Evidence map›Paper›PMID 28089188›Full record

ArticleDisability and health journal2017

Barriers to providing maternity care to women with physical disabilities: Perspectives from health care practitioners.

Monika Mitra, Lauren D Smith, Suzanne C Smeltzer, Linda M Long-Bellil, Nechama Sammet Moring, Lisa I Iezzoni

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Disability and health journal, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 40 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
40citing papers in PubMed, 3 pooled it
–field-weighted citation impact
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

40 citing papers in PubMed, 3 syntheses or guidelines pooled it.

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  20. Experiences of Women of Short Stature During the Perinatal Period.Journal of obstetric, gynecologic, and neonatal nursing : JOGNN · 2022
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Monika MitraThe Lurie Institute for Disability Policy, Brandeis University, USA. Electronic address: mmitra@brandeis.edu.
Lauren D SmithThe Lurie Institute for Disability Policy, Brandeis University, USA.
Suzanne C SmeltzerCenter for Nursing Research, Villanova University College of Nursing, Villanova, PA, USA.
Linda M Long-BellilCenter for Health Policy and Research, University of Massachusetts Medical School, Shrewsbury, MA, USA.
Nechama Sammet MoringThe Lurie Institute for Disability Policy, Brandeis University, USA.
Lisa I IezzoniThe Mongan Institute for Health Policy, Massachusetts General Hospital, Boston, MA, USA.

Funding

Health Needs and Barriers to Perinatal Care for Women with Mobility DisabilitiesR01HD074581 · NICHD · UNIV OF MASSACHUSETTS MED SCH WORCESTER · PI MITRA, MONIKA · 2013 to 2015
$1.1M
NICHD NIH HHS R01 HD074581
6 · The paper itself

Abstract

backgroundWomen with physical disabilities are known to experience disparities in maternity care access and quality, and communication gaps with maternity care providers, however there is little research exploring the maternity care experiences of women with physical disabilities from the perspective of their health care practitioners.

objectiveThis study explored health care practitioners' experiences and needs around providing perinatal care to women with physical disabilities in order to identify potential drivers of these disparities.

methodsWe conducted semi-structured telephone interviews with 14 health care practitioners in the United States who provide maternity care to women with physical disabilities, as identified by affiliation with disability-related organizations, publications and snowball sampling. Descriptive coding and content analysis techniques were used to develop an iterative code book related to barriers to caring for this population. Public health theory regarding levels of barriers was applied to generate broad barrier categories, which were then analyzed using content analysis.

resultsParticipant-reported barriers to providing optimal maternity care to women with physical disabilities were grouped into four levels: practitioner level (e.g., unwillingness to provide care), clinical practice level (e.g., accessible office equipment like adjustable exam tables), system level (e.g., time limits, reimbursement policies), and barriers relating to lack of scientific evidence (e.g., lack of disability-specific clinical data).

conclusionParticipants endorsed barriers to providing optimal maternity care to women with physical disabilities. Our findings highlight the needs for maternity care practice guidelines for women with physical disabilities, and for training and education regarding the maternity care needs of this population.

Indexed as

Attitude of Health PersonnelPersons with DisabilitiesAdultFemaleHealthcare DisparitiesHealth Services AccessibilityHumansInterviews as TopicMaternal Health ServicesPregnancyUnited StatesDisabilityPerinatal carePregnancyPrenatal careWomen's health

Identifiers

PMID28089188
PMCPMC5466834

What OpenQuestion holds

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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.