Women with Disabilities: Barriers and Facilitators to Accessing ...

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WOMEN WITH DISABILITIES: BARRIERS AND FACILITATORS TO ACCESSING SERVICES DURING PREGNANCY,CHILDBIRTH AND EARLY MOTHERHOODSchool of Nursing and Midwifery, Trinity College Dublinand health professionals where they would be treated with respect, andtheir strength acknowledged; relating to the need for continuity of care,help in communicating with their children, and more counselling servicesinstead of drugs (with non-national women preferring counsellors fromtheir own cultural background)• affordability, regarding the provision of childcare facilities at clinics andpractical help with mothering.8.1.7. Findings in relation to women with intellectual disabilitiesBarriers for women with intellectual disabilities were found in the literature inrelation to:• society’s negative attitudes to women with intellectual disabilitiesbecoming pregnant, and caring for their children, with a resulting lack ofsupport networks for women with intellectual disability during pregnancy,childbirth and early motherhood;• conservative and protective perspectives from frontline caring staff andparents regarding the sexuality of women with intellectual disability,which put the women at risk of coercive sterilisation or forcedcontraception.Research on facilitators to access to maternity services for women withintellectual disabilities was almost non-existent. The Disability Act (Governmentof Ireland, 2005) places statute-based obligations on public bodies to provideaccessible services and information.8.2. Key research gapsIt is recommended that all future research in the area of women’s healthshould include women with disabilities, as appropriate. Through this review,research gaps have been identified in the following areas in relation togeneral maternity and health service care and in relation to women in the 5categories of disability:129
WOMEN WITH DISABILITIES: BARRIERS AND FACILITATORS TO ACCESSING SERVICES DURING PREGNANCY,CHILDBIRTH AND EARLY MOTHERHOODSchool of Nursing and Midwifery, Trinity College Dublin8.2.1. General maternity and health service care• The attitudes of society in relation to women with disabilities, in particularin relation to their sexual and reproductive lives and the issue of takingcustody of their children.8.2.2. Research on the care of women with any of the disabilitiesduring pregnancy, childbirth and early motherhoodResearch gaps have been identified in the areas of:• locations and models of maternity care for women with any disability• transport difficulties experienced by these women• the physical environment in maternity hospitals and its effect on womenwith any disability• the provision of health information for these women• knowledge, attitudes and behaviours of health care staff towards womenwith any disability.• the adequacy of consultation times between women with disabilities andhealth care professionals.8.2.3. Research on the care of women with specific disabilities duringpregnancy, childbirth and early motherhoodIn addition, research gaps have been identified in the area of:• communication needs for women with sensory impairments whenaccessing the maternity services• the links between maternity and mental health services• the motivation of women with mental health difficulties to attend clinics• women’s knowledge of the existence of mental health difficulties inpregnancy and the postnatal period and of the services available to them• knowledge of maternity care professionals about mental health issues• screening practices for mental health difficulties in pregnancy and thepostnatal period.130
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University of DublinTrinity College
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