The Impact of Physical Disability on Pregnancy and Childbirth
| Autor: | Lauren D. Smith, Lisa I. Iezzoni, Monika Mitra, Linda M. Long-Bellil, Suzanne C. Smeltzer |
|---|---|
| Rok vydání: | 2017 |
| Předmět: |
Adult
Health Knowledge Attitudes Practice medicine.medical_specialty Physical disability Pregnancy High-Risk Pain relief Mothers Interview guide Interviews as Topic 03 medical and health sciences 0302 clinical medicine Pregnancy medicine Humans Childbirth Disabled Persons 030212 general & internal medicine Protein Precursors reproductive and urinary physiology Qualitative Research 030219 obstetrics & reproductive medicine business.industry Parturition Prenatal Care Original Articles General Medicine Delivery Obstetric medicine.disease Health equity Pregnancy Complications Macrophage-Activating Factors Family medicine Physical therapy Female business High risk pregnancy |
| Zdroj: | Journal of Women's Health. 26:878-885 |
| ISSN: | 1931-843X 1540-9996 |
| Popis: | Women with physical disabilities increasingly aspire to become pregnant and bear children. Limited information about the potential interaction of their disabling conditions with pregnancy and childbirth exists to guide these women and their clinicians.The interview guide was created with questions on topics such as pregnancy complications and secondary conditions, the impact of prior surgeries, experiences with pain relief during labor, and the impact on women's independence and participation in life activities. Interviews were conducted by telephone with 25 women with physical disabilities. They were subsequently transcribed verbatim and analyzed by using Atlas TI.Women generally reported a relatively modest impact of disabling conditions on their pregnancies. Most women were satisfied with the mode of delivery, but they experienced challenges during the labor and delivery process. The women found that careful advanced planning was helpful in managing the impact of their disabling conditions. The involvement of clinicians with disability-related expertise was, in some cases, another factor that contributed to a positive outcome.The importance of advanced planning and the utility of involving clinicians with disability-related expertise suggest that the use of integrated, interdisciplinary team approaches could promote quality care by facilitating improved planning and management. Additional clinical research is needed to provide women and their clinicians with more information on potential complications and options for labor and delivery. |
| Databáze: | OpenAIRE |
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