0&lt;\u00a00.001) and give birth preterm (17% vs 4%; <jats:italic>P<\/jats:italic>\u00a0&lt;\u00a00.001) than those in the hospital\u2010wide cohort. Their infants were more likely to be low birthweight (20% vs 9%; <jats:italic>P<\/jats:italic>\u00a0&lt;\u00a00.001), require resuscitation (35% vs 11%; <jats:italic>P<\/jats:italic>\u00a0&lt;\u00a00.001), be admitted to the Neonatal Intensive Special Care Unit (29% vs 13%; <jats:italic>P<\/jats:italic>\u00a0&lt;\u00a00.001) and receive formula in hospital (54% vs 28%; P\u00a0&lt;\u00a00.001) compared to infants in the other group.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Routine maternity data collection should include identification of women with a disability to enable appropriate support and to allow further exploration of potential poorer outcomes on a larger sample, to help identify factors amenable to interventions that may improve outcomes.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ajo.13326","type":"journal-article","created":{"date-parts":[[2021,3,26]],"date-time":"2021-03-26T17:10:50Z","timestamp":1616778650000},"page":"548-553","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Perinatal outcomes of women with a disability who received pregnancy care through a specialised disability clinic in Melbourne, Australia"],"prefix":"10.1111","volume":"61","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0880-0152","authenticated-orcid":false,"given":"Charlie A.","family":"Smithson","sequence":"first","affiliation":[{"name":"Judith Lumley Centre and School of Nursing and Midwifery La Trobe University Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Helen L.","family":"McLachlan","sequence":"additional","affiliation":[{"name":"Judith Lumley Centre and School of Nursing and Midwifery La Trobe University Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michelle S.","family":"Newton","sequence":"additional","affiliation":[{"name":"Judith Lumley Centre and School of Nursing and Midwifery La Trobe University Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cherise","family":"Smith","sequence":"additional","affiliation":[{"name":"The Royal Women\u2019s Hospital Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Della A.","family":"Forster","sequence":"additional","affiliation":[{"name":"The Royal Women\u2019s Hospital Melbourne Victoria Australia"},{"name":"Judith Lumley Centre La Trobe University Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2021,3,26]]},"reference":[{"key":"e_1_2_6_2_1","unstructured":"Australian Bureau of Statistics.Disability Ageing and Carers Australia 2018. 2019. Report No.: 4430.0.30.002. Canberra: ABS."},{"key":"e_1_2_6_3_1","volume-title":"Towards a common language for functioning, disability and health: ICF","author":"World Health Organization","year":"2002"},{"key":"e_1_2_6_4_1","unstructured":"Australian Bureau of Statistics.Information paper: ABS sources of disability information Australia 2003\u20102008. 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