Skip to main content
Top
Published in: Maternal and Child Health Journal 2/2015

01-02-2015

Prevalence and Risk Factors for Postpartum Depression Symptoms Among Women with Disabilities

Authors: Monika Mitra, Lisa I. Iezzoni, Jianying Zhang, Linda M. Long-Bellil, Suzanne C. Smeltzer, Bruce A. Barton

Published in: Maternal and Child Health Journal | Issue 2/2015

Login to get access

Abstract

The adverse consequences of postpartum depression on the health of the mother and her child are well documented. However, there is little information on postpartum depression among mothers with disabilities. This study examines the patterns of depression and depressive symptoms before, during and after pregnancy and the association between depression before and during pregnancy and postpartum depression symptomatology (PPD) among women with and without disabilities. Data from the 2009–2011 Rhode Island Pregnancy Risk Assessment Monitoring System (PRAMS) were analyzed in 2013. Almost 30 % (28.9 %; 95 % CI 22.8–35.8) of mothers with disabilities reported often or always feeling down, depressed or sad after childbirth compared to 10 % of those without disabilities (95 % CI 8.9–11.3). Compared to other women in the study, women with disabilities had a greater likelihood for PPD symptoms (RR 1.6, 95 % CI 1.1–2.2) after accounting for sociodemographics, maternal characteristics related to PPD, and depression before and during pregnancy. Adjusting for other covariates, self-reported prenatal diagnosis of depression was not associated with symptoms of PPD and depression during pregnancy was marginally associated with PPD symptomatology for women with disabilities. Women with disabilities are at a greater risk of experiencing symptoms of postpartum depression than other women. Screening for PPD among new mothers with disabilities and timely referral of those with PPD diagnosis are vital to the health of mothers with disabilities and their children.
Literature
1.
go back to reference Signore, C., Spong, C. Y., Krotoski, D., Shinowara, N. L., & Blackwell, S. C. (2011). Pregnancy in women with physical disabilities. Obstetrics and Gynecology, 117(4), 935.PubMedCrossRef Signore, C., Spong, C. Y., Krotoski, D., Shinowara, N. L., & Blackwell, S. C. (2011). Pregnancy in women with physical disabilities. Obstetrics and Gynecology, 117(4), 935.PubMedCrossRef
2.
go back to reference Smeltzer, S. C. (2007). Pregnancy in women with physical disabilities. Journal of Obstetric, Gynecologic, and Neonatal Nursing, 36(1), 88–96.PubMedCrossRef Smeltzer, S. C. (2007). Pregnancy in women with physical disabilities. Journal of Obstetric, Gynecologic, and Neonatal Nursing, 36(1), 88–96.PubMedCrossRef
3.
go back to reference Iezzoni, L. I., Yu, J., Wint, A. J., Smeltzer, S. C., & Ecker, J. L. (2013). Prevalence of current pregnancy among US women with and without chronic physical disabilities. Medical Care, 51(6), 555–562.PubMedCentralPubMedCrossRef Iezzoni, L. I., Yu, J., Wint, A. J., Smeltzer, S. C., & Ecker, J. L. (2013). Prevalence of current pregnancy among US women with and without chronic physical disabilities. Medical Care, 51(6), 555–562.PubMedCentralPubMedCrossRef
4.
go back to reference Walsh-Gallagher, D., Sinclair, M., & Mc Conkey, R. (2012). The ambiguity of disabled women’s experiences of pregnancy, childbirth and motherhood: A phenomenological understanding. Midwifery., 28(2), 156–162.PubMedCrossRef Walsh-Gallagher, D., Sinclair, M., & Mc Conkey, R. (2012). The ambiguity of disabled women’s experiences of pregnancy, childbirth and motherhood: A phenomenological understanding. Midwifery., 28(2), 156–162.PubMedCrossRef
5.
go back to reference Chakravarty, E. F., Nelson, L., & Krishnan, E. (2006). Obstetric hospitalizations in the United States for women with systemic lupus erythematosus and rheumatoid arthritis. Arthritis and Rheumatism, 54(3), 899–907.PubMedCrossRef Chakravarty, E. F., Nelson, L., & Krishnan, E. (2006). Obstetric hospitalizations in the United States for women with systemic lupus erythematosus and rheumatoid arthritis. Arthritis and Rheumatism, 54(3), 899–907.PubMedCrossRef
6.
go back to reference Rogers, J., & Matsumura, M. (2005). The disabled woman’s guide to pregnancy and birth. New York City: Demos Medical Publishing. Rogers, J., & Matsumura, M. (2005). The disabled woman’s guide to pregnancy and birth. New York City: Demos Medical Publishing.
7.
go back to reference Kelly, V. M., Nelson, L. M., & Chakravarty, E. F. (2009). Obstetric outcomes in women with multiple sclerosis and epilepsy. Neurology., 73(22), 1831–1836.PubMedCrossRef Kelly, V. M., Nelson, L. M., & Chakravarty, E. F. (2009). Obstetric outcomes in women with multiple sclerosis and epilepsy. Neurology., 73(22), 1831–1836.PubMedCrossRef
8.
go back to reference Bruce, M. L., Seeman, T. E., Merrill, S. S., & Blazer, D. G. (1994). The impact of depressive symptomatology on physical disability: MacArthur studies of successful aging. American Journal of Public Health, 84(11), 1796–1799.PubMedCentralPubMedCrossRef Bruce, M. L., Seeman, T. E., Merrill, S. S., & Blazer, D. G. (1994). The impact of depressive symptomatology on physical disability: MacArthur studies of successful aging. American Journal of Public Health, 84(11), 1796–1799.PubMedCentralPubMedCrossRef
9.
go back to reference Turner, R. J., & Noh, S. (1988). Physical disability and depression: A longitudinal analysis. Journal of Health and Social Behavior, 29(1), 23–37.PubMedCrossRef Turner, R. J., & Noh, S. (1988). Physical disability and depression: A longitudinal analysis. Journal of Health and Social Behavior, 29(1), 23–37.PubMedCrossRef
10.
go back to reference MacDonald, M. R., Nielson, W. R., & Cameron, M. G. (1987). Depression and activity patterns of spinal cord injured persons living in the community. Archives of Physical Medicine and Rehabilitation, 68(6), 339–343.PubMed MacDonald, M. R., Nielson, W. R., & Cameron, M. G. (1987). Depression and activity patterns of spinal cord injured persons living in the community. Archives of Physical Medicine and Rehabilitation, 68(6), 339–343.PubMed
11.
go back to reference Fullerton, D. T., Harvey, R. F., Klein, M. H., & Howell, T. (1981). Psychiatric disorders in patients with spinal cord injuries. Archives of General Psychiatry, 38(12), 1369–1371.PubMedCrossRef Fullerton, D. T., Harvey, R. F., Klein, M. H., & Howell, T. (1981). Psychiatric disorders in patients with spinal cord injuries. Archives of General Psychiatry, 38(12), 1369–1371.PubMedCrossRef
12.
go back to reference Vahle, V. J., Andresen, E. M., & Hagglund, K. J. (2000). Depression measures in outcomes research. Archives of Physical Medicine and Rehabilitation, 81(12 Suppl 2), S53–S62.PubMedCrossRef Vahle, V. J., Andresen, E. M., & Hagglund, K. J. (2000). Depression measures in outcomes research. Archives of Physical Medicine and Rehabilitation, 81(12 Suppl 2), S53–S62.PubMedCrossRef
14.
go back to reference Chevarley, F. M., Thierry, J. M., Gill, C. J., Ryerson, A. B., & Nosek, M. A. (2006). Health, preventive health care, and health care access among women with disabilities in the 1994–1995 national health interview survey, supplement on disability. Womens Health Issues, 16(6), 297–312.PubMedCrossRef Chevarley, F. M., Thierry, J. M., Gill, C. J., Ryerson, A. B., & Nosek, M. A. (2006). Health, preventive health care, and health care access among women with disabilities in the 1994–1995 national health interview survey, supplement on disability. Womens Health Issues, 16(6), 297–312.PubMedCrossRef
15.
go back to reference Centers for Disease Control and Prevention. (2008). Morbidity and mortality weekly report (MMWR). Prevalence of self-reported postpartum depressive symptoms—17 states, 2004–2005. CDC 57(14). Centers for Disease Control and Prevention. (2008). Morbidity and mortality weekly report (MMWR). Prevalence of self-reported postpartum depressive symptoms—17 states, 2004–2005. CDC 57(14).
16.
go back to reference Goodman, J. H. (2004). Postpartum depression beyond the early postpartum period. Journal of Obstetric, Gynecologic, and Neonatal Nursing, 33(4), 410–420.PubMedCrossRef Goodman, J. H. (2004). Postpartum depression beyond the early postpartum period. Journal of Obstetric, Gynecologic, and Neonatal Nursing, 33(4), 410–420.PubMedCrossRef
17.
go back to reference Vigod, S. N., Villegas, L., Dennis, C. L., & Ross, L. E. (2010). Prevalence and risk factors for postpartum depression among women with preterm and low-birth-weight infants: A systematic review. BJOG, 117(5), 540–550.PubMedCrossRef Vigod, S. N., Villegas, L., Dennis, C. L., & Ross, L. E. (2010). Prevalence and risk factors for postpartum depression among women with preterm and low-birth-weight infants: A systematic review. BJOG, 117(5), 540–550.PubMedCrossRef
18.
go back to reference Beck, C. T. (1998). The effects of postpartum depression on child development: A meta-analysis. Archives of Psychiatric Nursing, 12(1), 12–20.PubMedCrossRef Beck, C. T. (1998). The effects of postpartum depression on child development: A meta-analysis. Archives of Psychiatric Nursing, 12(1), 12–20.PubMedCrossRef
19.
go back to reference Luoma, I., Tamminen, T., Kaukonen, P., Laippala, P., Puura, K., Salmelin, R., et al. (2001). Longitudinal study of maternal depressive symptoms and child well-being. Journal of the American Academy of Child and Adolescent Psychiatry, 40(12), 1367–1374.PubMedCrossRef Luoma, I., Tamminen, T., Kaukonen, P., Laippala, P., Puura, K., Salmelin, R., et al. (2001). Longitudinal study of maternal depressive symptoms and child well-being. Journal of the American Academy of Child and Adolescent Psychiatry, 40(12), 1367–1374.PubMedCrossRef
20.
go back to reference Nelson, D. R., Hammen, C., Brennan, P. A., & Ullman, J. B. (2003). The impact of maternal depression on adolescent adjustment: The role of expressed emotion. Journal of Consulting and Clinical Psychology, 71(5), 935–944.PubMedCrossRef Nelson, D. R., Hammen, C., Brennan, P. A., & Ullman, J. B. (2003). The impact of maternal depression on adolescent adjustment: The role of expressed emotion. Journal of Consulting and Clinical Psychology, 71(5), 935–944.PubMedCrossRef
21.
go back to reference Martins, C., & Gaffan, E. A. (2000). Effects of early maternal depression on patterns of infant-mother attachment: A meta-analytic investigation. Journal of Child Psychology and Psychiatry, 41(6), 737–746.PubMedCrossRef Martins, C., & Gaffan, E. A. (2000). Effects of early maternal depression on patterns of infant-mother attachment: A meta-analytic investigation. Journal of Child Psychology and Psychiatry, 41(6), 737–746.PubMedCrossRef
22.
go back to reference Weinberg, M. K., & Tronick, E. Z. (1998). The impact of maternal psychiatric illness on infant development. Journal of Clinical Psychiatry, 59(Suppl 2), 53–61.PubMed Weinberg, M. K., & Tronick, E. Z. (1998). The impact of maternal psychiatric illness on infant development. Journal of Clinical Psychiatry, 59(Suppl 2), 53–61.PubMed
23.
24.
go back to reference O’hara, M. W., & Swain, A. M. (1996). Rates and risk of postpartum depression: A meta-analysis. Int Rev Psychiatry, 8(1), 37–54.CrossRef O’hara, M. W., & Swain, A. M. (1996). Rates and risk of postpartum depression: A meta-analysis. Int Rev Psychiatry, 8(1), 37–54.CrossRef
25.
go back to reference Altshuler, L. L., Cohen, L. S., Moline, M. L., Kahn, D. A., Carpenter, D., Docherty, J. P., et al. (2001). Treatment of depression in women: A summary of the expert consensus guidelines. J Psychiatr Pract., 7(3), 185–208.PubMedCrossRef Altshuler, L. L., Cohen, L. S., Moline, M. L., Kahn, D. A., Carpenter, D., Docherty, J. P., et al. (2001). Treatment of depression in women: A summary of the expert consensus guidelines. J Psychiatr Pract., 7(3), 185–208.PubMedCrossRef
26.
go back to reference Dennis, C. L., & Vigod, S. (2013). The relationship between postpartum depression, domestic violence, childhood violence, and substance use: Epidemiologic study of a large community sample. Violence Against Women., 19(4), 503–517.PubMedCrossRef Dennis, C. L., & Vigod, S. (2013). The relationship between postpartum depression, domestic violence, childhood violence, and substance use: Epidemiologic study of a large community sample. Violence Against Women., 19(4), 503–517.PubMedCrossRef
27.
go back to reference Dennis, C.-E., Janssen, P. A., & Singer, J. (2004). Identifying women at-risk for postpartum depression in the immediate postpartum period. Acta Psychiatrica Scand., 110(5), 338–346.CrossRef Dennis, C.-E., Janssen, P. A., & Singer, J. (2004). Identifying women at-risk for postpartum depression in the immediate postpartum period. Acta Psychiatrica Scand., 110(5), 338–346.CrossRef
28.
go back to reference Robertson, E., Grace, S., Wallington, T., & Stewart, D. E. (2004). Antenatal risk factors for postpartum depression: A synthesis of recent literature. General Hospital Psychiatry, 26(4), 289–295.PubMedCrossRef Robertson, E., Grace, S., Wallington, T., & Stewart, D. E. (2004). Antenatal risk factors for postpartum depression: A synthesis of recent literature. General Hospital Psychiatry, 26(4), 289–295.PubMedCrossRef
29.
go back to reference Clare, C. A., & Yeh, J. (2012). Postpartum depression in special populations: A review. Obstetrical & Gynecological Survey, 67(5), 313–323.CrossRef Clare, C. A., & Yeh, J. (2012). Postpartum depression in special populations: A review. Obstetrical & Gynecological Survey, 67(5), 313–323.CrossRef
30.
go back to reference Rhode Island Department of Public Health. (2009–2011). Pregnancy risk assessment monitoring system (PRAMS). Rhode Island Department of Public Health. (2009–2011). Pregnancy risk assessment monitoring system (PRAMS).
32.
33.
go back to reference Liu, C. H., & Tronick, E. (2012). Rates and predictors of postpartum depression by race and ethnicity: Results from the 2004 to 2007 New York City PRAMS survey (Pregnancy Risk Assessment Monitoring System). Maternal and Child Health Journal, 17(9), 1599–1610. Liu, C. H., & Tronick, E. (2012). Rates and predictors of postpartum depression by race and ethnicity: Results from the 2004 to 2007 New York City PRAMS survey (Pregnancy Risk Assessment Monitoring System). Maternal and Child Health Journal, 17(9), 1599–1610.
34.
go back to reference Robertson, E., Grace, S., Wallington, T., & Stewart, D. E. (2004). Antenatal risk factors for postpartum depression: A synthesis of recent literature. General Hospital Psychiatry, 26(4), 289–295.PubMedCrossRef Robertson, E., Grace, S., Wallington, T., & Stewart, D. E. (2004). Antenatal risk factors for postpartum depression: A synthesis of recent literature. General Hospital Psychiatry, 26(4), 289–295.PubMedCrossRef
35.
go back to reference Prilleltensky, O. (2003). A ramp to motherhood: The experiences of mothers with physical disabilities. Sex Disab., 21(1), 21–47.CrossRef Prilleltensky, O. (2003). A ramp to motherhood: The experiences of mothers with physical disabilities. Sex Disab., 21(1), 21–47.CrossRef
36.
go back to reference Nosek, M. A., Young, M. E., Rintala, D. H., Howland, C. A., Foley, C. C., & Bennett, J. L. (1995). Barriers to reproductive health maintenance among women with physical disabilities. Journal of Women’s Health., 4(5), 505–518.CrossRef Nosek, M. A., Young, M. E., Rintala, D. H., Howland, C. A., Foley, C. C., & Bennett, J. L. (1995). Barriers to reproductive health maintenance among women with physical disabilities. Journal of Women’s Health., 4(5), 505–518.CrossRef
37.
go back to reference Office of the Surgeon General (US), Office on Disability (US). (2005). The Surgeon General’s call to action to improve the health and wellness of persons with disabilities. Rockville, MD: US Department of Health and Human Services. Office of the Surgeon General (US), Office on Disability (US). (2005). The Surgeon General’s call to action to improve the health and wellness of persons with disabilities. Rockville, MD: US Department of Health and Human Services.
38.
go back to reference Breslin, M. L., & Yee, S. (2009). The current state of health care for people with disabilities. Washington, DC: National Council on Disability. Breslin, M. L., & Yee, S. (2009). The current state of health care for people with disabilities. Washington, DC: National Council on Disability.
39.
go back to reference Mason, M. G., & Long-Bellil, L. (2012). Taking care: Lessons from mothers with disabilities. Lanham, Maryland: University Press of America. Mason, M. G., & Long-Bellil, L. (2012). Taking care: Lessons from mothers with disabilities. Lanham, Maryland: University Press of America.
40.
go back to reference Smeltzer, S. C. (2002). Reproductive decision making in women with multiple sclerosis. Journal of Neuroscience Nursing, 34(3), 145.PubMedCrossRef Smeltzer, S. C. (2002). Reproductive decision making in women with multiple sclerosis. Journal of Neuroscience Nursing, 34(3), 145.PubMedCrossRef
41.
go back to reference Llewellyn, G., & McConnell, D. (2002). Mothers with learning difficulties and their support networks. Journal of Intellectual Disability Research, 46(Pt 1), 17–34.PubMedCrossRef Llewellyn, G., & McConnell, D. (2002). Mothers with learning difficulties and their support networks. Journal of Intellectual Disability Research, 46(Pt 1), 17–34.PubMedCrossRef
42.
go back to reference Ross, L. E., & Dennis, C. L. (2009). The prevalence of postpartum depression among women with substance use, an abuse history, or chronic illness: A systematic review. J Womens Health (Larchmt)., 18(4), 475–486.CrossRef Ross, L. E., & Dennis, C. L. (2009). The prevalence of postpartum depression among women with substance use, an abuse history, or chronic illness: A systematic review. J Womens Health (Larchmt)., 18(4), 475–486.CrossRef
43.
go back to reference Larrabee, K. D., Monga, M., Eriksen, N., & Helfgott, A. (1996). Quality of life assessment in pregnant women with the human immunodeficiency virus. Obstetrics and Gynecology, 88(6), 1016–1020.PubMedCrossRef Larrabee, K. D., Monga, M., Eriksen, N., & Helfgott, A. (1996). Quality of life assessment in pregnant women with the human immunodeficiency virus. Obstetrics and Gynecology, 88(6), 1016–1020.PubMedCrossRef
44.
go back to reference Ethier, K. A., Ickovics, J. R., Fernandez, M. I., Wilson, T. E., Royce, R. A., Koenig, L. J., et al. (2002). The perinatal guidelines evaluation project HIV and pregnancy study: Overview and cohort description. Public Health Reports, 117(2), 137–147.PubMedCentralPubMedCrossRef Ethier, K. A., Ickovics, J. R., Fernandez, M. I., Wilson, T. E., Royce, R. A., Koenig, L. J., et al. (2002). The perinatal guidelines evaluation project HIV and pregnancy study: Overview and cohort description. Public Health Reports, 117(2), 137–147.PubMedCentralPubMedCrossRef
45.
go back to reference Chaaya, M., Campbell, O. M., El Kak, F., Shaar, D., Harb, H., & Kaddour, A. (2002). Postpartum depression: Prevalence and determinants in Lebanon. Arch Womens Ment Health., 5(2), 65–72.PubMedCentralPubMedCrossRef Chaaya, M., Campbell, O. M., El Kak, F., Shaar, D., Harb, H., & Kaddour, A. (2002). Postpartum depression: Prevalence and determinants in Lebanon. Arch Womens Ment Health., 5(2), 65–72.PubMedCentralPubMedCrossRef
46.
go back to reference Forger, F., Ostensen, M., Schumacher, A., & Villiger, P. M. (2005). Impact of pregnancy on health related quality of life evaluated prospectively in pregnant women with rheumatic diseases by the SF-36 health survey. Annals of the Rheumatic Diseases, 64(10), 1494–1499.PubMedCentralPubMedCrossRef Forger, F., Ostensen, M., Schumacher, A., & Villiger, P. M. (2005). Impact of pregnancy on health related quality of life evaluated prospectively in pregnant women with rheumatic diseases by the SF-36 health survey. Annals of the Rheumatic Diseases, 64(10), 1494–1499.PubMedCentralPubMedCrossRef
47.
go back to reference Weinberg, M. K., & Tronick, E. Z. (1998). The impact of maternal psychiatric illness on infant development. Journal of Clinical Psychiatry, 59(Suppl 2), 53–61.PubMed Weinberg, M. K., & Tronick, E. Z. (1998). The impact of maternal psychiatric illness on infant development. Journal of Clinical Psychiatry, 59(Suppl 2), 53–61.PubMed
48.
go back to reference Thomas, C., & Curtis, P. (1997). Having a baby: Some disabled women’s reproductive experiences. Midwifery., 13(4), 202–209.PubMedCrossRef Thomas, C., & Curtis, P. (1997). Having a baby: Some disabled women’s reproductive experiences. Midwifery., 13(4), 202–209.PubMedCrossRef
49.
go back to reference Mitra, M., Lu, E., & Diop, H. (2012). Smoking among pregnant women with disabilities. Womens Health Issues., 22(2), e233–e239.PubMedCrossRef Mitra, M., Lu, E., & Diop, H. (2012). Smoking among pregnant women with disabilities. Womens Health Issues., 22(2), e233–e239.PubMedCrossRef
50.
go back to reference Mitra, M., Manning, S. E., & Lu, E. (2012). Physical abuse around the time of pregnancy among women with disabilities. Maternal and Child Health Journal, 16(4), 802–806.PubMedCrossRef Mitra, M., Manning, S. E., & Lu, E. (2012). Physical abuse around the time of pregnancy among women with disabilities. Maternal and Child Health Journal, 16(4), 802–806.PubMedCrossRef
51.
go back to reference Lipson, J. G., & Rogers, J. G. (2000). Pregnancy, birth, and disability: Women’s health care experiences. Health Care for Women International, 21(1), 11–26.PubMedCrossRef Lipson, J. G., & Rogers, J. G. (2000). Pregnancy, birth, and disability: Women’s health care experiences. Health Care for Women International, 21(1), 11–26.PubMedCrossRef
52.
go back to reference Blackford, K. A., Richardson, H., & Grieve, S. (2000). Prenatal education for mothers with disabilities. Journal of Advanced Nursing, 32(4), 898–904.PubMed Blackford, K. A., Richardson, H., & Grieve, S. (2000). Prenatal education for mothers with disabilities. Journal of Advanced Nursing, 32(4), 898–904.PubMed
53.
go back to reference Andrade, S. E., Scott, P. E., Davis, R. L., Li, D. K., Getahun, D., Cheetham, T. C., et al. (2013). Validity of health plan and birth certificate data for pregnancy research. Pharmacoepidemiology and Drug Safety, 22(1), 7–15.PubMedCentralPubMedCrossRef Andrade, S. E., Scott, P. E., Davis, R. L., Li, D. K., Getahun, D., Cheetham, T. C., et al. (2013). Validity of health plan and birth certificate data for pregnancy research. Pharmacoepidemiology and Drug Safety, 22(1), 7–15.PubMedCentralPubMedCrossRef
54.
go back to reference Kane, D. J., & Sappenfield, W. M. (2014). Ascertainment of medicaid payment for delivery on the Iowa birth certificate: Is accuracy sufficient for timely policy and program relevant analysis? Maternal and Child Health Journal, 18(4), 970–977.PubMedCrossRef Kane, D. J., & Sappenfield, W. M. (2014). Ascertainment of medicaid payment for delivery on the Iowa birth certificate: Is accuracy sufficient for timely policy and program relevant analysis? Maternal and Child Health Journal, 18(4), 970–977.PubMedCrossRef
55.
go back to reference Mason, L. R., Nam, Y., & Kim, Y. (2014). Validity of infant race/ethnicity from birth certificates in the context of U.S. demographic change. Health Services Research, 49(1), 249–267.PubMedCrossRef Mason, L. R., Nam, Y., & Kim, Y. (2014). Validity of infant race/ethnicity from birth certificates in the context of U.S. demographic change. Health Services Research, 49(1), 249–267.PubMedCrossRef
Metadata
Title
Prevalence and Risk Factors for Postpartum Depression Symptoms Among Women with Disabilities
Authors
Monika Mitra
Lisa I. Iezzoni
Jianying Zhang
Linda M. Long-Bellil
Suzanne C. Smeltzer
Bruce A. Barton
Publication date
01-02-2015
Publisher
Springer US
Published in
Maternal and Child Health Journal / Issue 2/2015
Print ISSN: 1092-7875
Electronic ISSN: 1573-6628
DOI
https://doi.org/10.1007/s10995-014-1518-8

Other articles of this Issue 2/2015

Maternal and Child Health Journal 2/2015 Go to the issue