Removing Service Barriers for Women With Physical Disabilities: Promoting Accessibility in the Gynecologic Care Setting

Schopp, Laura H.; Sanford, Tiffany; Hagglund, Kristofer J.; Gay, John W.; Coatney, Mary Ann

doi:10.1016/s1526-9523(02)00216-7

Cited by 70 publications

(50 citation statements)

References 19 publications

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“…These negative, patriarchal attitudes heightened the woman's sense of vulnerability, sense of insecurity, isolation and marginalisation (Welner 1997, Schopp et al 2002, McGuinness 2006, Begley et al 2009b. The reconstructions also revealed how these women continue to be labelled, stereotyped, stigmatised and perceived as being dependent, in need of sympathy and pity (Lipson and Rogers 2000, Clark 2002, Prilleltensky 2003, RCN 2007, a perception that was incongruent with the women's perceptions of the self.…”

Section: Interactions With Caregiversmentioning

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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Section: Interactions With Caregiversmentioning

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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“…6,15,[18][19][20][21] Physical limitations, both in getting to physicians' offices and within physicians' offices, such as getting on the examination table, have also been identified as potentially influencing screening practices for women with disabilities. 8,[22][23][24][25] Physicians' "self-identified lack of confidence" (in appropriately treating patients with disabilities) has been noted in the literature. [26][27][28] Physician recommendation is known to be an important predictor of cervical cancer screening.…”

Section: Explanation and Comparison With Other Studiesmentioning

confidence: 99%

Screening for cervical cancer in women with disability and multimorbidity: a retrospective cohort study in Ontario, Canada

et al. 2014

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Background: People with disability, multiple chronic conditions or both may experience challenges in accessing primary care. We aimed to determine the association between appropriate cervical cancer screening and level of disability among women eligible for screening in Ontario and the influence of relevant sociodemographic and health-related variables, including level of morbidity (measured by number of chronic conditions), on screening. Methods:We used multiple linked databases, including 2 waves of the Canadian Community Health Survey (2005 and 2007/08). Of the 22 824 women included in the study, 7600 reported some level of disability. We used Ontario Health Insurance Plan fee codes to identify appropriate cervical cancer screening.Results: Compared with women without disability, women with disability were older, less educated, had lower income and had more chronic conditions (36.2% had at least 2 conditions v. 8.4% of women without disability). Women with no disability and no chronic conditions were more frequently screened appropriately than those with severe disability and 2 or more chronic conditions (64.5% v. 39.8%). In multivariable logistic regression analysis, age, rurality, education, marital status and household income were each independently associated with cervical cancer screening. There was a significant interaction between level of morbidity and level of disability. Women with a higher level of disability were less likely to be screened than women with lower level of disability as their level of morbidity increased. Conclusion:The rate of screening for cervical cancer is low among women with both disability and multimorbidity. Policymakers should note these results as they work toward improving cancer screening rates for an aging population with complex medical needs. AbstractCMAJ OPEN, 2(4) E241

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“…In addition, health-care providers' knowledge 11 and accessibility as well as the availability of services [12][13][14][15] have been assessed. However, different topics related to pregnancy and SCI care are still under-researched and therefore require more focused research.…”

Section: Introductionmentioning

confidence: 99%

Medical complications during pregnancy and childbirth in women with SCI in Switzerland

et al. 2015

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Study design: A retrospective interview study of mothers with spinal cord injuries (SCIs) who gave birth over the last 15 years. Objectives: To identify the medical complications of women with SCIs during pregnancy and childbirth in Switzerland and to describe how they dealt with these complications. Settings: Swiss Paraplegic Research in Nottwil, the University of Lausanne and participants' homes. Methods: Data were collected by self-reported questionnaires and descriptive analysis was conducted. Results: Seventeen women with SCIs who gave birth to 23 children were included. Thirteen of the women were paraplegics and four were tetraplegics. All of them practiced an independent bladder management. Three women changed their bladder management techniques during pregnancy. Five women reported an increased bladder evacuation frequency during pregnancy, and six women reported a new onset or increase in incontinence. We observed no significant increase in bowel dysfunction or skin breakdown due to their pregnancies. Ten women were hospitalised during the course of their pregnancies. Aside from urinary tract infections/ pyelonephritis, women were hospitalised for falls, hypertension, pneumonia, preeclampsia, pre-term labour or tachycardia. Conclusion:The results of our study clearly demonstrated that, although medical complications are not infrequent during pregnancy in women with SCIs, pregnancy and delivery in this group of women are possible without posing intolerable risks to the mothers or the children. Urological problems seemed to be the most frequent complication during pregnancy.

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Removing Service Barriers for Women With Physical Disabilities: Promoting Accessibility in the Gynecologic Care Setting

Cited by 70 publications

References 19 publications

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

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

Screening for cervical cancer in women with disability and multimorbidity: a retrospective cohort study in Ontario, Canada

Medical complications during pregnancy and childbirth in women with SCI in Switzerland

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