Nguyen Thi Vinh, Edwards Niki, King Julie
School of Public Health and Social Work, Faculty of Health, Queensland University of Technology, 149 Victoria Park Road, Queensland 4059, Australia.
School of Psychology and Wellbeing, Faculty of Health, Engineering and Sciences, University of Southern Queensland, Ipswich, Queensland 4305, Australia.
Disabil Health J. 2023 Apr;16(2):101439. doi: 10.1016/j.dhjo.2023.101439. Epub 2023 Jan 10.
Pregnancy among women with physical disabilities is common around the world; however, there are limited qualitative studies that explore the perspectives of healthcare providers toward pregnant women with disabilities outside of the Global North.
This article explores perspectives and experiences of maternal healthcare providers in the delivery of services to women with physical disabilities in Northern Vietnam.
Semi-structured interviews were conducted with 14 healthcare providers who worked in public and/or private healthcare North Vietnamese facilities where maternal services were provided. Data were thematically analyzed.
The participants included six males and eight females. Ten were obstetricians/gynecologists, one was a doctor specializing in obstetric imaging diagnosis, three were midwives, and one was a midwife/assistant doctor. Four themes were identified. In the first theme, providers attached provisos to the right to motherhood including the view that the women were limited to one child and should undergo prenatal screenings for fetal abnormalities. In the second theme, the providers reported that disability was not incorporated into their education; this led to half of them lacking confidence in providing appropriate maternal healthcare services for women with physical disabilities. The third theme found that although women with physical disabilities were considered as a priority group, decisions around who was seen before others or provided with fee discount/exemption were left in the hands of staff. The fourth theme identified that some providers overlooked their needs for physical accessibility and independence.
This study shows that maternal healthcare providers in Vietnam discounted the needs of women with physical disabilities. The needs of women with disabilities should be included in the training of maternal healthcare providers in Vietnam.
身体残疾女性怀孕在全球都很常见；然而，在全球北方地区以外，探索医疗服务提供者对残疾孕妇看法的定性研究有限。
本文探讨越南北方孕产妇医疗服务提供者为身体残疾女性提供服务的看法和经历。
对在越南北方提供孕产妇服务的公立和/或私立医疗机构工作的14名医疗服务提供者进行了半结构化访谈。对数据进行了主题分析。
参与者包括6名男性和8名女性。其中10名是妇产科医生，1名是产科影像诊断专科医生，3名是助产士，1名是助产士/助理医生。确定了四个主题。在第一个主题中，提供者对生育权附加了条件，包括认为这些女性只能生育一个孩子，并且应该接受胎儿异常的产前筛查。在第二个主题中，提供者报告说残疾问题未纳入他们的教育内容；这导致其中一半人对为身体残疾女性提供适当的孕产妇医疗服务缺乏信心。第三个主题发现，尽管身体残疾女性被视为优先群体，但关于谁先接受诊治或获得费用减免的决定权掌握在工作人员手中。第四个主题指出，一些提供者忽视了她们对身体可达性和独立性的需求。
本研究表明，越南的孕产妇医疗服务提供者忽视了身体残疾女性的需求。越南孕产妇医疗服务提供者的培训应纳入残疾女性的需求。
