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 DublinTable 3: Studies describing facilitators to accessing services among women with physical disabilitiesAuthor(s)& YearClark(2002)Grue &Tafjord-Laerum(2002)McKay-Moffat &Cunningham (2006)McKeeveret al(2003)Nosek(1995)Country Aim Methodology PopulationGroup/ SampleSizeU.K. See Table 5 Quantitative.Review keyinformationbooklets andleaflets.NorwayTo explore themotheringexperiences ofmothers with aphysical disability.Qualitativedescriptive,exploratory.Semistructuredinterviews.U.K. See Table 5 Qualitativedescriptive,exploratory.Semistructuredinterviews.130 people with aphysical andsensory disability.30 women with aphysical disabilityaged between 28-49 yrs.8 midwives and 5mothers with aphysical disability.Facilitators to accessing servicesThe report proposes a number ofrecommendations that should be adapted inorder that health information is available inappropriate formats; this will facilitateinformed consent and decision making.Becoming a mother afforded women a senseof normality, the focus was on motheringrather than on disability. Women discuss theefforts they go to in order to address other’sattitudes and to be accepted as mothersWomen brought out important themes fromtheir perspective: Importance of disabilityawareness and positive attitudes formidwives, the need for effectivecommunication. Three themes emerged fromthe midwives’ perspective – midwives’ variedknowledge and experience, positive attitudesand positive communication.Canada See Table 5 See Table 5 See Table 5 Home modifications helped in the motheringroles.U.S.A. See Table 5 Qualitativedescriptive,exploratory.31 women with aphysical disability.An analytic model towards disability issuggested to influence a person’s behaviourand reproductive health.171
WOMEN WITH DISABILITIES: BARRIERS AND FACILITATORS TO ACCESSING SERVICES DURING PREGNANCY, CHILDBIRTH AND EARLY MOTHERHOODSchool of Nursing and Midwifery, Trinity College DublinPendergrass et al(2001)Smeltzer etal (2007)Women’sHealthCouncil(WHC)(2004)U.S.A.To determine if theinternet can beused effectively toeducate womenwith disabilitiesabout reproductivehealth.Quantitative.Survey.U.S.A. See Table 5 Qualitative.Focus groups.Online survey.IrelandTo identify issuesto be addressedwhen developing astrategy for thefuture maternityservices in theEastern RegionalHealth Authority.Qualitative.Focus groups26 women withmobilityimpairments fromthe U.S.A. andCanada.See Table 5See Table 5The internet was an effective medium toincrease women’s knowledge aboutreproductive health issues. The internet is avaluable education tool and a healthinformation site specifically for women withdisabilities will address the information deficitexperienced by this population.The authors suggest that women withdisabilities should be recognised as a criticalsource of education.The provision of professional sign languageinterpreters for each interaction wasrecommended and more flexible visitinghours to enhance women’s supportmechanisms requested. Disability awarenessand the provision of additional time are key tothe facilitation of a positive interactionbetween staff and women.172
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University of DublinTrinity College
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