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Labor, delivery, and anesthesia experiences of women with physical disability

机译：劳动，交付和麻醉患有身体残疾的妇女经验

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Abstract Background Although many women with physical disabilities report poor quality reproductive health care, little research has addressed labor, delivery, and anesthesia experiences of these women. This study was conducted to explore these experiences in women with significant mobility disabilities. Methods A qualitative descriptive study was conducted with 22 women from the United States who had delivered newborns within the prior 10?years. All had significant mobility disabilities. Two‐hour, in‐depth telephone interviews were conducted using a semistructured, open‐ended interview protocol, which addressed many topics, including labor, delivery, and anesthesia experiences. We recruited most participants through social networks, interviewing women from 17 states. Conventional content analysis, facilitated by NV ivo software, was used to identify major themes. Results The mean age of women was 34.8?±?5.3?years. Most women were white, college educated, and used wheeled mobility aids. Four key themes emerged from participants’ narratives of laboring and giving birth with a disability. These included women's preferences for type of delivery, clinicians and some women expected no labor pain, fears prompting active advocacy, and positive experiences. As participants discussed their experiences with anesthesia, four additional themes were identified: importance of consultation with the anesthesia team, decisions about epidural/spinal vs general anesthesia, failed epidural with repeated efforts, and fear of injury related to anesthesia. Conclusions The responses of women in this study suggest that there is need to make intrapartum care better for women with physical disabilities and to improve their experiences with labor, birth, and obstetric anesthesia care.
机译：摘要背景虽然许多具有身体残疾的女性报告质量差的生殖保健，但很少的研究已经解决了这些妇女的劳动力，交付和麻醉体验。该研究进行了探索具有显着移动性残疾的妇女的这些经验。方法使用来自美国的22名妇女进行了定性描述性研究，他在前10年内送出了新生儿。所有人都有显着的移动性残疾。两小时，深入的电话采访是使用半系统的开放式面试协议进行的，该协议涉及许多主题，包括劳动力，交付和麻醉体验。我们通过社交网络招募大多数参与者，从17个州采访妇女。通过NV IVO软件促进的常规内容分析用于识别主要主题。结果妇女的平均年龄为34.8？±5.3？年。大多数女性都是白人，大学教育，以及使用的轮式移动艾滋病。从参与者的劳动叙述中出现了四个关键主题，并患有残疾的叙述。这些包括妇女对交付类型的偏好，临床医生和一些女性预计没有植物疼痛，担心促使积极的宣传和积极的经历。随着与会者讨论了他们的麻醉经验，确定了四个额外的主题：与麻醉团队协商的重要性，关于硬膜外/脊髓与普通麻醉的决定，失败的硬膜外硬膜外硬膜外的反复努力，以及对麻醉有关的伤害。结论妇女在本研究中的反应表明，有必要为具有身体残疾的妇女做出更好的妇女，并改善其与劳动力，出生和产科麻醉护理的经历。

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