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Table 5 Antenatal care received and perceptions of care for women with different types of disability

From: Women with disability: the experience of maternity care during pregnancy, labour and birth and the postnatal period

 

Physical condition & illness

Sensory

Mental health disability

Learning disability

More than one disability

No disability

Antenatal care received

(n = 730) n (%)

(n = 197) n (%)

(n = 336) n (%)

(n = 120) n (%)

(n = 99) n (%)

(n = 22,673) n (%)

First saw health professional by 12 weeks

682 (96.3)

175 (93.1)

311 (94.8)

94 (84.7) **

88 (90.7)

21115 (95.3)

  aOR (95% CI)

0.75 (0.50-1.14)

1.51 (0.83- 2.74)

0.85 (0.49-1.47)

3.29 (1.88-5.77)

1.38 (0.64-2.97)

1

Booking appointment by 12 weeks

495 (76.7)

129 (73.7)

226 (73.9)

64 (67.4)

63 (72.4)

15633 (75.7)

  aOR (95% CI)

0.93 (0.77-1.13)

1.1 (0.77-1.57)

1.08 (0.83-1.41)

1.51 (0.96-2.38)

1.19 (0.73-1.94)

1

10 or more antenatal checks

274 (40.7)**

44 (25.1)

85 (28.7)*

20 (20.2)

32 (36.8)**

4376 (21.1)

  aOR (95% CI)

2.51 (2.13-2.96)

1.26 (0.88-1.81)

1.48 (1.14-1.93)

0.8 (0.46-1.39)

1.98 (1.24-3.17)

1

4 or more scans during pregnancy

419 (58.5) **

68 (36.4)

156 (46.6) **

38 (32.5)

48 (49.5) **

7223 (32.2)

  aOR (95% CI)

2.83 (2.42-3.30)

1.18 (0.86-1.60)

1.83 (1.46-2.29)

0.96 (0.64-1.46)

1.89 (1.25-2.85)

1

Dating scan at 8–14 weeks of pregnancy

690 (96.2)

180 (93.8)

315 (95.2)

102(90.3)

91(97.8)

21253 (95.2)

  aOR (95% CI)

0.69 (0.46-1.06)

1.63 (0.90-2.96)

0.93 (0.55-1.60)

1.56 (0.78-3.11)

0.47 (0.11-2.04)

1

Testing for Down’s syndrome

534 (96.9)

133 (95.7)

226 (96.2)

73 (93.6)

66 (97.1)

16119 (96.8)

  aOR (95% CI)

1.06 (0.61-1.82)

1.19 (0.48-2.98)

0.97 (0.48-1.95)

1.42 (0.54-3.78)

0.75 (0.18-3.14)

1

Mid-trimester (anomaly/20 weeks) scan

717 (99.4)

185 (98.9)

329 (98.8)

114 (100)

94 (97.9)

22143 (99)

  aOR (95% CI)

0.52 (0.19-1.41)

1.33 (0.33-5.35)

1.43 (0.51-4.04)

NA

1.22 (0.27-5.54)

1

Attended NHS antenatal classes

230 (52.6) **

68 (61.3)

103 (52.3) *

39 (56.5)

23 (39) **

8193 (62.4)

  aOR (95% CI)

1.54 (1.16-2.0)

0.77 (0.43- 1.41)

1.16(0.78-1.72)

1.77 (0.94- 3.31)

3.2 (1.68-6.17)

1

Maternal perceptions of antenatal care

      

Always spoken to in a way you could understand

604 (83.4)

149 (78.8)

258 (77.2)*

78 (65.5)**

67 (69.1)**

18807 (83.8)

  aOR (95% CI)

0.97 (0.78-1.19)

0.72 (0.50-1.05)

0.67 (0.51-0.87)

0.42 (0.28-0.64)

0.51 (0.32-0.83)

1

Always involved enough in decisions about care

506 (70.3)

136 (73.1)

227 (68.6)

73 (62.4)**

51 (53.1)**

16469 (74.4)

  aOR (95% CI)

0.83 (0.70-0.98)

0.88 (0.63-1.23)

0.74 (0.58-0.94)

0.67 (0.45-1.01)

0.42 (0.27-0.64)

1

If contacted midwife, always given help when needed

392 (70.0)

99 (70.2)

189 (65.6) *

55 (57.9)*

49 (61.3)

11775 (72.8)

  aOR (95% CI)

0.85 (0.71-1.03)

0.93 (0.63-1.35)

0.69 (0.53-0.88)

0.63 (0.40-0.99)

0.66 (0.40-1.09)

1

Antenatal care overall rating ‘Good ‘

669 (92.7)

182 (93.8)

294 (88.6) *

111 (93.3)

88 (90.7)

20830 (92.6)

  aOR (95% CI)

1.0 (0.74-1.35)

1.06 (0.57-2.00)

0.65 (0.45-0.93)

1.55 (0.70-3.40)

1.01 (0.49-2.07)

1

  1. *p < 0.01, **p < 0.001 Sensory disability: visually impaired, deaf and hearing impaired Significant OR in bold.