Perception of medical care during pregnancy and birth in women with mobility impairment in the region of Murcia
Abstract
Introduction. According to previous research, women with disability are in a particular situation of inequality in health services due to difficulties of accessibility, lack of attention and specific needs which are derived from their particular situation. The goal of this essay is to analyze how these women with disability perceive the medical care received during their pregnancy and birth giving in the Region of Murcia and to verify if they are in a situation of inequality in health services during these processes.Material and methods. Two different studies were conducted. In the first, following a qualitative approach, five people in a situation of inequality during their pregnancy were interviewed. A self-made questionnaire was also delivered to seventeen Associations of Disabled People in the Region of Murcia. In the second, following an epidemiological approach, data from the Clinical Stories Codification services from a Hospital in Murcia was used. Data from 3.335 births in which women had been diagnosed with a disability between 2005 and 2009 were collected.
Results and conclusions. The results of our study showed that: a) there was no increase in medical care during birth between women with disability and women without disability; b) women with disability perceive a lack of sensitivity in the treatment by health professionals; a lack of respect for her intimacy and a lack of information and health education. The Association of Disabled people has not included these problems among their main goals of the Association. From this study, we can conclude that pregnancies in women with disability considered as “high risk pregnancies” and which are controlled by Specialized Services exclusively by the obstetrician, lack the benefits of the Primary Attention regarding information and health and maternal education proportioned by the midwife, who is integrated in a multidisciplinary team. Likewise, it would be advisable that all health professionals, who render their services to this group were properly trained in disability matters.
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