A Systematic Review to Explore Antenatal Care From the Perspectives of Women With Intellectual Disabilities and Midwives.

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Title: A Systematic Review to Explore Antenatal Care From the Perspectives of Women With Intellectual Disabilities and Midwives.
Authors: Alhulaibi, Weam, Stockdale, Janine, McAleer, Paul
Source: British Journal of Learning Disabilities. Mar2025, Vol. 53 Issue 1, p87-102. 16p.
Subjects: Communicative competence, Mental health, Midwives, CINAHL database, Psychology of women, Prenatal care, Intellectual disabilities, Systematic reviews, MEDLINE, Attitudes of medical personnel, Online information services, Psychology information storage & retrieval systems, Pregnancy
Abstract: Background: During pregnancy, some women with an intellectual disability encounter some challenges, and some midwives who provide them with support lack the knowledge to provide the best care. This systematic review explores the experiences of women with intellectual disability during pregnancy and midwives' experiences of providing care. Method: Four databases were searched (PubMed, CINHAL, PsycINFO and Web of Science) and the resultant studies were appraised for quality using CASP. The selected papers were published between January 2012 and December 2022 and originated from the United Kingdom, Sweden, Canada and Ireland. Results: Eight studies were included: five examined the experiences of pregnant women with intellectual disability, one investigated the midwives' experiences of caring and two analysed both groups. The primary themes amongst women included pregnancy announcements, involvement in their care and fear of losing their baby custody. The midwives expressed their lack of readiness and need for additional support. Both groups recognised the necessity for improved education and accessible communication. Conclusion: Women with intellectual disabilities who are in the context of this review revealed their requirement for improved education and assistance in understanding antenatal information. The midwives within the included studies felt inadequately prepared to support women with intellectual disabilities: they lacked specialist training and required additional support in health education and communication skills. Summary: This review provides an up‐to‐date summary of the evidence related to what women with intellectual disabilities require in terms of best antenatal care; and what the experiences are of midwives who aim to provide this care.Some challenges experienced by pregnant women with intellectual disability include sharing their pregnancy news, involvement in their care and fear of not being allowed to keep their baby.Some challenges have been experienced by midwives, including feeling ill‐prepared for their supportive role. [ABSTRACT FROM AUTHOR]
Copyright of British Journal of Learning Disabilities is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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  Data: A Systematic Review to Explore Antenatal Care From the Perspectives of Women With Intellectual Disabilities and Midwives.
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  Data: <searchLink fieldCode="JN" term="%22British+Journal+of+Learning+Disabilities%22">British Journal of Learning Disabilities</searchLink>. Mar2025, Vol. 53 Issue 1, p87-102. 16p.
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  Data: Background: During pregnancy, some women with an intellectual disability encounter some challenges, and some midwives who provide them with support lack the knowledge to provide the best care. This systematic review explores the experiences of women with intellectual disability during pregnancy and midwives' experiences of providing care. Method: Four databases were searched (PubMed, CINHAL, PsycINFO and Web of Science) and the resultant studies were appraised for quality using CASP. The selected papers were published between January 2012 and December 2022 and originated from the United Kingdom, Sweden, Canada and Ireland. Results: Eight studies were included: five examined the experiences of pregnant women with intellectual disability, one investigated the midwives' experiences of caring and two analysed both groups. The primary themes amongst women included pregnancy announcements, involvement in their care and fear of losing their baby custody. The midwives expressed their lack of readiness and need for additional support. Both groups recognised the necessity for improved education and accessible communication. Conclusion: Women with intellectual disabilities who are in the context of this review revealed their requirement for improved education and assistance in understanding antenatal information. The midwives within the included studies felt inadequately prepared to support women with intellectual disabilities: they lacked specialist training and required additional support in health education and communication skills. Summary: This review provides an up‐to‐date summary of the evidence related to what women with intellectual disabilities require in terms of best antenatal care; and what the experiences are of midwives who aim to provide this care.Some challenges experienced by pregnant women with intellectual disability include sharing their pregnancy news, involvement in their care and fear of not being allowed to keep their baby.Some challenges have been experienced by midwives, including feeling ill‐prepared for their supportive role. [ABSTRACT FROM AUTHOR]
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  Data: <i>Copyright of British Journal of Learning Disabilities is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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RecordInfo BibRecord:
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      – Type: doi
        Value: 10.1111/bld.12618
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      – Code: eng
        Text: English
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        PageCount: 16
        StartPage: 87
    Subjects:
      – SubjectFull: Communicative competence
        Type: general
      – SubjectFull: Mental health
        Type: general
      – SubjectFull: Midwives
        Type: general
      – SubjectFull: CINAHL database
        Type: general
      – SubjectFull: Psychology of women
        Type: general
      – SubjectFull: Prenatal care
        Type: general
      – SubjectFull: Intellectual disabilities
        Type: general
      – SubjectFull: Systematic reviews
        Type: general
      – SubjectFull: MEDLINE
        Type: general
      – SubjectFull: Attitudes of medical personnel
        Type: general
      – SubjectFull: Online information services
        Type: general
      – SubjectFull: Psychology information storage & retrieval systems
        Type: general
      – SubjectFull: Pregnancy
        Type: general
    Titles:
      – TitleFull: A Systematic Review to Explore Antenatal Care From the Perspectives of Women With Intellectual Disabilities and Midwives.
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              M: 03
              Text: Mar2025
              Type: published
              Y: 2025
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