Physical disabilities in pregnant women: impact on care and pregnancy outcome

Background: Health care providers are often insensitive to and unfamiliar with the needs of pregnant women with disability. Medical services are many times not tailored to the needs of the disabled. This study analyzes the impact of disabilities on pregnancy in women delivering in a tertiary care hospital in India.Methods: Prospective study of total of 50 pregnant women with various disabilities was conducted in a tertiary care hospital in Mumbai, India. Each patient’s antepartum, intrapartum and postpartum course were noted. Patients were also interviewed with help of a structured questionnaire for difficulties accessing services, and impact on their daily life, pain.Results: Rate of cesarean deliveries due to pelvic problems, and complications like urinary tract infections which arise due to mobility issues were significantly higher in patients with physical disabilities. 30% participants found examination tables unsuitable and 20% found it difficult access toilets. Over all patients were satisfied with skills of health workers.Conclusions: Healthcare facilities have to be equipped for receiving patients with disabilities and should train health workers in management of these clients. They require pre-conceptional counseling and planning