{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,16]],"date-time":"2026-10-16T02:55:13Z","timestamp":1792119313326,"version":"4.4.0"},"reference-count":50,"publisher":"Guttmacher Institute","issue":"3","license":[{"start":{"date-parts":[[2018,5,29]],"date-time":"2018-05-29T00:00:00Z","timestamp":1527552000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Perspect Sexual Reproductive"],"published-print":{"date-parts":[[2018,9]]},"abstract":"<jats:sec><jats:title>CONTEXT<\/jats:title><jats:p>Women with intellectual and developmental disabilities who experience pregnancy, like all women, require postpartum care that supports their contraceptive knowledge and decision making. Yet, little is known about the postpartum contraceptive care these women receive, or how it compares with care given to other women.<\/jats:p><\/jats:sec><jats:sec><jats:title>METHODS<\/jats:title><jats:p>A population\u2010based study using linked health and social services administrative data examined provision of postpartum contraceptive care to women who had a live birth in Ontario, Canada, in 2002\u20132014 and were beneficiaries of Ontario's publicly funded drug plan. Modified Poisson regression was used to compare care between 1,181 women with and 36,259 women without intellectual and developmental disabilities. Outcomes were provision of any nonbarrier contraceptive in the year following the birth and type of method provided.<\/jats:p><\/jats:sec><jats:sec><jats:title>RESULTS<\/jats:title><jats:p>In the first year postpartum, women with intellectual and developmental disabilities were provided with contraceptives at a higher rate than were other women (relative risk 1.3); the difference was significant for both nonsurgical and surgical methods (1.2 and 1.8, respectively). The higher rate of nonsurgical contraceptive provision was explained by provision of injectables (1.9); there were no differences for pills or IUDs.<\/jats:p><\/jats:sec><jats:sec><jats:title>CONCLUSION<\/jats:title><jats:p>Nonbarrier contraceptives may be the most appropriate methods for some women with intellectual and developmental disabilities. However, future research should investigate why women with such disabilities are more likely than others to receive injectable contraceptives, which have possible negative side effects, and surgical contraception, which is irreversible. Research also should investigate how these women perceive their participation in contraceptive decision making.<\/jats:p><\/jats:sec>","DOI":"10.1363\/psrh.12060","type":"journal-article","created":{"date-parts":[[2018,5,29]],"date-time":"2018-05-29T20:46:38Z","timestamp":1527626798000},"page":"93-99","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":13,"title":["Contraceptive Provision to Postpartum Women With Intellectual and Developmental Disabilities: A Population\u2010Based Cohort Study"],"prefix":"10.1363","volume":"50","author":[{"given":"Hilary K.","family":"Brown","sequence":"first","affiliation":[{"name":"Assistant professor, Interdisciplinary Centre for Health and Society University of Toronto Scarborough, and Institute for Clinical Evaluative Sciences (ICES)  Toronto, Ontario"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yolanda A.","family":"Kirkham","sequence":"additional","affiliation":[{"name":"Assistant professor, Department of Gynecology Women's College Hospital  Toronto"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yona","family":"Lunsky","sequence":"additional","affiliation":[{"name":"Professor, Centre for Addiction and Mental Health, and ICES  Toronto"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Virginie","family":"Cobigo","sequence":"additional","affiliation":[{"name":"Associate professor, School of Psychology University of Ottawa, and ICES  Ottawa, Ontario"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Simone N.","family":"Vigod","sequence":"additional","affiliation":[{"name":"Associate professor, Women's College Research Institute Women's College Hospital, and ICES  Toronto"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"259","published-online":{"date-parts":[[2018,5,29]]},"reference":[{"key":"e_1_2_6_2_1","unstructured":"Royal College of Midwives Position Paper 11a: Maternity Care for Women with Disabilities 2000 http:\/\/www.lul.se\/Global\/HOH\/SUF_kunskapscentrum\/Informationsmaterial\/Info%20fr%C3%A5n%20andra%20l%C3%A4nder\/Maternity_care_for_women_with_disabilities.pdf."},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jogc.2015.10.004"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1002\/mrdd.20093"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.eurpsy.2004.04.008"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ridd.2010.12.018"},{"key":"e_1_2_6_7_1","volume-title":"Intellectual Disability: Definition, Classification, and Systems of Supports","author":"Schalock RL","year":"2010"},{"key":"e_1_2_6_8_1","doi-asserted-by":"publisher","DOI":"10.1007\/BF01101735"},{"key":"e_1_2_6_9_1","unstructured":"United Nations General Assembly Convention on the Rights of Persons with Disabilities New York 2006 http:\/\/www.un.org\/en\/development\/desa\/population\/migration\/generalassembly\/docs\/globalcompact\/A_RES_61_106.pdf."},{"key":"e_1_2_6_10_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.0004-8666.2003.00046.x"},{"key":"e_1_2_6_11_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.AOG.0000263915.70071.29"},{"issue":"642472","key":"e_1_2_6_12_1","article-title":"Sexual and reproductive health care for women with intellectual disabilities: a primary care perspective","volume":"2013","author":"Greenwood NW","year":"2013","journal-title":"International Journal of Family Medicine"},{"key":"e_1_2_6_13_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00404-006-0287-z"},{"key":"e_1_2_6_14_1","doi-asserted-by":"publisher","DOI":"10.1097\/AOG.0b013e3182955e58"},{"key":"e_1_2_6_15_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.295.15.1809"},{"key":"e_1_2_6_16_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1365-2788.2002.00360.x"},{"key":"e_1_2_6_17_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2788.2011.01395.x"},{"key":"e_1_2_6_18_1","doi-asserted-by":"publisher","DOI":"10.5694\/j.1326-5377.2002.tb04315.x"},{"issue":"4","key":"e_1_2_6_19_1","doi-asserted-by":"crossref","first-page":"445","DOI":"10.1542\/peds.73.4.445","article-title":"Issues in fertility control for mentally retarded female adolescents: I. 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