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Can a disabled woman get pregnant

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Metrics details. During pregnancy, childbirth and puerperium, women receive care from a range of health professionals, particularly midwives. To assess the current situation of maternity care for women with physical disabilities in Austria, this study investigated the perceptions and experiences of health professionals who have provided care for women with disabilities during pregnancy, childbirth and postpartum.

The viewpoints of the participating health professionals were evaluated by means of semistructured interviews followed by an inductive qualitative content analysis of the interview transcripts, as proposed by Mayring. Four main categories emerged from the inductive content analysis: i structural conditions and accessibility, ii interprofessional teamwork and cooperation, iii action competence, and iv diversity-sensitive attitudes. According to the participating health professionals, the structural conditions were frequently not suitable for providing targeted group-oriented care services.

Additionally, a shortage of time and staff resources also limited the necessary flexibility of treatment measures in the care of mothers with physical disabilities. The importance of interprofessional teamwork for providing adequate care was highlighted. The health professionals regarded interprofessionalism as an instrument of quality assurance and team meetings as an elementary component of high-quality care.

On the other hand, the interviewees perceived a lack of action competence that was attributed to a low number of cases and a corresponding lack of experience and routine. Regarding diversity-sensitive attitudes, it became apparent that the topic of mothers with physical disabilities in care posed challenges to health professionals that influenced their natural handling of the interactions.

There is a need for optimization in the support and care of women with physical disabilities during pregnancy, childbirth and puerperium. Peer Review reports. In Austria, 8. Despite this prevalence, women with disabilities still must face discriminatory situations, such as social exclusion or lack of accessibility [ 3 ]. In particular, pregnancy and motherhood among women with disabilities are frequently not taken for granted by their environment or society, and doubt is cast upon their parenting ability [ 4 , 5 ].

Women with disabilities had a higher risk of inadequate prenatal care, hospital admissions during pregnancy, cesarean deliveries, preterm deliveries and low-birthweight infants [ 8 ]. Regarding interaction with health professionals, they have experienced insensitivity, lack of knowledge about disabilities, limited or inadequate information and support, and discriminatory practices [ 9 ].

To assess the current situation of maternity care for women with physical disabilities in Austria, we previously surveyed hospital ward managers for existing structural measures and implemented specific service offerings that ensure accessibility in obstetric wards [ 10 ]. While this survey revealed that obstetric departments largely conform to the requirements of the different building regulations, additional measures or adaptations of the inventory for women with physical disabilities were not implemented nationwide.

In a subsequent study, we conducted semistructured in-depth interviews with mothers with motor or sensory disabilities to investigate their personal perceptions and experiences regarding care during pregnancy, childbirth and puerperium.

Interestingly, the interviewed women rarely addressed the infrastructural shortcomings but rather expressed a deep need for normality and acceptance as wives and mothers. However, the women experienced limited acceptance of their life choices, a lack of equality, discriminatory attitudes, a lack of support, and a lack of confidence in their ability to be parents in their social environment, which were factors that negatively affected their self-efficacy and self-confidence.

Women also reported violations of personal boundaries, a sense of being observed and controlled, and communication with health professionals characterized by mutual fear, insecurity and awkwardness [ 11 ]. During pregnancy, childbirth and puerperium, women came into contact with a range of health professionals, particularly midwives.

Thus, midwives play a critical role in ensuring that the needs of women with disabilities are met and that the care they receive is individualized and woman-centered [ 12 ]. Success in this task requires these women to be considered experts regarding their disability and not a vulnerable group with special needs.

Working collaboratively with them will allow the midwife to gain invaluable knowledge [ 12 ]. Additional emphasis needs to be placed on teaching health care students about disability, since adequate training of health professionals can inhibit the health disparities of people with disabilities [ 13 ]. To extend our knowledge of maternity care for women with physical disabilities in Austria based on these previous findings, we investigate in the present study the experiences and perceptions of health professionals who have provided care for women with disabilities during pregnancy, childbirth and postpartum.

Globally, a limited number of studies have focused on the viewpoint of health professionals with respect to maternity care for women with physical disabilities. McKay-Moffat and Cunningham [ 14 ] investigated the experiences of women with mobility-limiting disabilities and of midwives from the same maternity units in the UK. Although all interviewed midwives had provided care for women with disabilities, they generally perceived a lack of knowledge and experience in some aspects of care provision.

Despite their generally positive attitudes towards mothers with disabilities, the midwives experienced challenges to effective communication. In their study, Walsh-Gallagher et al. Consistent with the findings from McKay-Moffat and Cunningham, the health professionals acknowledged their lack of knowledge, competence and skills.

Moreover, they concluded that failure to consult and collaborate with the women contributed to a failure to provide individualized woman-centered care for women with disabilities. Using semistructured telephone interviews with obstetrician-gynecologists and certified nurse midwives with experience providing maternity care for women with physical disabilities in the United States, Mitra et al.

The reported barriers were assigned to four levels: practitioner level e. The authors conclude that there is a need for training, education and practice guidelines regarding maternity care for women with physical disabilities. The present study aims to investigate the viewpoints of health professionals regarding current practice and potential improvements in maternity care for women with physical disabilities in Austria. Using a qualitative study design, the subjective experiences and perceptions of the participating health professionals were assessed by means of semistructured interviews.

Data analysis was based on an inductive understanding of research as a meaningful, interpretative scientific process. The selection of the participating health professions is based on the general interprofessional collaboration of midwives, obstetricians, neonatologists and anesthetists in the obstetric setting.

Recruitment took place through personal contacts. Health professionals were excluded from participation if they felt they had too little experience caring for women with disabilities.

In total, semistructured interviews with seven midwives and six medical doctors two obstetricians, two neonatologists and two anesthetists were conducted between January and January In preparation for the interviews, the research team developed an interview guide. In the course of the semistructured interviews, the viewpoints of the health professionals regarding the provision of care for women with physical disabilities and specific aspects of their maternity care were of particular interest to reveal potential enhancements and improvements of the care provided.

Specific questions about women with physical disabilities and their special needs were asked. Furthermore, participants were surveyed regarding how networking with other disciplines can lead to success and possibly be improved. Can further training, improved equipment or an extended range of services facilitate work? In the time preceding the study, two pilot interviews with midwives were conducted, and the interview guide was subsequently adapted based on the findings of this pretest.

After written consent was obtained from participants, the semistructured interviews were conducted with the health professionals at their respective institutions. Interviewers were not employed at the same institutions as the interviewees, thus ensuring professional distance. The interviews were audiorecorded with the permission of the participants.

The audiorecorded interviews were transcribed and pseudonymized. Participants were pseudonymized as follows: midwives as M1, M2, …. The transcribers signed a confidentiality agreement, and the original audio recordings were deleted after transcription of the interviews. The analysis of the transcribed interviews was performed by qualitative content analysis according to Mayring [ 17 , 18 ]. The aim of this rule-governed analysis procedure is to create order-building categories and to filter and interpret the data accordingly.

Therefore, the transcripts were analyzed by the stepwise inductive construction of codes, which were subsequently sorted into main categories and subcategories.

The goal was to consider all of the remarks with open coding, following a strictly inductive approach. The categorization was performed in several iterative steps, each with immediate reference to the material collected.

From the qualitative inductive content analysis of transcripts from the 13 interviews conducted, four main categories could be identified: i structural conditions and accessibility, ii interprofessional teamwork and cooperation, iii action competence, and iv diversity-sensitive attitudes. The care of women with disabilities requires individual care measures and strong flexibility beyond routine procedures. Both intramural and extramural care must be adapted to the needs of these women.

Lack of structural services and lack of time resources demand a high degree of improvisation from the professionals to find solutions to assure high-quality care. The interviewees stated that the structural and organizational condition of obstetrics is poorly suited to adequately care for women outside a routine concept. The specific barriers addressed were a lack of construction conditions, such as elevators, wheelchair ramps or wheelchair-accessible restrooms, and a lack of orientation aids for women with sensory impairments.

The women have to choose the gynecologist according to the construction situation and not according to sympathy. One midwife also addressed that the women with disabilities sometimes did not appear to be well-prepared for birth due to the lack of availability of accessible antenatal classes.

Women with physical disabilities might particularly benefit from domiciliary visits at their accordingly adapted homes. Construction-related barriers were also frequently mentioned in the intramural area.

These included infrequent accessibility of restrooms and bathrooms, rooms that were too small and irregularly shaped, doormats on which wheelchairs could get stuck and wheelchair-suitable room furnishings. With the possibilities of repositioning and accessible toilets, not only every few kilometers…I think that would really be a relief.

Several interviewees expressed a greater need for privacy and an increased amount of time required when caring for women with physical disabilities. For example, a participating midwife wished for an extra room in the outpatient ward, and a colleague focused on privacy in intramural care:. The normal round, how many people are going? The increased time requirements were mainly attributed to understanding specific needs when caring for complex cases.

To meet these requirements, participants wished for organizational adaptations, such as timely information, more time to care for women with physical disabilities, more staff when needed and continuity of care. We should then have contact with them and be able to discuss what we should do when they are in pain.

More time for the care and immediate introduction of the pregnant woman in the delivery ward, not only in the outpatient department. In this context, two participants expressed their desire for a single point of contact or a specific platform that provides information on care for women with physical disabilities during pregnancy and childbirth.

Restrictions in structural and organizational conditions also might complicate the effectiveness of communication that often depends on special services.

The logistical problem that arose for us was how to contact this mother or how the mother can contact us by telephone or at all if there is no interpreter available? Thus, accessibility is not only guaranteed by the structural adaptation of the departments but also requires comprehensive structural and organizational adjustments.

In this sense, low-threshold care services are designed in such a way that they are accessible for all target groups.

Low thresholds require consideration of temporal e. In caring for mothers with disabilities during pregnancy, childbirth and postpartum, interprofessional cooperation is of great importance. To meet this requirement, the interviewees reported the importance of strong networking with other disciplines when working with mothers with physical disabilities. In this context, the availability of experts provided reassurance and security to health professionals when caring for mothers with physical disabilities.

Interprofessionalism means a complex process of collaboration between different disciplines and professions with the aim of establishing the best possible care, based on a common knowledge base [ 20 ]. The majority of the interviewed health professionals emphasized the teamwork within the obstetric core team, namely, the interaction with obstetricians or midwives. In this respect, some health professionals mentioned the importance of the instant and individually coordinated care of the women with the obstetric team.

Regarding cooperation with other professions, the participants used differing approaches. Some health professionals did not use large networks in their daily practice but rather, if necessary, involved a social worker to initiate further steps.

On the other hand, several interviewees were in contact with various organizations and professions. In particular, midwives who were involved in puerperal care at the respective homes of their clients reported that they sometimes consider bringing in social and psychological support when caring for women with physical disabilities.

More disabled women are having children

By Kalli Anderson June 25, It has been seven years since Karen Hodge first became a mother, but she still gets nosy questions from strangers. The Port Moody, B. By now she is used to acknowledging as politely as possible that yes, these are her biological children, and yes, she had two vaginal births. At a time when women without physical disabilities can take for granted that answers to even the most obscure question about their bodies during pregnancy and birth are only a Google search away, for women with physical disabilities, it can be difficult to find reliable, evidence-based information specific enough to their case to be useful.

Rates of women who are opting for preventive mastectomies, such as Angeline Jolie, have increased by an estimated 50 percent in recent years, experts say. But many doctors are puzzled because the operation doesn't carry a percent guarantee, it's major surgery -- and women have other options, from a once-a-day pill to careful monitoring. Pregnancy No.

A severely disabled, brain-damaged woman who was discovered to be pregnant while living in a nursing home has given birth to an apparently healthy baby girl, authorities said. A lawsuit filed last week claims the woman was raped in the home in suburban Bloomingdale. The woman has cerebral palsy and is so severely disabled she must use a wheelchair and be fed through a tube. The woman was scheduled to have a Caesarean section in mid-August, but she had the procedure Wednesday evening at Rush University Medical Center here because she was suffering from a dangerous complication of pregnancy called preeclampsia that affects both mother and child. The company that operates the facility, Alden Management Services, is cooperating with the investigation, representatives said.

As a disabled woman, my abortion wasn’t questioned—but my pregnancy was

For the disability community though, they raise a whole different set of issues. For many of us, our bodies have been abused by people around us. Although my voice is new to this space, disabled women have been talking about it, writing about it, and campaigning about it for years. It explores the difficulties, stigmas, and stereotypes faced by people with disabilities when parenting—including when their choice to parent is taken away. For me, the past 20 years have been very long. I have a spinal cord injury that I acquired at a young age, and as such I navigate the world using a wheelchair. But the worst part of it has been the sheer lack of awareness surrounding the deprivation of body autonomy and reproductive rights for disabled women. I was about 22 when I attended a clinic for a termination. I already had one child, so this was a difficult decision. I expected to be offered counseling and treated with empathy and concern.

Yes, people like me can have babies

Getting Pregnant. Candice M. Lee on Ragged Magazine. Try and think for a moment why he may feel this way.

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Women with intellectual disabilities are commonly considered unfit to parent or likely to produce offspring with disabilities McCarthy and have subsequently been afforded even less control over their own bodies than their non-disabled peers. Their reproductive capacity is commonly constructed as a burden requiring suppression or elimination, rather than a normal part of womanhood. In short, negative attitudes about women with intellectual disabilities having children are still evident in the community and in professional practice and continue to have a significant impact on their freedom to choose to undertake adult female roles Brown , Edgerton

Short-Term Disability and Pregnancy Leave Laws

Having a physical disability doesn't typically affect your chances of getting pregnant, or of carrying and delivering a baby. But depending on the nature of your disability, you may be more prone to certain complications. The good news is that many women with physical disabilities have completely healthy pregnancies.

Although most women with disabilities are able to become pregnant, to have normal labor and delivery experiences, and to care for their children without problems, some women with disabilities have experiences that require some thought and advanced planning on the part of the women, their families, and their health care providers. Responses to Pregnancy in Women with Disabilities. Although women with disabilities are increasingly choosing to become pregnant and to become mothers, they may encounter negative experiences from others who doubt their ability to become pregnant, carry the baby to term, deliver safely and care for a newborn. As a result, it is important for nurses to recognize that women with disabilities may be hesitant to seek care because they anticipate such negative reactions from others, including health care providers. Although preconception care is recommended for many women with disabilities to ensure that they are in good health prior to conceiving because of the potential for health issues, many women do not seek preconception care and some even forgo prenatal care because of possible negative reactions from health care clinicians. Thus, it is important to acknowledge their efforts to ensure a healthy pregnancy and to avoid negative verbal and non-verbal responses to women with disabilities considering pregnancy or who are already pregnant at the time of their first visit to a health care provider for obstetric care.

U.K. Court of Appeal Overturns Ruling Ordering Mentally Disabled Woman to Have Abortion

C ongratulations, you're going to have a baby! With so many variables and a million books on the subject, parents-to-be can be left feeling bewildered. But for those with a disability, helpful information about your situation is even more important — and even harder to find. My wife Penny was five months pregnant when I fell from a tree and broke my spine, resulting in paraplegia. Undergoing rehabilitation at the national spinal injuries centre in Stoke Mandeville hospital made the thought of becoming a father an even more intimidating prospect.

Jun 3, - Having a physical disability doesn't typically affect your chances of getting pregnant, or of carrying and delivering a baby. But depending on the nature of your disability, you may be more prone to certain complications. The good news is that many women with physical disabilities have completely healthy pregnancies.

Сьюзан, - сказал он, - только что позвонил Дэвид. Он задерживается. ГЛАВА 16 - Кольцо? - не веря своим ушам, переспросила Сьюзан.

Physical Disability During Pregnancy

Он еще раз сжал его руку, но тут наконец подбежала медсестра. Она вцепилась Беккеру в плечо, заставив его подняться - как раз в тот момент, когда губы старика шевельнулись. Единственное сорвавшееся с них слово фактически не было произнесено. Оно напоминало беззвучный выдох-далекое чувственное воспоминание.

Отпусти меня! - крикнула она, и ее голос эхом разнесся под куполом шифровалки. Мозг Хейла лихорадочно работал. Звонок коммандера явился для него полным сюрпризом.

Мы выполняем свою работу. Мы обнаружили статистический сбой и хотим выяснить, в чем .

- Сколько будет сто десять минус тридцать пять и две десятых. - Семьдесят четыре и восемь десятых, - сказала Сьюзан.  - Но я не думаю… - С дороги! - закричал Джабба, рванувшись к клавиатуре монитора.

 - Это и есть ключ к шифру-убийце.

Ее глаза расширились. Стратмор кивнул: - Танкадо хотел от него избавиться. Он подумал, что это мы его убили. Он почувствовал, что умирает, и вполне логично предположил, что это наших рук. Тут все совпадает. Он решил, что мы добрались до него и, вероятно, отравили - ядом, вызывающим остановку сердца.

- Стратмор говорит, что у нас неверные данные. Бринкерхофф кивнул и положил трубку. - Стратмор отрицает, что ТРАНСТЕКСТ бьется над каким-то файлом восемнадцать часов.

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