abstract: 'Introduction Women with physical disabilities experience barriers to

  accessing patient-centered and accommodative care during the prenatal

  and childbirth periods. While there is a growing body of work in

  high-income countries to address these needs, there is little research

  detailing specific challenges in low- and middle-income countries

  (LMICs) where a woman''s'' burden- and need-is greatest. Methods We

  conducted an integrative review to synthesize the experiences of women

  with physical disabilities accessing prenatal care and childbirth

  services in LMICs. Five databases were searched for systematic reviews,

  retrospective cohort studies, cross-sectional studies, narrative

  literature reviews, as well as other evidence types. We used Ediom''s

  EvidenceEngine (TM), a machine-assisted search engine that uses

  artificial intelligence to conduct this search using pertinent keywords

  to identify original research published between January 2009 - September

  2018. These results were augmented by hand searching of reference lists.

  Forty articles were identified using this method and 11 retained after

  duplicates were removed and inclusion and exclusion criteria applied.

  Results Four types of experiences are described in these 11 studies: (1)

  limited physical and material resources; (2) health care worker

  knowledge, attitudes, and skills; (3) pregnant people''s knowledge; and

  (4) public stigma and ignorance. Discussion People with physical

  disabilities face specific challenges during pregnancy and childbirth.

  Importantly, these findings offer targets for enhanced clinical training

  for nurses, midwives, traditional birth attendants and public health

  workers, as well as opportunities for the improved delivery of prenatal

  care and childbirth services to these vulnerable women.'
affiliation: 'George, M (Corresponding Author), Columbia Univ, Sch Nursing, 630 West
  168th St Mail Code 6, New York, NY 10032 USA.

  Kazembe, Abigail; Simwaka, Andrew; Petross, Chisomo; Kafulafula, Ursula; Chakhame,
  Bertha; Chodzaza, Elizabeth; Chisuse, Isabella; Kamanga, Martha, Univ Malawi, Kamuzu
  Coll Nursing, Lilongwe, Malawi.

  Dougherty, Kylie; George, Maureen, Columbia Univ, Sch Nursing, 630 West 168th St
  Mail Code 6, New York, NY 10032 USA.

  Sun, Carolyn, Hunter Coll, Sch Nursing, New York, NY USA.'
author: Kazembe, Abigail and Simwaka, Andrew and Dougherty, Kylie and Petross, Chisomo
  and Kafulafula, Ursula and Chakhame, Bertha and Chodzaza, Elizabeth and Chisuse,
  Isabella and Kamanga, Martha and Sun, Carolyn and George, Maureen
author-email: mg3656@cumc.columbia.edu
author_list:
- family: Kazembe
  given: Abigail
- family: Simwaka
  given: Andrew
- family: Dougherty
  given: Kylie
- family: Petross
  given: Chisomo
- family: Kafulafula
  given: Ursula
- family: Chakhame
  given: Bertha
- family: Chodzaza
  given: Elizabeth
- family: Chisuse
  given: Isabella
- family: Kamanga
  given: Martha
- family: Sun
  given: Carolyn
- family: George
  given: Maureen
da: '2023-09-28'
doi: 10.1111/phn.13087
earlyaccessdate: MAY 2022
eissn: 1525-1446
files: []
issn: 0737-1209
journal: PUBLIC HEALTH NURSING
keywords: disparities; maternal health; people with disabilities; pregnant women
keywords-plus: 'REPRODUCTIVE HEALTH-SERVICES; PREGNANCY; MOTHERHOOD; CHILDBIRTH;

  RECOMMENDATIONS; BARRIERS; PEOPLE; ACCESSIBILITY; CHALLENGES; ATTITUDES'
language: English
month: SEP
number: '5'
number-of-cited-references: '49'
pages: 1156-1166
papis_id: da4871e5e97a05c176083eaf6cc9dc8d
ref: Kazembe2022experienceswomen
tags:
- review
times-cited: '1'
title: Experiences of women with physical disabilities accessing prenatal care in
  low- and middle-income countries
type: article
unique-id: WOS:000790901300001
usage-count-last-180-days: '0'
usage-count-since-2013: '1'
volume: '39'
web-of-science-categories: Public, Environmental \& Occupational Health; Nursing
year: '2022'