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Related Concept Videos

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Teratogenicity

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The ability of a drug to produce structural deformations and functional abnormalities in the developing embryo or the fetus is called teratogenicity, and the drug producing this effect is known as a teratogen. Teratogenic effects include stillbirth, miscarriage, intrauterine growth restriction, and neurocognitive delay. A teratogen may affect the embryo at different stages of development, which is important in determining the type and extent of the damage. During blastocyst formation, the early...
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Modeling Encephalopathy of Prematurity Using Prenatal Hypoxia-ischemia with Intra-amniotic Lipopolysaccharide in Rats
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Maternal Disability and Emergency Department Use for Infants.

Hilary K Brown1,2,3,4, Yona Lunsky4,5,6, Kinwah Fung4

  • 1Department of Health & Society, University of Toronto Scarborough, Toronto, Ontario, Canada.

JAMA Network Open
|May 5, 2025
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Summary
This summary is machine-generated.

Infants born to mothers with disabilities are more likely to visit the emergency department (ED). This highlights the need for better family support and accessible primary care for these children.

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Area of Science:

  • Public Health
  • Pediatrics
  • Disability Studies

Background:

  • Infants represent a high-risk group for emergency department (ED) visits.
  • Women with disabilities face social disparities and potential barriers to accessing pediatric primary care, potentially leading to increased ED utilization.

Purpose of the Study:

  • To compare emergency department (ED) utilization among infants born to mothers with and without disabilities.
  • To analyze ED visits by timing (early vs. late infancy) and acuity (high, moderate, low) in relation to maternal disability status.

Main Methods:

  • Population-based cohort study in Ontario, Canada, analyzing data from April 2008 to March 2021.
  • Maternal disability status (physical, sensory, intellectual/developmental, multiple) identified using diagnostic algorithms on pre-delivery healthcare encounters.
  • Cox proportional hazards regression used to assess the association between maternal disability and infant ED visits, adjusting for sociodemographic factors and infant characteristics.

Main Results:

  • Over 1.5 million infants were included; 12.6% were born to mothers with a disability.
  • Infants of mothers with any type of disability (physical, sensory, intellectual/developmental, multiple) showed a higher likelihood of ED visits compared to infants of mothers without disabilities.
  • This increased likelihood of ED use was consistent across different timings and acuity levels of the visits.

Conclusions:

  • Infants born to mothers with disabilities demonstrate a greater propensity for emergency department (ED) use.
  • Findings underscore the critical need for enhanced family support services and improved access to early primary care for children of mothers with disabilities.