Cargando…

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

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 th...

Descripción completa

Detalles Bibliográficos
Autores principales: Breckenridge, Jenna P, Devaney, John, Kroll, Thilo, Lazenbatt, Anne, Taylor, Julie, Bradbury-Jones, Caroline
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2014
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4223363/
https://www.ncbi.nlm.nih.gov/pubmed/25029907
http://dx.doi.org/10.1186/1471-2393-14-234
_version_ 1782343181883408384
author Breckenridge, Jenna P
Devaney, John
Kroll, Thilo
Lazenbatt, Anne
Taylor, Julie
Bradbury-Jones, Caroline
author_facet Breckenridge, Jenna P
Devaney, John
Kroll, Thilo
Lazenbatt, Anne
Taylor, Julie
Bradbury-Jones, Caroline
author_sort Breckenridge, Jenna P
collection PubMed
description 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. 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. 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. 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.
format Online
Article
Text
id pubmed-4223363
institution National Center for Biotechnology Information
language English
publishDate 2014
publisher BioMed Central
record_format MEDLINE/PubMed
spelling pubmed-42233632014-11-08 Access and utilisation of maternity care for disabled women who experience domestic abuse: a systematic review Breckenridge, Jenna P Devaney, John Kroll, Thilo Lazenbatt, Anne Taylor, Julie Bradbury-Jones, Caroline BMC Pregnancy Childbirth Research Article 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. 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. 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. 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. BioMed Central 2014-07-17 /pmc/articles/PMC4223363/ /pubmed/25029907 http://dx.doi.org/10.1186/1471-2393-14-234 Text en Copyright © 2014 Breckenridge et al.; licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/4.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
spellingShingle Research Article
Breckenridge, Jenna P
Devaney, John
Kroll, Thilo
Lazenbatt, Anne
Taylor, Julie
Bradbury-Jones, Caroline
Access and utilisation of maternity care for disabled women who experience domestic abuse: a systematic review
title Access and utilisation of maternity care for disabled women who experience domestic abuse: a systematic review
title_full Access and utilisation of maternity care for disabled women who experience domestic abuse: a systematic review
title_fullStr Access and utilisation of maternity care for disabled women who experience domestic abuse: a systematic review
title_full_unstemmed Access and utilisation of maternity care for disabled women who experience domestic abuse: a systematic review
title_short Access and utilisation of maternity care for disabled women who experience domestic abuse: a systematic review
title_sort access and utilisation of maternity care for disabled women who experience domestic abuse: a systematic review
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4223363/
https://www.ncbi.nlm.nih.gov/pubmed/25029907
http://dx.doi.org/10.1186/1471-2393-14-234
work_keys_str_mv AT breckenridgejennap accessandutilisationofmaternitycarefordisabledwomenwhoexperiencedomesticabuseasystematicreview
AT devaneyjohn accessandutilisationofmaternitycarefordisabledwomenwhoexperiencedomesticabuseasystematicreview
AT krollthilo accessandutilisationofmaternitycarefordisabledwomenwhoexperiencedomesticabuseasystematicreview
AT lazenbattanne accessandutilisationofmaternitycarefordisabledwomenwhoexperiencedomesticabuseasystematicreview
AT taylorjulie accessandutilisationofmaternitycarefordisabledwomenwhoexperiencedomesticabuseasystematicreview
AT bradburyjonescaroline accessandutilisationofmaternitycarefordisabledwomenwhoexperiencedomesticabuseasystematicreview