Pregnancy in Women With Physical Disabilities

Smeltzer, Suzanne C.

doi:10.1111/j.1552-6909.2006.00121.x

Cited by 148 publications

(82 citation statements)

References 18 publications

(12 reference statements)

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“…Therefore the relationship between the mother and her maternity service provider and other health providers needs to be carefully negotiated and discussed, with the providers recognising that disabled women want to receive care that is centred on their needs and allows them to have control, supported by the expertise of the 'practitioner partner/s' (Clarke, 2009;Curtis, 1997;Kaiser A, Reid D, Boschen, 2012, Mitton, Treharne, Hale, Williams & Kitas, 2007Thomas &). This can contribute to mothers having better quality of care and a positive birth experience (Kayes, McPherson, 2012;McPherson, Headrick & Moss, 2001;Smeltzer, 2007;Walsh Gallagher, Sinclair, Conkey, 2012).…”

Section: Discussionmentioning

confidence: 99%

Taking It Into Account: Caring for Disabled Mothers During Pregnancy and Birth

Payne¹,

B²,

Roy³

et al. 2014

Int J Childbirth

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BackgroundAlthough more disabled women are pursuing motherhood over time, little is known about their needs and experiences in achieving this goal. MethodsA three-phase study was designed with the aim of identifying ways for services to be more responsive for women living with physical or sensory impairment during and after pregnancy. This paper draws on the qualitative phases of a three-part mixed method study, which involved individual and focus group interviews with the women and maternity and child health practitioners ResultsSixty-two mothers with either a physical or a sensory impairment, and 28 health practitioners participated in the study. Three themes were identified in relation to the current approaches to service provision: that the women were often responsible for educating the practitioners about their impairment; they often encountered disabling environments and; it was not uncommon for them to also encounter disabling attitudes from others. Strategies suggested by our participants to improve the provision of maternity services were for women's impairments to be taken into account in the structure and process of service provision, and for practitioners to problem solve and think ahead of how to meet the needs of disabled mothers. ConclusionThe need to take the woman's impairment into account was an overarching issue and strategy identified by both women and practitioners. This consideration has relevance not just at the practitioner/women interaction level but also for educational, structural service provision and policy levels.2

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Section: Discussionmentioning

confidence: 99%

Taking It Into Account: Caring for Disabled Mothers During Pregnancy and Birth

Payne¹,

B²,

Roy³

et al. 2014

Int J Childbirth

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“…4 When compared to 2009 statistics, this number represents a slight decrease but nonetheless Ireland continues to record the highest number of births in the European Union (Eurostat 2012). Just like any other women in Irish society, women with a disability 5 have similar desires and expectations regarding motherhood (Kallianes and Rubenfeld 1997, Thomas 1997, Thomas and Curtis 1997, Thomas 1998, Faber 2000, Grue and Tafjord-Laérum 2002, McKeever et al 2003, Prilleltensky 2003, McFarlene 2004, McKay-Moffat and Cunningham 2006, Smeltzer 2007, Malacrida 2009, Begley et al 2010. Becoming a mother is, for many of these women, a symbolic act providing them with a sense of normality; it signifies a capturing of a gender or recapturing of a lost gender, where motherhood and the social status of mother, and not their disability becomes their defining characteristic (Kallianes and Rubenfeld 1997, Grue and Tafjord-Laérum 2002, Prilleltensky 2003, Prilleltensky 2004a, Lee and Oh 2005, Walsh-Gallagher et al 2012).…”

Section: Background and Context To This Studymentioning

confidence: 99%

(Re)constructing Myself: the process of transition to motherhood for women with a disability

Lawler

Begley

Lalor

2015

Journal of Advanced Nursing

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Aim This paper presents a substantive theory that explains the transition to motherhood for women with a disability. Background Over the last thirty years, interest in exploring women's experiences of motherhood has increased. Extant theories on transition to motherhood originate, primarily, from the perspective and experiences of non‐disabled women with few exploring the phenomenon from the perspective and experiences of women with a disability. Those that do tend to focus on issues of accessibility, profiling the challenges that women with a disability encounter while accessing maternity services, attaining a maternal role and fulfilling the requirements of that role. Little is known about the experiences of women with a disability and their transition to motherhood and even less about the relationship of this process on the self. Design The study was conducted using a Strauss and Corbin approach to grounded theory. Method Individual interviews (n = 22) were conducted over 4 years (2008–2012). Women were interviewed during pregnancy and in the postnatal period. All interviews were recorded, transcribed verbatim, imported into Nvivo 8 and analysed using the constant comparative method. Findings The substantive theory that emerged from the study provides a conceptual framework clinicians can reference when counselling, assisting and facilitating women with a disability during their preparation for and transition to motherhood. Conclusion The substantive theory presented in this paper will increase clinicians' understanding of the process involved in the transition to motherhood for women with a disability.

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“…When family members show themselves to be hostile or doubtful in relation to this context, it becomes viable for the nurse to intermediate the dialogue between the woman with a disability and her family members in a welcoming environment, such that her abilities may be discussed and understood among the members of the family. 11 In relation to interviewee I4, this woman faced the isolation imposed in the hospital institution, due to her family members being impeded from being present when she was admitted as an inpatient. The difficulty in the companion's access in the hospitals during labor and childbirth of women with disability was also observed in another study, in which it was highlighted that the women giving birth met resistance from the professionals due to the institution's policy, letting them down due to not allowing a companion whom they trust as a subject of support.…”

Section: Referring To the Absence Of Supportmentioning

confidence: 99%

“…Nevertheless, some women with disabilities are reluctant to ask questions, in particular to the health professionals. 11 For this reason, it is necessary to promote a space in which they may be listened to carefully and made comfortable to raise their doubts.…”

mentioning

confidence: 99%

The Support Network in Pregnancy and Childbirth: The Conceptions of Women With Physical Disability

Carvalho

Brito

2016

Texto contexto - enferm.

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This study aimed to investigate the conception of women with physical disability regarding the support network for the exercising of motherhood. It is descriptive-exploratory research, with qualitative approach, whose data were collected through semistructured interviews with 12 women with physical disability, undertaken between April and June 2014. The technique of thematic analysis was used for the treatment of the information, and Symbolic Interactionism was used as the theoretical framework. The interviewees reported the importance of the support of the partner, of family members, and of health professionals, during pregnancy and the postpartum, for them to be able to exercise the maternal role. The absence of this support influenced their conceptions regarding their capacity in this function. One can observe the need to promote the reproductive health of the person with a disability, so as to mitigate the stigmas and thus provide them with appropriate support. In addition to this, the health professionals must be trained to understand holistically their needs and rights.

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Pregnancy in Women With Physical Disabilities

Cited by 148 publications

References 18 publications

Taking It Into Account: Caring for Disabled Mothers During Pregnancy and Birth

Taking It Into Account: Caring for Disabled Mothers During Pregnancy and Birth

(Re)constructing Myself: the process of transition to motherhood for women with a disability

The Support Network in Pregnancy and Childbirth: The Conceptions of Women With Physical Disability

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