Maternal Healthcare Experiences of and Challenges for Women with Physical Disabilities in Low and Middle‑Income Countries: A Review of Qualitative Evidence

Article


Nguyen, Thi Vinh, King, Julie, Edwards, Niki, Pham, Cong Tuan and Dunne, Michael. 2019. "Maternal Healthcare Experiences of and Challenges for Women with Physical Disabilities in Low and Middle‑Income Countries: A Review of Qualitative Evidence." Sexuality and Disability: a journal devoted to the psychological and medical aspects of sexuality in rehabilitation and community settings. 37 (2), pp. 175-201. https://doi.org/10.1007/s11195-019-09564-9
Article Title

Maternal Healthcare Experiences of and Challenges for Women with Physical Disabilities in Low and Middle‑Income Countries: A Review of Qualitative Evidence

ERA Journal ID40609
Article CategoryArticle
AuthorsNguyen, Thi Vinh (Author), King, Julie (Author), Edwards, Niki (Author), Pham, Cong Tuan (Author) and Dunne, Michael (Author)
Journal TitleSexuality and Disability: a journal devoted to the psychological and medical aspects of sexuality in rehabilitation and community settings
Journal Citation37 (2), pp. 175-201
Number of Pages27
Year2019
Place of PublicationUnited States
ISSN0146-1044
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.

KeywordsChildbirth; Low and middle-income countries; Maternal healthcare; Multi-country review; Pregnancy; Women with physical disabilities
ANZSRC Field of Research 2020420318. People with disability
420499. Midwifery not elsewhere classified
321502. Obstetrics and gynaecology
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Byline AffiliationsQueensland University of Technology
Griffith University
Institution of OriginUniversity of Southern Queensland
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