Hannah Facey, Kathryn Broderick, Bridget Cichon, Mary Stephens
{"title":"What Gynecologists Need to Know About Intellectual and Developmental Disabilities.","authors":"Hannah Facey, Kathryn Broderick, Bridget Cichon, Mary Stephens","doi":"10.1097/GRF.0000000000001019","DOIUrl":"10.1097/GRF.0000000000001019","url":null,"abstract":"<p><p>Although patients with intellectual and developmental disabilities (IDD) have a right to comprehensive and accessible gynecologic care, they have historically faced discrimination within the health care system, and many providers report limited confidence in their ability to provide high-quality care. To combat this disparity, this article presents a framework for structuring gynecologic visits and reviews practical tools that clinicians can use to support successful clinical encounters and provide equitable care. These recommendations were informed by the expert opinion of health care professionals experienced in caring for patients with IDD, as well as through a review of current literature.</p>","PeriodicalId":10415,"journal":{"name":"Clinical obstetrics and gynecology","volume":" ","pages":"267-273"},"PeriodicalIF":1.5,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147764638","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Promoting Sexual Health and Safety for Women With Disabilities.","authors":"Nili Amir, Monica W Rosen","doi":"10.1097/GRF.0000000000000998","DOIUrl":"10.1097/GRF.0000000000000998","url":null,"abstract":"<p><p>Despite representing one of the largest and fastest-growing subpopulations of reproductive-age women, women with disabilities experience profound disparities in sexual and reproductive health care. Women with disabilities face disproportionately high rates of unmet sexual health needs, inadequate sexual education, and elevated risks of sexual abuse and intimate partner violence (IPV). These inequities are driven by structural, interpersonal, and clinical barriers that remain poorly addressed within women's health care systems. Given the importance of addressing reproductive health care needs, it is crucial that clinicians understand the needs of women with disabilities, implement disability-competent communication strategies, and ensure trauma-informed, accessible care.</p>","PeriodicalId":10415,"journal":{"name":"Clinical obstetrics and gynecology","volume":" ","pages":"274-277"},"PeriodicalIF":1.5,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146099940","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Obstetric Care for Patients With Visual Impairments: Preconception Counseling Through Postpartum Care.","authors":"Elizabeth Lutz, Kaitlyn Cedoz","doi":"10.1097/GRF.0000000000001039","DOIUrl":"10.1097/GRF.0000000000001039","url":null,"abstract":"<p><p>Visual impairment affects millions of reproductive-aged individuals worldwide, yet obstetric care for this population remains underrepresented in clinical guidelines and medical education. Patients with visual impairment face unique barriers throughout the reproductive continuum. This review provides a comprehensive, obstetrician-gynecologist-focused framework for the care of the visually impaired. Key topics include communication, optimization, screening for coercion and violence, prenatal care, labor and delivery, postpartum care, breast/chest feeding, and contraception. Emphasis is placed on patient autonomy, consent, trauma-informed care, and compliance with legal/ethical standards. Integrating disability-competent practices into obstetric care is essential to improving outcomes and advancing equity in reproductive health.</p>","PeriodicalId":10415,"journal":{"name":"Clinical obstetrics and gynecology","volume":" ","pages":"321-324"},"PeriodicalIF":1.5,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148344183","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Perioperative and Intraoperative Considerations for Gynecology Patients With Disabilities: A Review.","authors":"Anna M Frappaolo, Beth Cronin, Rose A M Huynh","doi":"10.1097/GRF.0000000000001021","DOIUrl":"10.1097/GRF.0000000000001021","url":null,"abstract":"<p><p>In 2022, ∼30% of adult women in the United States reported living with a disability, and yet, there has been a paucity of research performed for this population, particularly regarding perioperative/operative gynecologic care. In this review, we sought to compile existing research as well as extrapolate findings from other surgical fields. Our review is separated by physical and intellectual disabilities with contributions from Case Reports to Expert Opinion to Scoping Reviews. The most consistent evidence-based recommendation was the benefit of a multidisciplinary team. Otherwise, most recommendations were practical, without supporting data, highlighting the need for more studies.</p>","PeriodicalId":10415,"journal":{"name":"Clinical obstetrics and gynecology","volume":" ","pages":"301-310"},"PeriodicalIF":1.5,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147764614","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Obstetric Care of the Patient With Schizophrenia Spectrum Disorders.","authors":"Kara Stoever, Maithri Ameresekere","doi":"10.1097/GRF.0000000000001027","DOIUrl":"10.1097/GRF.0000000000001027","url":null,"abstract":"<p><p>Patients with schizophrenia spectrum disorders are a clinically complex group in need of focused, multidisciplinary care in the perinatal period. During pregnancy, these patients are at increased risk of substance use disorders and child protective services involvement, as well as multiple adverse obstetric and neonatal outcomes. Coordinated care with psychiatry is critical, as psychotropic medication treatment can improve maternal and neonatal outcomes. Even with medication treatment, the variability in impairments to patient autonomy requires attention to decision-making for these individuals. This review highlights best practices when caring for patients with schizophrenia spectrum disorders from preconception through postpartum.</p>","PeriodicalId":10415,"journal":{"name":"Clinical obstetrics and gynecology","volume":" ","pages":"344-354"},"PeriodicalIF":1.5,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148216826","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Obstetric Care of Patients With Disabilities: Moving From Barriers to Best Practices.","authors":"Beth Cronin, Dayna Burrell","doi":"10.1097/GRF.0000000000001024","DOIUrl":"10.1097/GRF.0000000000001024","url":null,"abstract":"","PeriodicalId":10415,"journal":{"name":"Clinical obstetrics and gynecology","volume":" ","pages":"311-312"},"PeriodicalIF":1.5,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148301311","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Best Practices for Obstetric Care of Deaf Patients.","authors":"Rafaela G Toledo, Chi-Fong Wang","doi":"10.1097/GRF.0000000000001028","DOIUrl":"10.1097/GRF.0000000000001028","url":null,"abstract":"<p><strong>Background: </strong>Deaf and hard-of-hearing (DHH) women face significant health care disparities, including higher rates of gestational diabetes, preeclampsia, preterm birth, and unintended pregnancy compared with the general population.</p><p><strong>Problem: </strong>DHH women encounter significant barriers to obstetric care, including inadequate communication access, insufficient availability of qualified interpreters, and lack of provider training in caring for DHH patients.</p><p><strong>Approach: </strong>Effective communication, culturally competent, and patient-centered care can address existing disparities and improve outcomes for DHH women throughout their reproductive years.</p><p><strong>Objective: </strong>This article summarizes best practices for obstetric care to DHH patients and highlights opportunities for improving health care to this diverse population.</p>","PeriodicalId":10415,"journal":{"name":"Clinical obstetrics and gynecology","volume":" ","pages":"316-320"},"PeriodicalIF":1.5,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148204315","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Contributors: Gynecologic Care of the Patient With Disabilities.","authors":"","doi":"10.1097/01.grf.0001237996.76604.6d","DOIUrl":"https://doi.org/10.1097/01.grf.0001237996.76604.6d","url":null,"abstract":"","PeriodicalId":10415,"journal":{"name":"Clinical obstetrics and gynecology","volume":"69 3","pages":"v-vi"},"PeriodicalIF":1.5,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148577245","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Preventive Gynecologic Care for Patients With Disabilities.","authors":"Julie P Barbera, Beth I Schwartz","doi":"10.1097/GRF.0000000000000994","DOIUrl":"10.1097/GRF.0000000000000994","url":null,"abstract":"<p><p>Patients with disabilities face significant disparities in preventive gynecologic care due to systemic barriers, limited provider training, and pervasive bias. These challenges contribute to reduced uptake of HPV vaccination, cervical and breast cancer screening, resulting in higher rates of late-stage diagnoses and mortality. Gynecologic clinicians play a critical role in addressing these inequities by fostering autonomy-centered communication, providing appropriate accommodations, and adhering to evidence-based screening guidelines. This review summarizes key practices to enhance preventive care for patients with disabilities and highlights areas of needed improvement in clinical training, clinical environments, and access to cancer prevention services.</p>","PeriodicalId":10415,"journal":{"name":"Clinical obstetrics and gynecology","volume":" ","pages":"278-283"},"PeriodicalIF":1.5,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146103743","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Dissecting the Americans With Disabilities Act (ADA) Requirements when Approaching Obstetric Patients With Disabilities: How to Ensure Your Spaces are Accessible for All.","authors":"Meena Theva","doi":"10.1097/GRF.0000000000001044","DOIUrl":"10.1097/GRF.0000000000001044","url":null,"abstract":"<p><p>The American Disabilities Act of 1990 (ADA) was established to protect individuals with disabilities from discrimination against access to health care and public services and to ensure they have equitable resources. It is imperative that obstetric providers understand the applications of the ADA requirements when caring for pregnant patients with disabilities ensuring they are able to physically access outpatient care and effectively communicate with their care team.</p>","PeriodicalId":10415,"journal":{"name":"Clinical obstetrics and gynecology","volume":" ","pages":"313-315"},"PeriodicalIF":1.5,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148359755","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}