Access and utilisation of maternity care for disabled women who experience domestic abuse: a systematic review


Autoria(s): Breckenridge, Jenna P; Devaney, John; Kroll, Thilo; Lazenbatt, Anne; Taylor, Julie; Bradbury-Jones, Caroline
Data(s)

01/07/2014

Resumo

Background: Although disabled women are significantly more likely to experience domestic abuse during pregnancy than non-disabled women, very little is known about how maternity care access and utilisation is affected by the co-existence of disability and domestic abuse. This systematic review of the literature explored how domestic abuse impacts upon disabled women’s access to maternity services. <br/> <br/>Methods: Eleven articles were identified through a search of six electronic databases and data were analysed to identify: the factors that facilitate or compromise access to care; the consequences of inadequate care for pregnant women’s health and wellbeing; and the effectiveness of existing strategies for improvement. <br/> <br/>Results: Findings indicate that a mental health diagnosis, poor relationships with health professionals and environmental barriers can compromise women’s utilisation of maternity services. Domestic abuse can both compromise, and catalyse, access to services and social support is a positive factor when accessing care. Delayed and inadequate care has adverse effects on women’s physical and psychological health, however further research is required to fully explore the nature and extent of these consequences. Only one study identified strategies currently being used to improve access to services for disabled women experiencing abuse. <br/> <br/>Conclusions: Based upon the barriers and facilitators identified within the review, we suggest that future strategies for improvement should focus on: understanding women’s reasons for accessing care; fostering positive relationships; being women-centred; promoting environmental accessibility; and improving the strength of the evidence base.

Formato

application/pdf

application/pdf

Identificador

http://pure.qub.ac.uk/portal/en/publications/access-and-utilisation-of-maternity-care-for-disabled-women-who-experience-domestic-abuse-a-systematic-review(ca0dad8b-1a21-4c6c-9c41-0bfaad141380).html

http://dx.doi.org/10.1186/1471-2393-14-234

http://pure.qub.ac.uk/ws/files/10728278/Access_and_utilisation_of_maternity_care_for_disabled_women_who_experience_domestic_abuse_a_systematic_review.pdf

http://pure.qub.ac.uk/ws/files/11166836/Access_and_utilisation_of_maternity_care_for_disabled_women_who_experience_domestic_abuse.pdf

Idioma(s)

eng

Direitos

info:eu-repo/semantics/openAccess

Fonte

Breckenridge , J P , Devaney , J , Kroll , T , Lazenbatt , A , Taylor , J & Bradbury-Jones , C 2014 , ' Access and utilisation of maternity care for disabled women who experience domestic abuse: a systematic review ' BMC Pregnancy and Childbirth , vol 14 , 234 . DOI: 10.1186/1471-2393-14-234

Palavras-Chave #Disability, Domestic abuse, Pregnancy, Maternity, Access, Utilisation, Review
Tipo

article