Including the Excluded in Antenatal Care: A Systematic Review of Concerns for D/deaf Pregnant Women
Abstract
:1. Introduction
2. Materials and Methods
2.1. Inclusion and Exclusion Criteria
- I.
- Studies on D/deaf pregnant women;
- II.
- Studies published between the years 2000 and 2020;
- III.
- Studies published in the English language;
- IV.
- Studies that collected data from the D/deaf on issues of antenatal care; and
- V.
- Full text articles.
- I.
- Studies published before 2000 and after 2020;
- II.
- Abstracts, editorial comments, letters to the editor, and review articles;
- III.
- Studies on postnatal care or other reproductive health issues;
- IV.
- Non-English-language articles on D/deaf pregnant women and antenatal care; and
- V.
- Studies on antenatal issues that incorporated pregnant women with other forms of disability.
2.2. Search Strategy
2.3. Selection of Studies
2.4. Data Extraction
3. Results
3.1. Search Outcome
3.2. Study Design
3.3. Participants
3.4. Cumulative Main Findings
4. Discussion
5. Implications and Recommendations for Research, Policy, and Practice in Health Care
6. Limitations
7. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Conflicts of Interest
References
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Author(s) | Year | Title of Paper | Country | Study Aim | Study Design | Participants | Main Findings |
---|---|---|---|---|---|---|---|
Mustafa and Addar [35] | 2000 | Obstetric handling of a deaf patient | Saudi Arabia | To examine the experiences of obstetric handling of a deaf pregnant patient antenatally, during labor, and postpartum. | A case report. | One deaf woman. | Uneventful antenatal visits. |
Communication with patient through pen and paper could be difficult and time-consuming, and required a lot of patience. | |||||||
The clinical, psychological, and human aspects of the management were gratifying. | |||||||
O’Hearn [33] | 2006 | Deaf women’s experiences and satisfaction with prenatal care: a comparative study | USA | To investigate factors impacting deaf patients’ satisfaction with prenatal care and prenatal care disparities between deaf and hearing women. | Quantitative research design. | 23 deaf and 32 hearing women. | Deaf women were less satisfied than hearing women with physician communication and less satisfied with their overall care. |
Deaf women’s expectations about the provision of interpreter services being met or exceeded were significantly associated with their overall satisfaction. | |||||||
Hearing women had more prenatal care appointments and reported receiving more information from their doctors. | |||||||
Schiff, Doody, Crane and Mueller [32] | 2017 | Pregnancy outcomes among deaf women in Washington State, 1987–2012 | USA | To evaluate the association between deafness among pregnant women and selected adverse pregnancy and neonatal outcomes. | A retrospective cohort study | 645 deaf women with single live births | Deaf women were more likely to have a delivery hospitalization of four or more days. |
Deaf women had a modestly increased risk of cesarean delivery. | |||||||
Gichane, Heap, Fontes and London [34] | 2017 | “They must understand we are people”: Pregnancy and maternity service use among signing Deaf women in Cape Town | South Africa | To describe and compare the pregnancy outcomes and maternity service use of a sample of signing Deaf women of child-bearing age in Cape Town to the population of the Western Cape of South Africa. | Mixed method design. | 42 Deaf women. | Almost all participants attended at least one antenatal appointment during their pregnancies, and all deliveries occurred at a health facility. |
Participants primarily relied on writing to communicate during antenatal visits and labor/delivery. | |||||||
Limited sign language interpretation services. | |||||||
Mistreatment by hospital staff. | |||||||
Adigun and Mngomezulu [20] | 2020 | ‘They forget I’m Deaf’: exploring the experience and perception of Deaf Pregnant women attending antenatal clinics/care | Nigeria | To explore the experiences and satisfaction of pregnant deaf women with antenatal care in Nigeria. | Qualitative research design. | Nine deaf pregnant women. | Participants registered/booked for antenatal care in their second trimester. |
Communication difficulties during their ANC (antenatal care) visits. | |||||||
Distance and location of the clinics, finance/cost, and health care professionals’ attitudes towards Deaf pregnant women. | |||||||
Satisfaction with ANC services at privately owned health care facilities as compared with publicly owned health care facilities. | |||||||
Mitra, McKee, Akobirshoev, Valentine, Ritter, Zhang, McKee, and Iezzoni [31] | 2020 | Pregnancy, birth, and infant outcomes among women who are Deaf or Hard of hearing | USA | To conduct a more rigorous study using population-based, longitudinal linked data to compare pregnancy complications, birth characteristics, and neonatal outcomes between deaf or hard of hearing and non-deaf or hard of hearing women. | A retrospective cohort study. | 1385 women who were Deaf and or Hard of hearing. | The deaf or hard of hearing women had an increased risk of chronic medical conditions and pregnancy complications. |
Deliveries of deaf or hard of hearing women were significantly associated with adverse birth outcomes. |
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Adigun, O.T.; Akinrinoye, O.; Obilor, H.N. Including the Excluded in Antenatal Care: A Systematic Review of Concerns for D/deaf Pregnant Women. Behav. Sci. 2021, 11, 67. https://doi.org/10.3390/bs11050067
Adigun OT, Akinrinoye O, Obilor HN. Including the Excluded in Antenatal Care: A Systematic Review of Concerns for D/deaf Pregnant Women. Behavioral Sciences. 2021; 11(5):67. https://doi.org/10.3390/bs11050067
Chicago/Turabian StyleAdigun, Olufemi Timothy, Olugbenga Akinrinoye, and Helen Ngozichukwuka Obilor. 2021. "Including the Excluded in Antenatal Care: A Systematic Review of Concerns for D/deaf Pregnant Women" Behavioral Sciences 11, no. 5: 67. https://doi.org/10.3390/bs11050067
APA StyleAdigun, O. T., Akinrinoye, O., & Obilor, H. N. (2021). Including the Excluded in Antenatal Care: A Systematic Review of Concerns for D/deaf Pregnant Women. Behavioral Sciences, 11(5), 67. https://doi.org/10.3390/bs11050067