Evidence map›Paper›PMID 26484689›Full record

ArticleJournal of women's health (2002)2015

Physical Accessibility of Routine Prenatal Care for Women with Mobility Disability.

Lisa I Iezzoni, Amy J Wint, Suzanne C Smeltzer, Jeffrey L Ecker

Open access · greenAbstract read
In one paragraph

Article in Journal of women's health (2002), 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
30citing papers in PubMed, 1 pooled it
5.0field-weighted citation impact, top 5% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

30 citing papers in PubMed, 1 synthesis or guideline pooled it, 57 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Review
  4. Review
  5. Review
  6. Experiences of Women of Short Stature During the Perinatal Period.Journal of obstetric, gynecologic, and neonatal nursing : JOGNN · 2022
    Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Review
  14. Article
  15. Article
  16. Ensuring the Reproductive Rights of Women with Intellectual Disability.Journal of intellectual & developmental disability · 2020
    Article
  17. Article
  18. Pregnancy Outcomes in Women with Spinal Cord Injuries: A Population-Based Study.PM & R : the journal of injury, function, and rehabilitation · 2019
    Article
  19. Article
  20. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

4 authors at 3 institutions in 1 country.

Lisa I Iezzoni1 Mongan Institute for Health Policy, Massachusetts General Hospital , Boston, Massachusetts.
Amy J Wint1 Mongan Institute for Health Policy, Massachusetts General Hospital , Boston, Massachusetts.
Suzanne C Smeltzer5 Center for Nursing Research, Villanova University College of Nursing , Villanova, Pennsylvania.
Jeffrey L Ecker2 Department of Obstetrics and Gynecology, Massachusetts General Hospital , Boston, Massachusetts.
Harvard University · USMassachusetts General Hospital · USVillanova University · US

Funding

Pregnancy Experience of Women with Physical DisabilitiesR21HD068756 · NICHD · MASSACHUSETTS GENERAL HOSPITAL · PI IEZZONI, LISA I. · 2012 to 2013
$469k
NICHD NIH HHS 1R21HD068756-02
6 · The paper itself

Abstract

backgroundRoutine prenatal care includes physical examinations and weight measurement. Little is known about whether access barriers to medical diagnostic equipment, such as examination tables and weight scales, affect prenatal care among pregnant women with physical disabilities.

methodsWe conducted 2-hour, in-depth telephone interviews with 22 women using a semistructured, open-ended interview protocol. All women had significant mobility difficulties before pregnancy and had delivered babies within the prior 10 years. We recruited most participants through social networks. We sorted interview transcript texts using used NVivo software and conducted conventional content analyses to identify major themes.

resultsInterviewee's mean (standard deviation) age was 34.8 (5.3) years. Most were white, well-educated, and higher income; 8 women had spinal cord injuries, 4 cerebral palsy, and 10 had other conditions; 18 used wheeled mobility aids. Some women's obstetricians had height adjustable examination tables, which facilitated transfers for physical examinations. Other women had difficulty transferring onto fixed height examination tables and were examined while sitting in their wheelchairs. Family members and/or clinical staff sometimes assisted with transfers; some women reported concerns about transfer safety. No women reported being routinely weighed on an accessible weight scale by their prenatal care clinicians. A few were never weighed during their pregnancies.

conclusionsInaccessible examination tables and weight scales impede some pregnant women with physical disabilities from getting routine prenatal physical examinations and weight measurement. This represents substandard care. Adjustable height examination tables and wheelchair accessible weight scales could significantly improve care and comfort for pregnant women with physical disabilities.

Indexed as

Health Services AccessibilityMobility LimitationPersons with DisabilitiesPregnant PeoplePrenatal CareAdultFemaleHumansInterviews as TopicPregnancySocioeconomic FactorsWheelchairs

Identifiers

PMID26484689
PMCPMC4683562
OpenAlexW1799422135

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.