Clinician-reported barriers to providing perinatal care to women with intellectual and developmental disabilities.

IF 16.4 1区化学 Q1 CHEMISTRY, MULTIDISCIPLINARY

Accounts of Chemical Research Pub Date : 2023-01-01 Epub Date: 2022-06-30 DOI:10.3109/13668250.2022.2086110

Lauren D Smith, Anne Valentine, Tiffany A Moore Simas, Susan L Parish, Alanna Levy, Monika Mitra

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引用次数: 0

Abstract

Background: Research suggests that women with intellectual and developmental disabilities are at increased risk for adverse pregnancy outcomes. Further, they report unmet perinatal care needs. This qualitative study examined clinician perspectives on barriers to providing perinatal care to women with intellectual and developmental disabilities.

Method: We conducted semi-structured interviews and one focus group with US obstetric care clinicians (n=17). We used a content analysis approach to code data and analyse them for larger themes and relationships.

Results: The majority of participants were white, non-Hispanic, and female. Participants reported barriers providing care to pregnant women with intellectual and developmental disabilities across individual (e.g., communication challenges), practice (e.g., identification of disability status), and system levels (e.g., lack of clinician training).

Conclusions: Clinician training and evidence-based guidelines for perinatal care of women with intellectual and developmental disabilities as well as services and supports during pregnancy are needed.

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临床医生报告的为智力和发育障碍妇女提供围产期护理的障碍。

背景：研究表明，有智力和发育障碍的妇女妊娠不良后果的风险更高。此外，她们的围产期护理需求也未得到满足。这项定性研究从临床医生的角度探讨了为智障和发育障碍妇女提供围产期保健的障碍：我们对美国产科护理临床医生（n=17）进行了半结构化访谈和一个焦点小组。我们采用内容分析法对数据进行编码，并分析其更大的主题和关系：大多数参与者为白人、非西班牙裔和女性。参与者报告了为智力和发育障碍孕妇提供护理时遇到的个人（如沟通障碍）、实践（如残疾状况识别）和系统（如缺乏临床医生培训）层面的障碍：结论：需要对临床医生进行培训，并为智力和发育障碍妇女的围产期护理以及孕期服务和支持制定循证指南。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Accounts of Chemical Research 化学-化学综合

CiteScore

31.40

自引率

1.10%

发文量

312

审稿时长

2 months

期刊介绍： Accounts of Chemical Research presents short, concise and critical articles offering easy-to-read overviews of basic research and applications in all areas of chemistry and biochemistry. These short reviews focus on research from the author’s own laboratory and are designed to teach the reader about a research project. In addition, Accounts of Chemical Research publishes commentaries that give an informed opinion on a current research problem. Special Issues online are devoted to a single topic of unusual activity and significance. Accounts of Chemical Research replaces the traditional article abstract with an article "Conspectus." These entries synopsize the research affording the reader a closer look at the content and significance of an article. Through this provision of a more detailed description of the article contents, the Conspectus enhances the article's discoverability by search engines and the exposure for the research.