title: Pregnancy, prenatal care, and delivery of mothers with disabilities in Korea.
abstract: The aim of this study was to investigate the whole picture regarding pregnancy, prenatal care, obstetrical complications, and delivery among disabled pregnant women in Korea. Using the data of National Health Insurance Corporation, we extracted the data of women who terminated pregnancy including delivery and abortion from January 1, 2010 to December 31, 2010. Pearson's chi-square test and Student-t test were conducted to examine the difference between disabled women and non-disabled women. Also, to define the factors affecting inadequate prenatal care, logistic regression was performed. The total number of pregnancy were 463,847; disabled women was 2,968 (0.6%) and 460,879 (99.4%) were by non-disabled women. Abortion rates (27.6%), Cesarean section rate (54.5%), and the rate of receiving inadequate prenatal care (17.0%), and the rate of being experienced at least one obstetrical complication (11.3%) among disabled women were higher than those among non-disabled women (P < 0.001). Beneficiaries of Medical Aid (OR, 2.21) (P < 0.001) and severe disabled women (OR, 1.46) (P = 0.002) were more likely to receive inadequate prenatal care. In conclusion, disabled women are more vulnerable in pregnancy, prenatal care and delivery. Therefore, the government and society should pay more attention to disabled pregnant women to ensure they have a safe pregnancy period up until the delivery.
authors: Department of Medical Administration, Daejeon Health Sciences College, Daejeon, Korea.
authors: Nam Gu
authors: 0000-0002-9351-6422
authors: NG
authors: Lim
authors: Public Health Medical Service, Seoul National University Boramae Medical Center, Seoul, Korea.
authors: Jin Yong
authors: 0000-0002-7752-2697
authors: JY
authors: Lee
authors: Department of Emergency Medicine, Seoul National University Hospital, Seoul, Korea.
authors: Ju Ok
authors: 0000-0002-1024-3626
authors: JO
authors: Park
authors: Institute of Health Policy and Management, Medical Research Center, Seoul National University, Seoul, Korea.
authors: Jung-A
authors: 0000-0001-9724-2417
authors: JA
authors: Lee
authors: JW LEE Center for Global Medicine, Seoul National University College of Medicine, Seoul, Korea.
authors: Juhwan
authors: 0000-0002-0784-5108
authors: J
authors: Oh
mesh_terms: D000028:Abortion, Induced / Q000706:statistics & numerical data*; D000328:Adult; D002585:Cesarean Section / Q000706:statistics & numerical data*; D036861:Delivery, Obstetric / Q000706:statistics & numerical data*; D006233:Persons with Disabilities / Q000706:statistics & numerical data*; D005260:Female; D006801:Humans; D009035:Mothers / Q000706:statistics & numerical data; D011247:Pregnancy; D011248:Pregnancy Complications; D011295:Prenatal Care / Q000706:statistics & numerical data*; D056910:Republic of Korea; D055815:Young Adult
keywords: Delivery, Obstetric; Disabled Women; Obstetrical Complications; Pregnancy; Prenatal Care
references: Am J Public Health. 1979 Jul;69(7):653-60
references: 453391
references: Am J Public Health. 1984 Sep;74(9):1003-8
references: 6465400
references: Am J Obstet Gynecol. 1995 Jun;172(6):1764-7; discussion 1767-70
references: 7778630
references: Arch Phys Med Rehabil. 1996 May;77(5):501-7
references: 8629929
references: Rheum Dis Clin North Am. 1997 Feb;23(1):195-212
references: 9031383
references: Am J Public Health. 1997 Jan;87(1):85-90
references: 9065233
references: J Korean Med Sci. 2014 Jun;29(6):764-70
references: 24932075
references: Am J Obstet Gynecol. 2007 Jun;196(6):499-507
references: 17547873
references: CMAJ. 2007 Sep 11;177(6):583-90
references: 17846440
references: Int J Gynaecol Obstet. 2011 Jan;112(1):25-9
references: 21056416
references: BMC Public Health. 2011;11:606
references: 21801399
references: Midwifery. 2012 Apr;28(2):156-62
references: 21570753
references: BMC Pregnancy Childbirth. 2012;12:31
references: 22540347
references: Womens Health Issues. 2006 Nov-Dec;16(6):313-22
references: 17188214