Monika Mitra1, Linda M Long-Bellil2, Lisa I Iezzoni3, Suzanne C Smeltzer4, Lauren D Smith5. 1. The Lurie Institute for Disability Policy, The Heller School of Social Policy and Management, Brandeis University, 415 South Street, Waltham, MA 01453, USA. Electronic address: mmitra@brandeis.edu. 2. Center for Health Policy and Research, University of Massachusetts Medical School, 333 South Street, Shrewsbury, MA 01545, USA. 3. Mongan Institute for Health Policy, Massachusetts General Hospital, 50 Staniford Street, Room 901B, Boston, MA 02114, USA. 4. Center for Nursing Research, Villanova University, 800 Lancaster Avenue, Villanova, PA 19085, USA. 5. The Lurie Institute for Disability Policy, The Heller School of Social Policy and Management, Brandeis University, 415 South Street, Waltham, MA 01453, USA.
Abstract
BACKGROUND: Despite concerns raised in the literature on the adverse pregnancy outcomes of women with physical disabilities, there is little information about unmet needs of women with physical disabilities during pregnancy and childbirth. OBJECTIVE: This article provides an in-depth examination of unmet health care needs during and around the time of pregnancy among a sample of women with physical disabilities. It also offers recommendations to other women with physical disabilities who are considering pregnancy. METHODS: Twenty-five phone interviews were conducted with women with physical disabilities from across the United States who had a baby in the past ten years. Individual semi-structured qualitative interviews lasting about 2 h were conducted. Interviews were audio-recorded, transcribed, and analyzed using an iterative, interpretive process. RESULTS: Women reported a wide range of disabling conditions. Analysis revealed three broad themes related to unmet needs during pregnancy among women with physical disabilities. They included (1) clinician knowledge and attitudes, (2) physical accessibility of health care facilities and equipment, (3) need for information related to pregnancy and postpartum supports. The women also provided recommendations to other women with disabilities who are currently pregnant or thinking of becoming pregnant. Recommendations related to finding a clinician one trusts, seeking peer support, self-advocating, and preparing oneself for the baby. CONCLUSIONS: This study sheds light on the unmet needs and barriers to care of women with mobility disabilities during pregnancy and childbirth. The study findings highlight the need for policy and practice recommendations for perinatal care of women with mobility disabilities.
BACKGROUND: Despite concerns raised in the literature on the adverse pregnancy outcomes of women with physical disabilities, there is little information about unmet needs of women with physical disabilities during pregnancy and childbirth. OBJECTIVE: This article provides an in-depth examination of unmet health care needs during and around the time of pregnancy among a sample of women with physical disabilities. It also offers recommendations to other women with physical disabilities who are considering pregnancy. METHODS: Twenty-five phone interviews were conducted with women with physical disabilities from across the United States who had a baby in the past ten years. Individual semi-structured qualitative interviews lasting about 2 h were conducted. Interviews were audio-recorded, transcribed, and analyzed using an iterative, interpretive process. RESULTS:Women reported a wide range of disabling conditions. Analysis revealed three broad themes related to unmet needs during pregnancy among women with physical disabilities. They included (1) clinician knowledge and attitudes, (2) physical accessibility of health care facilities and equipment, (3) need for information related to pregnancy and postpartum supports. The women also provided recommendations to other women with disabilities who are currently pregnant or thinking of becoming pregnant. Recommendations related to finding a clinician one trusts, seeking peer support, self-advocating, and preparing oneself for the baby. CONCLUSIONS: This study sheds light on the unmet needs and barriers to care of women with mobility disabilities during pregnancy and childbirth. The study findings highlight the need for policy and practice recommendations for perinatal care of women with mobility disabilities.
Authors: Monika Mitra; Karen M Clements; Jianying Zhang; Lisa I Iezzoni; Suzanne C Smeltzer; Linda M Long-Bellil Journal: Med Care Date: 2015-12 Impact factor: 2.983
Authors: Tara Lagu; Nicholas S Hannon; Michael B Rothberg; Annalee S Wells; K Laurie Green; McAllister O Windom; Katherine R Dempsey; Penelope S Pekow; Jill S Avrunin; Aaron Chen; Peter K Lindenauer Journal: Ann Intern Med Date: 2013-03-19 Impact factor: 25.391
Authors: Monika Mitra; Lauren D Smith; Suzanne C Smeltzer; Linda M Long-Bellil; Nechama Sammet Moring; Lisa I Iezzoni Journal: Disabil Health J Date: 2017-01-03 Impact factor: 2.554
Authors: Courtney S Streur; Christine L Schafer; Valerie P Garcia; Elisabeth H Quint; David E Sandberg; Claire Z Kalpakjian; Daniela A Wittmann Journal: Disabil Health J Date: 2019-06-15 Impact factor: 2.554
Authors: Linda Long-Bellil; Monika Mitra; Lisa I Iezzoni; Suzanne C Smeltzer; Lauren Smith Journal: J Womens Health (Larchmt) Date: 2017-06-29 Impact factor: 2.681
Authors: Renee Monique Haynes; Sheree L Boulet; Michael H Fox; Dianna D Carroll; Elizabeth Courtney-Long; Lee Warner Journal: Contraception Date: 2017-12-15 Impact factor: 3.375
Authors: Monika Mitra; Ilhom Akobirshoev; Nechama Sammet Moring; Linda Long-Bellil; Suzanne C Smeltzer; Lauren D Smith; Lisa I Iezzoni Journal: J Womens Health (Larchmt) Date: 2017-08-23 Impact factor: 2.681
Authors: Megan A Morris; Allysha C Maragh-Bass; Joan M Griffin; Lila J Finney Rutten; Tara Lagu; Sean Phelan Journal: J Gen Intern Med Date: 2017-09-18 Impact factor: 5.128