Abstract

Purpose: The aim of this secondary qualitative analysis was two-fold: to explore perinatal experiences of 22 women with physical disabilities guided by the perinatal health framework of women with physical disabilities and; construct two perinatal life stories of childbearing women with physical disabilities.

Method: The study participants were 22 women with physical disabilities who, at the time of pregnancy, used a mobility device, and had given birth within the last 10 years. The principal investigator of the primary study interviewed all the participants.

Findings: Nine themes were identified in our study. All the participants reported both a lack of disability-specific perinatal information and healthcare providers with the clinical skills and training to provide perinatal care to women with physical disabilities. Self-advocacy was a key finding in this study. Participants had to advocate for themselves to find perinatal information from other women with physical disabilities who had children or rely on the Internet. Women reported inaccessible examination tables and weight scales, which compromised their perinatal care. The themes identified in this study were consistent with the perinatal health framework for women with physical disabilities.

Conclusions: The Study's findings suggest that ongoing efforts to address the perinatal needs of childbearing women with physical disabilities are required. Institutions that educate healthcare providers need to incorporate disability-related content in their curricula to educate nurses and physicians about the perinatal needs of women with physical disabilities. The voices and experiences of childbearing women with physical disabilities are necessary to inform evidence-based practice and policy.

Description

This dissertation has also been disseminated through the ProQuest Dissertations and Theses database. Dissertation/thesis number: 27960238; ProQuest document ID: 2405150468. The author still retains copyright.

Author Details

Serah M. Nthenge, PhD, MSN, RN

Sigma Membership

Alpha Nu

Type

Dissertation

Format Type

Text-based Document

Study Design/Type

Meta-Analysis/Synthesis

Research Approach

Qualitative Research

Keywords:

Childbearing, Women, Pregnancy, Perinatal, Physical Disability

Advisor

Suzanne Smeltzer

Second Advisor

Amy McKeever

Degree

PhD

Degree Grantor

Villanova University

Degree Year

2019

Rights Holder

All rights reserved by the author(s) and/or publisher(s) listed in this item record unless relinquished in whole or part by a rights notation or a Creative Commons License present in this item record.

All permission requests should be directed accordingly and not to the Sigma Repository.

All submitting authors or publishers have affirmed that when using material in their work where they do not own copyright, they have obtained permission of the copyright holder prior to submission and the rights holder has been acknowledged as necessary.

Review Type

None: Degree-based Submission

Acquisition

Proxy-submission

Date of Issue

2021-08-16

Full Text of Presentation

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