Evidence map›Paper›PMID 35473673›Full record

ArticleBMC pregnancy and childbirth2022

Barriers to and facilitators of effective communication in perinatal care: a qualitative study of the experiences of birthing people with sensory, intellectual, and/or developmental disabilities.

Gul Saeed, Hilary K Brown, Yona Lunsky, Kate Welsh, Laurie Proulx, Susan Havercamp, Lesley A Tarasoff

Open access · goldAbstract read
In one paragraph

Article in BMC pregnancy and childbirth, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 1 pooled it
5.0field-weighted citation impact, top 4% 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

15 citing papers in PubMed, 1 synthesis or guideline pooled it, 29 citations in OpenAlex.

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  15. Maternal Health Experiences of Black Deaf and Hard of Hearing Women in the United States.Women's health issues : official publication of the Jacobs Institute of Women's Health
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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

7 authors at 5 institutions in 2 countries.

Gul SaeedDalla Lana School of Public Health, University of Toronto, 155 College Street, Toronto, Ontario, M5T 3M7, Canada.
Hilary K BrownDalla Lana School of Public Health, University of Toronto, 155 College Street, Toronto, Ontario, M5T 3M7, Canada. hk.brown@utoronto.ca.
Yona LunskyAzrieli Adult Neurodevelopmental Centre, Centre for Addiction and Mental Health, 250 College Street, Toronto, Ontario, M5T 1R8, Canada.
Kate WelshDepartment of Health and Society, University of Toronto Scarborough, 1265 Military Trail, Toronto, Ontario, M1C 1A4, Canada.
Laurie ProulxDepartment of Health and Society, University of Toronto Scarborough, 1265 Military Trail, Toronto, Ontario, M1C 1A4, Canada.
Susan HavercampNisonger Center, The Ohio State University, McCampbell Hall, 1581 Dodd Drive, Columbus, OH, 43210-1257, USA.
Lesley A TarasoffDepartment of Health and Society, University of Toronto Scarborough, 1265 Military Trail, Toronto, Ontario, M1C 1A4, Canada.
Public Health Ontario · CAThe Scarborough Hospital · CACentre for Addiction and Mental Health · CAThe Ohio State University · USUniversity of Toronto · CA

Funding

Pregnancy in Women with Disabilities: Using Novel Methods to Characterize RiskR01HD092326 · NICHD · UNIVERSITY OF TORONTO · PI BROWN, HILARY, LUNSKY, YONA · 2017 to 2020
$590k
NICHD NIH HHS R01 HD092326NIH HHS 5R01HD092326
6 · The paper itself

Abstract

backgroundEffective provider-patient communication is a key element of quality health care, including perinatal care. What constitutes "effective communication" in perinatal care may vary according to the population seeking care, such as women with intellectual and developmental disabilities (IDD) and sensory disabilities. Research broadly indicates that communication issues are among the barriers to perinatal care experienced by women with disabilities. However, few studies have explicitly explored their communication experiences in this context. The purpose of this study was to understand the communication experiences of birthing people with IDD and/or sensory disabilities in perinatal care.

methodsWe conducted semi-structured interviews with 17 people with IDD (e.g., autism, cognitive delay) and/or sensory disabilities (e.g., d/Deaf, blind) in Ontario, Canada, who had recently given birth, to explore barriers to and facilitators of effective communication in perinatal care. A combination of deductive and inductive thematic analysis guided data analysis.

resultsWe found that birthing people with IDD and/or sensory disabilities encountered multiple barriers to effective communication in perinatal care, namely, lack of policies and guidelines, lack of provider experience, lack of provider effort, as well as ableism and provider assumptions. Facilitators included knowledgeable, aware, and supportive providers; access to communication aids and services; tailoring information to patients' disability-related communication needs; empathic communication; and, communication among providers.

conclusionUnmet communication needs may contribute to negative health and social outcomes for birthing people with disabilities and their newborns. Accessibility policy implementation and practice change are needed to meet the communication needs of people with IDD and/or sensory disabilities in perinatal care to ensure positive experiences and outcomes.

Indexed as

Developmental DisabilitiesPerinatal CareChildCommunicationFemaleHealth Services AccessibilityHumansInfant, NewbornOntarioPregnancyAccessibilityBlindness, communicationDeafness, perinatal careDevelopmental disabilitiesPregnancyQualitative researchSensory disabilities

Identifiers

PMID35473673
PMCPMC9044670
OpenAlexW4224981769

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.