{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,27]],"date-time":"2026-05-27T16:50:06Z","timestamp":1779900606619,"version":"3.53.1"},"reference-count":49,"publisher":"SAGE Publications","issue":"11","license":[{"start":{"date-parts":[[2016,7,9]],"date-time":"2016-07-09T00:00:00Z","timestamp":1468022400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Can J Psychiatry"],"published-print":{"date-parts":[[2016,11]]},"abstract":"<jats:sec>\n                    <jats:title>Objective:<\/jats:title>\n                    <jats:p>Women with intellectual and developmental disabilities (IDD) have high rates of adverse perinatal outcomes. However, the perinatal health of women with co-occurring IDD and mental illness (dual diagnosis) is largely unknown. Our objectives were to 1) describe a cohort of women with dual diagnosis in terms of their social and health characteristics and 2) compare their risks for adverse maternal and neonatal outcomes to those of women with IDD only.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Method:<\/jats:title>\n                    <jats:p>We conducted a population-based study using linked Ontario (Canada) health and social services administrative data to identify singleton obstetric deliveries to women with dual diagnosis ( n = 2080) and women with IDD only ( n = 1852; 2002\u20132012). Primary maternal outcomes were gestational diabetes, gestational hypertension, preeclampsia\/eclampsia, and venous thromboembolism. Primary neonatal outcomes were preterm birth, small for gestational age, and large for gestational age. We also examined several secondary outcomes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Women with dual diagnosis were more likely than women with IDD only to live in poor neighborhoods and to have prepregnancy health conditions; however, they had more frequent prenatal care. Infants born to women with dual diagnosis had increased risks for preterm birth (adjusted relative risk [aRR] 1.31, 95% confidence interval [CI] 1.08 to 1.59) and neonatal morbidity (aRR 1.35, 95% CI 1.03 to 1.76) compared with infants born to women with IDD only. All other primary and secondary outcomes were nonsignificant.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>Comorbid mental illness contributes little additional risk for adverse perinatal outcomes among women with IDD. Women with dual diagnosis and women with IDD alone require increased surveillance for maternal and neonatal complications.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/0706743716649188","type":"journal-article","created":{"date-parts":[[2016,5,6]],"date-time":"2016-05-06T01:55:06Z","timestamp":1462499706000},"page":"714-723","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":39,"title":["Perinatal Health of Women with Intellectual and Developmental Disabilities and Comorbid Mental Illness"],"prefix":"10.1177","volume":"61","author":[{"given":"Hilary K.","family":"Brown","sequence":"first","affiliation":[{"name":"Women\u2019s College Research Institute, Toronto, Ontario, Canada"},{"name":"University of Toronto, Toronto, Ontario, Canada"},{"name":"Institute for Clinical Evaluative Sciences, Toronto, Ontario, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Virginie","family":"Cobigo","sequence":"additional","affiliation":[{"name":"Institute for Clinical Evaluative Sciences, Toronto, Ontario, Canada"},{"name":"University of Ottawa, Ottawa, Ontario, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yona","family":"Lunsky","sequence":"additional","affiliation":[{"name":"University of Toronto, Toronto, Ontario, Canada"},{"name":"Institute for Clinical Evaluative Sciences, Toronto, Ontario, Canada"},{"name":"Centre for Addiction and Mental Health, Toronto, Ontario, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cindy-Lee","family":"Dennis","sequence":"additional","affiliation":[{"name":"Women\u2019s College Research Institute, Toronto, Ontario, Canada"},{"name":"University of Toronto, Toronto, Ontario, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Simone","family":"Vigod","sequence":"additional","affiliation":[{"name":"Women\u2019s College Research Institute, Toronto, Ontario, Canada"},{"name":"University of Toronto, Toronto, Ontario, Canada"},{"name":"Institute for Clinical Evaluative Sciences, Toronto, Ontario, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2016,7,9]]},"reference":[{"key":"bibr1-0706743716649188","volume-title":"Intellectual disability: definition, classification, and systems of supports","author":"American Association on Intellectual &amp; Developmental Disabilities","year":"2011","edition":"11"},{"key":"bibr2-0706743716649188","doi-asserted-by":"publisher","DOI":"10.1016\/j.ridd.2010.12.018"},{"key":"bibr3-0706743716649188","doi-asserted-by":"publisher","DOI":"10.1046\/j.1468-3148.2002.00135.x"},{"key":"bibr4-0706743716649188","unstructured":"Department of Health and Department for Education and Skills. Good practice guidance on working with parents with a learning disability [Internet]. London (UK): Department of Health and Department for Education and Skills; 2007 [cited 9 Mar 2014]. Available from: http:\/\/webarchive.nationalarchives.gov.uk\/20070603164513\/dh.gov.uk\/en\/publicationsandstatistics\/publications\/publicationspolicyandguidance\/dh_075119."},{"key":"bibr5-0706743716649188","doi-asserted-by":"publisher","DOI":"10.1016\/j.jogc.2015.10.004"},{"key":"bibr6-0706743716649188","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2788.2008.01061.x"},{"key":"bibr7-0706743716649188","doi-asserted-by":"publisher","DOI":"10.1111\/jir.12169"},{"key":"bibr8-0706743716649188","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-0412.2012.01509.x"},{"key":"bibr9-0706743716649188","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-0412.2012.01537.x"},{"key":"bibr10-0706743716649188","doi-asserted-by":"publisher","DOI":"10.1016\/j.amepre.2014.09.032"},{"key":"bibr11-0706743716649188","doi-asserted-by":"publisher","DOI":"10.1352\/1944-7558-120.5.433"},{"key":"bibr12-0706743716649188","author":"Brown HK","journal-title":"Br J Obstet Gynaecol"},{"key":"bibr13-0706743716649188","doi-asserted-by":"publisher","DOI":"10.1192\/bjp.bp.106.022483"},{"key":"bibr14-0706743716649188","doi-asserted-by":"publisher","DOI":"10.1176\/ps.62.8.pss6208_0830"},{"key":"bibr15-0706743716649188","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2788.2010.01294.x"},{"key":"bibr16-0706743716649188","doi-asserted-by":"publisher","DOI":"10.1352\/0895-8017(2008)113[133:POWWHM]2.0.CO;2"},{"key":"bibr17-0706743716649188","doi-asserted-by":"publisher","DOI":"10.1177\/1744629508095323"},{"key":"bibr18-0706743716649188","unstructured":"Statistics Canada. Births estimates, by province and territory [Internet]. Ottawa (ON): Statistics Canada; 2006 [cited 2015 Oct 19]. Available from: http:\/\/www.statcan.gc.ca\/tables-tableaux\/sum-som\/l01\/cst01\/demo04a-eng.htm."},{"key":"bibr19-0706743716649188","doi-asserted-by":"publisher","DOI":"10.1111\/jppi.12098"},{"key":"bibr20-0706743716649188","doi-asserted-by":"publisher","DOI":"10.1503\/cmaj.090979"},{"key":"bibr21-0706743716649188","first-page":"339","volume-title":"Patterns of health care in Ontario: the ICES practice atlas","author":"Williams JI","year":"1996"},{"key":"bibr22-0706743716649188","doi-asserted-by":"publisher","DOI":"10.1111\/jir.12002"},{"key":"bibr23-0706743716649188","volume-title":"Services and Supports to Promote the Social Inclusion of Persons with Developmental Disabilities Act","author":"Government of Ontario","year":"2008"},{"key":"bibr24-0706743716649188","unstructured":"Canadian Institute for Health Information. 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