Contraceptive choices for women with learning disabilities

Walmsley, Jan; Earle, Sarah; Tilley, Liz; Chapman, Rohhss; Ledger, Susan; Townson, Lou

doi:10.7748/ldp.19.2.32.s23

Cited by 5 publications

(3 citation statements)

References 28 publications

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“…Among the reflections of the participating mothers, there is a central theme that crosses their experiences in the different spheres included in the results of this research (family, medical, social, work, and housing), which is social stigma, as other studies have also pointed out (Booth & Booth, 2005; Potvin et al, 2019; Wos & Baczała, 2021). This stigma results in them being forced to delegate decisions about their motherhood to others (Earle et al, 2015; Sheerin et al, 2013) and justifies interventionist discourses and practices over their bodies (Hamilton, 2012; Heifetz et al, 2019). These discourses frame the difficulties they face as an issue of individual deficit that renders them unable to be ‘good mothers’ rather than a matter of systemic lack of support in the development of full and satisfying motherhood.…”

Section: Discussionmentioning

confidence: 99%

Motherhood and intellectual disability in Spain: Experienced difficulties and shared desires for change

Rio‐Poncela,

Rojas‐Pernia

2023

Brit J Learn Disabil

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BackgroudDespite the advancements in the rights of persons with disabilities in Western countries, the motherhood of women with intellectual disabilities remains scarcely visible. The approval of the Convention on the Rights of Persons with Disabilities (2006) and its subsequent ratification by the Spanish Government (2008) recalls the obligation to fulfil the rights of persons with disabilities to found a family (art. 23) and to choose who they want to live with (art. 19). While the importance of this legislation is undeniable, the personal experiences of women with intellectual disabilities still demand effective changes.MethodsThis article reports the results of a study entitled Subjectivities and motherhood in women with intellectual disabilities. Reflections in dialogue through an inclusive research project. In this study, we delved into the stories of 13 women, aged between 24 and 72, to learn about their motherhood experiences (before, during and after making the decision of being mothers) and to identify the barriers and supports encountered. Methods for data collection included individual semi‐structured interviews, discussion groups and other narrative and visual resources (images and biograms).FindingsThis study explores in depth the obstacles identified by the participating mothers, which have been organised around six themes: (1) information and guidance on sexuality and family planning, (2) assistance of health services, (3) employment and housing situation, (4) child custody, (5) raising children, and (6) informal support. The participants encountered difficulties in all the above fields related to contextual factors. In other words, these barriers do not derive from individual issues centred on their disability, but from factors that often do not depend on mothers with intellectual disabilities, such as deprivation of socio‐educational opportunities.ConclusionsOur results show the nuanced ways in which these mothers were immersed in a social system that questions them as ‘good mothers’ and violates their rights. As we discussed, the participants' desires and decisions to engage and/or continue with motherhood constitute an exercise of resistance to this system.

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Section: Discussionmentioning

confidence: 99%

Motherhood and intellectual disability in Spain: Experienced difficulties and shared desires for change

Rio‐Poncela,

Rojas‐Pernia

2023

Brit J Learn Disabil

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“…Another priority IF is Environmental Restructuring which involves changing the physical and social context in which a behaviour occurs [ 12 ]. Many women expressed a preference for a female GP to discuss contraception [ 21 , 26 , 27 ]. Language barriers and cultural misunderstanding were reported by female Chinese asylum seekers in one study [ 22 ], and the women who participated in our public engagement.…”

Section: Discussionmentioning

confidence: 99%

Enabling women to access preferred methods of contraception: a rapid review and behavioural analysis

et al. 2021

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Background Many pregnancies in the UK are either unplanned or ambivalent. This review aimed to (i) explore barriers and facilitators to women choosing and accessing a preferred method of contraception in the United Kingdom, and (ii) identify opportunities for behavioural interventions based on examination of interventions that are currently available nationally. Methods Three databases were searched, and experts contacted to identify grey literature for studies presenting barriers and facilitators to women choosing and accessing a preferred method of contraception, conducted in the UK and published between 2009 and October 2019. Information on barriers and facilitators were coded into overarching themes, which were then coded into Mechanisms of Actions (MoAs) as listed in the Theory and Techniques Tool. National interventions were identified by consulting stakeholders and coded into the Behaviour Change Wheel. The match between barriers/facilitators and intervention content was assessed using the Behaviour Change Wheel. Results We included 32 studies and identified 46 barrier and facilitator themes. The most cited MoA was Environmental Context and Resources, which primarily related to the services women had access to and care they received. Social Influences, Beliefs about Consequences (e.g., side effects) and Knowledge were also key. The behavioural analysis highlighted four priority intervention functions (Modelling, Enablement, Education and Environmental Restructuring) that can be targeted to support women to choose and access their preferred method of contraception. Relevant policy categories and behaviour change techniques are also highlighted. Conclusions This review highlights factors that influence women’s choices and access to contraception and recommends opportunities that may be targeted for future interventions in order to support women to access preferred contraception. Registration Protocol was registered with PROSPERO (an international database of prospectively registered systematic reviews in health and social care) in December 2019, CRD42019161156.

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“…Efforts to improve the situation of disabled people in developing countries face obstacles including poverty, ignorance, misconceptions, and faulty priorities (Shirley, 1983). Walner (1999) notes inadequate options for contraceptives among disabled women, citing physical access barriers, socio-economic factors, and educational gaps. Disability significantly impacts quality of life, particularly in marriage, education, employment, and emotional well-being, with women and girls facing discrimination (Hosain et al, 2002;Voluntary Health Association of India, 1994).…”

Section: Literature Reviewmentioning

confidence: 99%

Exploring the Challenges of Disability: A Study of Sindhuli District in Nepal

Thapa

2024

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This study examined socio-economic challenges faced by people with disabilities in Sindhuli district, Nepal, using both qualitative and descriptive research methods. Demographic characteristics, care dynamics, and social cohesion were examined through purposive sampling and household surveys. Findings reveal the prevalence of congenital disabilities, with most respondents practicing self-care, while differing views on family support were evident. Despite challenges, the family sleeps appear as an important source of support recommending their inclusion. Addressing socio-economic inequalities and promoting a supportive environment are of utmost importance to enhance the well-being and social inclusion of people with disabilities in Nepal.

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Contraceptive choices for women with learning disabilities

Cited by 5 publications

References 28 publications

Motherhood and intellectual disability in Spain: Experienced difficulties and shared desires for change

Motherhood and intellectual disability in Spain: Experienced difficulties and shared desires for change

Enabling women to access preferred methods of contraception: a rapid review and behavioural analysis

Exploring the Challenges of Disability: A Study of Sindhuli District in Nepal

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