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Learning from the Implementation of Disability-Inclusive Maternity Care: A Scoping Review.

Sarah Clifford1,2, Meighan Mary1,2, Briana Kramer1

  • 1Department of International Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD 21205, USA.

Healthcare (Basel, Switzerland)
|September 27, 2025
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Summary
This summary is machine-generated.

This review highlights barriers for pregnant individuals with disabilities. More research is needed on implementing effective disability-inclusive maternity care services to improve maternal health outcomes.

Keywords:
disabilitiesimpairmentsimplementationmaternal healthpostpartumpregnancyquality

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Area of Science:

  • Maternal Health
  • Disability Inclusion
  • Healthcare Services Research

Background:

  • Growing evidence details barriers faced by pregnant and postpartum individuals with disabilities.
  • Existing literature lacks synthesis on implementing disability-inclusive maternity care.

Purpose of the Study:

  • To systematically review and synthesize the literature on the implementation of disability-inclusive maternity care services.
  • To identify interventions and outcomes related to improving maternity care quality for patients with disabilities.

Main Methods:

  • A comprehensive scoping review was conducted using PubMed/MEDLINE, Embase, Scopus, and PsycInfo databases.
  • Literature published between January 2013 and July 2025 was screened for studies on implementing maternity care interventions for pregnant/postpartum patients with physical, sensory, intellectual, or mental impairments.
  • 13 eligible articles were selected from 6279 screened studies for data extraction and synthesis.

Main Results:

  • Studies focused on physical (3), intellectual (5), and mental (5) impairments.
  • Interventions targeted referral systems, human resources, information systems, communication, and evidence-based practices.
  • High acceptability was reported for interventions, emphasizing participatory development and phased introduction.

Conclusions:

  • Significant evidence gaps persist across all impairment categories for disability-inclusive maternity care.
  • Further research is crucial to identify effective implementation strategies for improving maternity care quality for pregnant and postpartum individuals with disabilities.