2023-09-28 14:46:10 +00:00
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abstract: 'Introduction Women with physical disabilities experience barriers to
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accessing patient-centered and accommodative care during the prenatal
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and childbirth periods. While there is a growing body of work in
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high-income countries to address these needs, there is little research
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detailing specific challenges in low- and middle-income countries
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(LMICs) where a woman''s'' burden- and need-is greatest. Methods We
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conducted an integrative review to synthesize the experiences of women
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with physical disabilities accessing prenatal care and childbirth
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services in LMICs. Five databases were searched for systematic reviews,
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retrospective cohort studies, cross-sectional studies, narrative
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literature reviews, as well as other evidence types. We used Ediom''s
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EvidenceEngine (TM), a machine-assisted search engine that uses
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artificial intelligence to conduct this search using pertinent keywords
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to identify original research published between January 2009 - September
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2018. These results were augmented by hand searching of reference lists.
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Forty articles were identified using this method and 11 retained after
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duplicates were removed and inclusion and exclusion criteria applied.
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Results Four types of experiences are described in these 11 studies: (1)
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limited physical and material resources; (2) health care worker
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knowledge, attitudes, and skills; (3) pregnant people''s knowledge; and
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(4) public stigma and ignorance. Discussion People with physical
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disabilities face specific challenges during pregnancy and childbirth.
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Importantly, these findings offer targets for enhanced clinical training
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for nurses, midwives, traditional birth attendants and public health
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workers, as well as opportunities for the improved delivery of prenatal
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care and childbirth services to these vulnerable women.'
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affiliation: 'George, M (Corresponding Author), Columbia Univ, Sch Nursing, 630 West
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168th St Mail Code 6, New York, NY 10032 USA.
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Kazembe, Abigail; Simwaka, Andrew; Petross, Chisomo; Kafulafula, Ursula; Chakhame,
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Bertha; Chodzaza, Elizabeth; Chisuse, Isabella; Kamanga, Martha, Univ Malawi, Kamuzu
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Coll Nursing, Lilongwe, Malawi.
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Dougherty, Kylie; George, Maureen, Columbia Univ, Sch Nursing, 630 West 168th St
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Mail Code 6, New York, NY 10032 USA.
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Sun, Carolyn, Hunter Coll, Sch Nursing, New York, NY USA.'
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author: Kazembe, Abigail and Simwaka, Andrew and Dougherty, Kylie and Petross, Chisomo
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and Kafulafula, Ursula and Chakhame, Bertha and Chodzaza, Elizabeth and Chisuse,
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Isabella and Kamanga, Martha and Sun, Carolyn and George, Maureen
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author-email: mg3656@cumc.columbia.edu
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author_list:
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- family: Kazembe
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given: Abigail
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- family: Simwaka
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given: Andrew
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- family: Dougherty
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given: Kylie
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- family: Petross
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given: Chisomo
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- family: Kafulafula
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given: Ursula
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- family: Chakhame
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given: Bertha
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- family: Chodzaza
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given: Elizabeth
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- family: Chisuse
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given: Isabella
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- family: Kamanga
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given: Martha
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- family: Sun
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given: Carolyn
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- family: George
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given: Maureen
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da: '2023-09-28'
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doi: 10.1111/phn.13087
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earlyaccessdate: MAY 2022
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eissn: 1525-1446
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files: []
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issn: 0737-1209
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journal: PUBLIC HEALTH NURSING
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keywords: disparities; maternal health; people with disabilities; pregnant women
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keywords-plus: 'REPRODUCTIVE HEALTH-SERVICES; PREGNANCY; MOTHERHOOD; CHILDBIRTH;
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RECOMMENDATIONS; BARRIERS; PEOPLE; ACCESSIBILITY; CHALLENGES; ATTITUDES'
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language: English
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month: SEP
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number: '5'
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number-of-cited-references: '49'
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pages: 1156-1166
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papis_id: da4871e5e97a05c176083eaf6cc9dc8d
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ref: Kazembe2022experienceswomen
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tags:
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- review
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times-cited: '1'
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title: Experiences of women with physical disabilities accessing prenatal care in
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low- and middle-income countries
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2023-10-01 08:15:07 +00:00
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type: article
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2023-09-28 14:46:10 +00:00
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unique-id: WOS:000790901300001
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usage-count-last-180-days: '0'
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usage-count-since-2013: '1'
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volume: '39'
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web-of-science-categories: Public, Environmental \& Occupational Health; Nursing
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year: '2022'
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