ArticleDisability and health journal2017
"They must understand we are people": Pregnancy and maternity service use among signing Deaf women in Cape Town.
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 29 papers, 2 of them syntheses that pooled it.
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Who cites it
29 citing papers in PubMed, 2 syntheses or guidelines pooled it, 84 citations in OpenAlex.
- From words to actions: systematic review of interventions to promote sexual and reproductive health of persons with disabilities in low- and middle-income countries.BMJ global health · 2020Pooled it
- Pooled it
- Bridging gaps in maternity care for women with disabilities: a scoping review of access and utilisation in sub-Saharan Africa adopting the WHO health systems framework.Contraception and reproductive medicine · 2025Review
- Individual and community level factors influencing modern contraceptive use among women of reproductive age in South Africa: a multilevel analysis.Contraception and reproductive medicine · 2025Article
- Perceptions of physiotherapists regarding challenges experienced by patients with Deafness in accessing rehabilitative care.The South African journal of physiotherapy · 2025Article
- What are Deaf sign language users' experiences as patients in healthcare services? A scoping review.PLOS global public health · 2025Article
- Factors associated with antenatal care utilization among women with disabilities in Ethiopia: Using Andersen's Behaviour Model of Health Service Use.PLOS global public health · 2025Article
- Experiences of deaf women and girls in accessing maternal health rights and services in Uganda.African journal of disability · 2025Article
- Lived experiences of deaf parents: insights into pride, community, bilingualism, and barriers.Frontiers in psychology · 2025Article
- Review
- Understanding the impacts of the COVID-19 response measures on Deaf adults in Cape Town.African journal of disability · 2024Article
- Article
- Feasibility study of a menstrual health behaviour change intervention for women and girls with intellectual disabilities and their caregivers for Vanuatu's humanitarian responses.PLOS global public health · 2024Article
- Experiences of Women with Disabilities in Accessing Maternal Healthcare Services: A South African Case Study.International journal of environmental research and public health · 2023Article
- Maternal healthcare use by women with disabilities in Rajasthan, India: a secondary analysis of the Annual Health Survey.Maternal health, neonatology and perinatology · 2023Article
- Improving Knowledge About Pregnancy for Deaf South African Women of Reproductive Age Through a Text Messaging-Based Information Campaign: Mixed Methods Study.JMIR pediatrics and parenting · 2023Article
- Experiences of pregnancy and perinatal healthcare access of women who are deaf: a qualitative study.BJOG : an international journal of obstetrics and gynaecology · 2023Article
- Maternal health-seeking behaviour of peri-urban women living with disability in Busiro South Health sub District, Wakiso district, Uganda: a community-based study.African health sciences · 2022Article
- Obstetric violence and disability overlaps: obstetric violence during child birth among womens with disabilities: a qualitative study.BMC women's health · 2022Article
- Antenatal Care Research in East Africa During the Millennium Development Goals Initiative: A Scoping Review.Maternal and child health journal · 2022Article
Corrections and comments
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Authors and funding
4 authors at 2 institutions in 2 countries.
Funding
Abstract
backgroundWomen with disabilities are at disproportionate risk for adverse pregnancy outcomes, however, there is limited information on their pregnancy histories. This mixed-methods study focuses on signing Deaf women whose access to health care may be compromised by language barriers related to their disability.
objectiveTo describe and compare the pregnancy outcomes and maternity service use of a sample of signing Deaf women of child-bearing age in Cape Town to the population of the Western Cape of South Africa.
methodsWe interviewed 42 Deaf women selected by non-probability snowball sampling, using a structured questionnaire in South African Sign Language in Cape Town in July 2016.
resultsAverage parity of the sample was similar to that of the Western Cape population. Most women had one or two children (74%). Thirty-one percent of women had experienced a miscarriage and 19% had terminated a pregnancy. Almost all women (96%) attended at least one antenatal appointment during their pregnancies, and all deliveries occurred at a health facility. Women primarily relied on writing to communicate during antenatal visits and labor/delivery. The majority of women reported communication issues due to limited interpretation services, and some reported experiencing mistreatment from hospital staff.
conclusionThis study provides novel information on the pregnancy histories of Deaf women. While maternal service usage was high, the quality of services were inadequate with reports of linguistic barriers and mistreatment. Findings suggest the need to improve maternity care for Deaf women through implementing interpretation services and providing sensitivity training to health care providers.
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Registered trials
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