A perinatal health framework for women with physical disabilities
Center for Health Policy and Research; Department of Family Medicine and Community Health
Female Urogenital Diseases and Pregnancy Complications | Health Services Administration | Health Services Research | Maternal and Child Health | Public Health | Women's Health
BACKGROUND: Studies suggest that women with disabilities experience health and health care disparities before, during, and after pregnancy. However, existing perinatal health and health care frameworks do not address the needs and barriers faced by women with physical disabilities around the time of pregnancy. A new framework that addresses perinatal disparities among women with physical disabilities is needed.
OBJECTIVE: To propose a framework for examining perinatal health and health care disparities among women with physical disabilities.
METHODS: We developed a perinatal health framework guided by the International Classification of Functioning, Disability and Health (ICF) and the integrated perinatal health framework by Misra et al.
RESULTS: The proposed framework uses a life span perspective in a manner that directly addresses the multiple determinants specific to women with physical disabilities around the time of pregnancy. The framework is based on longitudinal and integrated perspectives that take into account women's functional status and environment over their life course.
CONCLUSION: The perinatal health framework for women with physical disabilities was developed to inform the way researchers and health care professionals address disparities in perinatal health and health care among women with physical disabilities.
Disability, Pregnancy, Perinatal health, Framework, Women with physical disabilities
DOI of Published Version
Mitra M, Long-Bellil LM, Smeltzer SC, Iezzoni LI. A perinatal health framework for women with physical disabilities. Disabil Health J. 2015 Oct;8(4):499-506. doi: 10.1016/j.dhjo.2015.05.007. Epub 2015 Jun 22. PubMed PMID: 26189010; PubMed Central PMCID: PMC4570855. Link to article on publisher's website
Disability and Health Journal
Mitra M, Long-Bellil LM, Smeltzer SC, Iezzoni LI. (2015). A perinatal health framework for women with physical disabilities. Center for Health Policy and Research (CHPR) Publications. https://doi.org/10.1016/j.dhjo.2015.05.007. Retrieved from https://escholarship.umassmed.edu/healthpolicy_pp/196