J Obstet Gynecol Neonatal Nurs. 2022 Jul;51(4):418-427. doi: 10.1016/j.jogn.2022.03.006. Epub 2022 May 9.
To explore the experiences of women of short stature, including women with dwarfism and osteogenesis imperfecta (OI), during the perinatal period.
Qualitative descriptive.
Telephone interviews with women of short stature from across the United States.
Nine women of short stature, including five with dwarfism and four with osteogenesis imperfecta, between the ages of 18 and 55 years who gave birth within the last 10 years.
We used reflexive thematic analysis to analyze interview data.
Four themes represented the participants' experiences during maternity care: Clinicians' Lack of Knowledge, Sources of Information and EmotionalSupport, Clinical Considerations: Effects of Pregnancy and Disability, and Accessibility Barriers and Adaptations. Participants experienced respiratory difficulties and preterm birth. They expressed concerns regarding the lack of clinician knowledge and experience in administering epidural anesthesia to women of short stature and highlighted the important role of disability organizations in disseminating information about childbirth for women with disabilities.
Childbearing women of short stature require disability-specific maternity care. Our findings highlight the need for disability education programs for nurse-midwives, nurses, physicians, and other clinicians who provide maternity care to women of short stature.
探讨身材矮小女性(包括 dwarfism 和 osteogenesis imperfecta [OI] 患者)在围产期的经历。
定性描述。
在美国各地进行的身材矮小女性电话访谈。
9 名身材矮小的女性,年龄在 18 至 55 岁之间,最近 10 年内生育,包括 5 名 dwarfism 患者和 4 名 osteogenesis imperfecta 患者。
我们使用反思性主题分析对访谈数据进行分析。
四个主题代表了参与者在产妇护理期间的经历:临床医生知识的缺乏、信息和情感支持的来源、临床考虑:妊娠和残疾的影响,以及无障碍障碍和适应。参与者经历了呼吸问题和早产。她们对临床医生在为身材矮小的女性施行硬膜外麻醉方面缺乏知识和经验表示担忧,并强调了残疾组织在为残疾女性传播分娩信息方面的重要作用。
身材矮小的产妇需要特定于残疾的产妇护理。我们的研究结果强调了为提供产妇护理的助产士、护士、医生和其他临床医生提供残疾教育计划的必要性。