Evidence map›Paper›PMID 36156842›Full record

ArticleBJOG : an international journal of obstetrics and gynaecology2023

Experiences of pregnancy and perinatal healthcare access of women who are deaf: a qualitative study.

Tiffany L Panko, Jess Cuculick, Sasha Albert, Lauren D Smith, Margarita M Cooley, Melanie Herschel, Monika Mitra, Michael McKee

Open access · bronzeAbstract read
In one paragraph

Article in BJOG : an international journal of obstetrics and gynaecology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 1 pooled it
8.2field-weighted citation impact, top 2% 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

18 citing papers in PubMed, 1 synthesis or guideline pooled it, 31 citations in OpenAlex.

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  18. 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

5 · Who and what money

Authors and funding

8 authors at 3 institutions in 1 country.

Tiffany L PankoNTID Research Center on Culture and Language, Rochester Institute of Technology, Rochester, New York, USA.ORCID 0000-0001-9281-1481
Jess CuculickNTID Department of Liberal Studies, Rochester Institute of Technology, Rochester, New York, USA.
Sasha AlbertLurie Institute for Disability Policy, Brandeis University, Waltham, Massachusetts, USA.
Lauren D SmithLurie Institute for Disability Policy, Brandeis University, Waltham, Massachusetts, USA.
Margarita M CooleyIndependent Consultant to Brandeis University, Waltham, Massachusetts, USA.
Melanie HerschelDepartment of Family Medicine, University of Michigan, Ann Arbor, Michigan, USA.
Monika MitraLurie Institute for Disability Policy, Brandeis University, Waltham, Massachusetts, USA.
Michael McKeeDepartment of Family Medicine, University of Michigan, Ann Arbor, Michigan, USA.
Brandeis University · USRochester Institute of Technology · USUniversity of Michigan · US

Funding

Rochester Partnership to Advance Research and Academic Careers in Deaf ScholarsK12GM106997 · NIGMS · UNIVERSITY OF ROCHESTER · PI BUCKLEY, GERARD J., DEWHURST, STEPHEN · 2015 to 2024
$6.9M
Pregnancy Outcomes and Experiences among Deaf and Hard of Hearing WomenR01HD090103 · NICHD · BRANDEIS UNIVERSITY · PI MCKEE, MICHAEL M, MITRA, MONIKA · 2017 to 2021
$2.8M
Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD) R01-HD090103NICHD NIH HHS R01 HD090103NIGMS NIH HHS K12 GM106997NIGMS NIH HHS K12-GM106997
6 · The paper itself

Abstract

objectiveWomen who are deaf experience higher rates of reproductive healthcare barriers and adverse birth outcomes compared with their peers who can hear. This study explores the pregnancy experiences of women who are deaf to better understand their barriers to and facilitators of optimal pregnancy-related health care.

designQualitative study using thematic analysis.

settingSemi-structured, individual, remote or in-person interviews conducted in the USA. SAMPLE: Forty-five women who are deaf and communicate using American Sign Language (ASL) and gave birth in the USA within the past 5 years participated in the interviews.

methodsSemi-structured interviews explored how mothers who are deaf experienced pregnancy and birth, including access to perinatal information and resources, relationships with healthcare providers, communication access and their involvement with the healthcare system throughout pregnancy. A thematic analysis was conducted.

main outcome measuresBarriers and facilitators related to a positive experience of perinatal care access among women who are deaf.

resultsThree major themes emerged: (1) communication accessibility; (2) communication satisfaction; and (3) healthcare provider and team support. Common barriers included choosing healthcare providers, inconsistent communication access and difficulty accessing health information. However, when women who are deaf were able to use ASL interpreters, they had more positive pregnancy and birth experiences. Self-advocacy served as a common facilitator for more positive pregnancy and healthcare experiences.

conclusionsHealthcare providers need to be more aware of the communication and support needs of their patients who are deaf, especially how to communicate effectively. Increased cultural awareness and consistent provision of on-site interpreters can improve pregnancy and birth experiences for women who are deaf.

Indexed as

Health Services AccessibilityMothersCommunicationFemaleHumansPregnancyQualitative ResearchSign Languageantenatal carematernity servicesqualitative research

Identifiers

PMID36156842
PMCPMC9992236
OpenAlexW4297239076

What OpenQuestion holds

Textmetadata
LicenceTDM
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.