Maternal Healthcare Experiences of and Challenges for Women with Physical Disabilities in Low and Middle‑Income Countries: A Review of Qualitative Evidence
Article
Article Title | Maternal Healthcare Experiences of and Challenges for Women with Physical Disabilities in Low and Middle‑Income Countries: A Review of Qualitative Evidence |
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ERA Journal ID | 40609 |
Article Category | Article |
Authors | Nguyen, Thi Vinh (Author), King, Julie (Author), Edwards, Niki (Author), Pham, Cong Tuan (Author) and Dunne, Michael (Author) |
Journal Title | Sexuality and Disability: a journal devoted to the psychological and medical aspects of sexuality in rehabilitation and community settings |
Journal Citation | 37 (2), pp. 175-201 |
Number of Pages | 27 |
Year | 2019 |
Place of Publication | United States |
ISSN | 0146-1044 |
1573-6717 | |
Digital Object Identifier (DOI) | https://doi.org/10.1007/s11195-019-09564-9 |
Web Address (URL) | https://link.springer.com/article/10.1007/s11195-019-09564-9 |
Abstract | This article reports on the outcomes of a comprehensive review of qualitative research using the Joanna Briggs Institute (JBI) guidelines to guide a systematic approach addressing women with physical disabilities (WWPD)’s access to and utilization of maternal health care services in low and middle-income countries. The article specifically examines existing literature on the experiences and challenges facing WWPD in accessing and utilization of these services during pregnancy, childbirth and the post-natal period. Fifteen studies that met inclusion criteria were identified. Findings from the review highlight that pregnancy and motherhood are meaningful for WWPD in both individual and socio-cultural ways. Multiple challenges facing WWPD were identified, including low self-esteem and confidence, negative responses and lack of family support, problematic experiences of transport, health and other social systems for maternal healthcare of WWPD, and social unacceptance and discrimination from the community. Addressing barriers in accessing healthcare services was perceived as an individual responsibility of WWPD and their families, rather than perceptions that society had a responsibility to act. The reproductive rights of WWPD, particularly expression of sexuality and the right to motherhood needs to be conceptualized beyond individual responsibility. Society needs to eliminate attitudinal and environmental barriers to ensure WWPD can choose to be mothers without threat of discrimination or negative social consequences. |
Keywords | Childbirth; Low and middle-income countries; Maternal healthcare; Multi-country review; Pregnancy; Women with physical disabilities |
ANZSRC Field of Research 2020 | 420318. People with disability |
420499. Midwifery not elsewhere classified | |
321502. Obstetrics and gynaecology | |
Public Notes | Files associated with this item cannot be displayed due to copyright restrictions. |
Byline Affiliations | Queensland University of Technology |
Griffith University | |
Institution of Origin | University of Southern Queensland |
https://research.usq.edu.au/item/q70vy/maternal-healthcare-experiences-of-and-challenges-for-women-with-physical-disabilities-in-low-and-middle-income-countries-a-review-of-qualitative-evidence
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