Normalisingbirthforwomenwithadisability:Thechallengesfacing practitioners

Dympna Walsh-Gallagher, Marlene Sinclair, Roy McConkey, Ruth Clarke

Research output: Contribution to journalArticle

17 Citations (Scopus)

Abstract

Previousresearchonpregnantwomenwithadisabilityandtheirexperienceofmaternitycaredemonstratedthatthesemothersperceivedthemselvestobethe‘perennialoutsiders’withmidwivesautomaticallycategorisingthemas‘highrisk’becauseoftheirdisability.Theyalsofeltthattheirabilityto makechoices,stayincontrolandhavecontinuityofcarewasnotconsideredtobepartofthemainstreammaternitycareforthembecausetheydidnotfitthe‘normal’category.Objective:thisresearchwasundertakentoexploretheperceptionsoftwomultiprofessionalteamsin Irishhospitalsastohowmaternityservicestothesemotherscanbeimproved.Participants:nineteenhealth-careprofessionalsfrommidwifery,socialworkandpublichealthnursingwererecruited.Setting: twofromtwomajormaternityhospitals,oneintheNorthandoneintheSouthofIreland.were featured.Design: themethodchosenwasaqualitativeapproach,usingfocusgroupinterviewsinwhichcasestudiesdepictingarangeandbreadthofwomen’sbirthingexperienceswerepresentedanddiscussed.NewellandBurnard’s(2006) six stageapproachtothematiccontentanalysiswasused.Findings:theprofessionalsfoundthedisabledwomen’sstoriesbelievable,upsettingandchallenging.Keyconclusions:Staffacknowledgedtheir‘lackofcompetence,knowledgeandskill’regardingdisabilityandfeltthat,onreflection,theirfailuretoconsultandcollaboratewithdisabledwomencontributedtotheirfailingtoprovideindividualisedwomancentredcaretowomenwithadisability.Implicationsofpractice:Aseriesofrecommendationsforimprovedpracticewasagreed.& 2011ElsevierLtd.Allrightsreserved
Original languageEnglish
Pages (from-to)294-299
JournalMidwifery
Volume29
Issue number4
DOIs
Publication statusPublished - Apr 2013

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