Pavlidou Aikaterini, Sarantaki Antigoni
Department of Midwifery, University of West Attica, Athens, Greece.
Maedica (Bucur). 2021 Dec;16(4):685-694. doi: 10.26574/maedica.2020.16.4.685.
The aim of this systematic review was to elucidate the thoughts, needs, feelings and barriers that women with physical disabilities face during childbirth. The review is based on studies including testimonies of women who described their delivery experiences. The systematic research was conducted using two online bibliographic databases. The review considered all types of studies relevant to the theme that were written in English and were published from 2016 to February 2021. In total, 89 studies that were assessed through the PubMed and Google Scholar databases were collected. Only six of the 89 studies met the inclusion criteria and were deemed valid. Our findings showed that the components that define labour experiences of women with physically disabling conditions were selection of type of birth and anaesthesia, inexperience and lack of knowledge of clinicians surrounding disabilities, negative attitudes of medical staff, non-cooperation between healthcare settings of clinicians, inadequate equipment and facilities, and absence of a birth plan. Health professionals ought to overcome these obstacles, in order to achieve improved mother and infant outcomes. This could be achieved through the suggested further research, review of publications, improvement of facilities, and through cultivation of professionalism, respect, and empathy with regards to clinicians' attitudes towards these women and this vital period in their life.
本系统综述的目的是阐明身体残疾女性在分娩过程中面临的想法、需求、感受和障碍。该综述基于包括描述分娩经历的女性证词在内的研究。系统研究使用了两个在线书目数据库进行。该综述考虑了2016年至2021年2月期间以英文撰写并发表的与该主题相关的所有类型的研究。总共收集了通过PubMed和谷歌学术数据库评估的89项研究。89项研究中只有6项符合纳入标准并被视为有效。我们的研究结果表明,定义身体残疾女性分娩经历的因素包括分娩方式和麻醉方式的选择、临床医生对残疾缺乏经验和了解、医务人员的消极态度、临床医生医疗机构之间缺乏合作、设备和设施不足以及缺乏分娩计划。卫生专业人员应该克服这些障碍,以改善母婴结局。这可以通过建议的进一步研究、对出版物的审查、设施的改善以及培养临床医生对这些女性及其生命中这一关键时期的专业精神、尊重和同理心来实现。