Becoming a mother: Supported decision-making in context

Area of Science:

• Intellectual Disabilities
• Maternal Health
• Social Support Systems

Background:

• Limited understanding of decision-making processes for pregnant women with intellectual disabilities.
• Social support is recognized as vital for mothers with intellectual disabilities across various life domains.
• Previous research has not fully incorporated the multifaceted perspectives of mothers and their support networks.

Purpose of the Study:

• To explore the influence of support networks on pregnancy-related decision-making among women with intellectual disabilities.
• To develop a model illustrating the decision-making process, informing service provision.
• To integrate the perspectives of mothers, family members, and professionals involved in supporting these women.

Main Methods:

• Grounded theory methodology was employed.
• Semi-structured interviews were conducted with three mothers with intellectual disabilities, two family members, and six professionals.
• Data analysis focused on understanding lived experiences and support dynamics.

Main Results:

• The quality of interpersonal relationships significantly facilitates decision-making for women with intellectual disabilities.
• Strong, supportive relationships empower women to navigate pregnancy-related choices.
• The study identified key factors within personal and professional support networks influencing these decisions.

Conclusions:

• Services should prioritize building supportive, collaborative relationships with mothers with intellectual disabilities.
• Effective support involves integrating the efforts of various services engaged in parenting assessments.
• Enhancing decision-making capacity requires a focus on relational quality within support systems.