Parent Education

EBL Parent Education
What Provision Is In Place for Women With More Complex Needs?

Too many women faced with difficult social circumstances are not accessing or engaging with maternity services with potential negative consequences for them and their baby's health. Pregnant women in these situations often do not attend antenatal appointments as traditional services are often not adequate for their needs. However, a lack of good antenatal care can increase the risk of women dying from complications during pregnancy or after birth, with women living in areas of high deprivation in England five times more likely to die during pregnancy or after childbirth than women in more affluent areas (from Confidential Enquiry into Maternal and Child Health (CEMACH) Saving Mothers' Lives 2003-2005: United Kingdom. CEMACH: London, 2007). Babies born into these circumstances are also around twice as likely to be stillborn or die shortly after birth as those who are not (from Confidential Enquiry into Maternal and Child Health (CEMACH) Perinatal Mortality 2007: United Kingdom. CEMACH: London, 2009).
During pregnancy, and as parents, disabled people come into contact with many health care workers including midwives and nurses from the acute sector, as well as practice, community, mental health, learning disability and specialist community public health nurses and GPs. They may also use other community services, including occupational, social and children and young people’s services. All these providers are responsible for making sure equality of service delivery, and inclusion for disabled people, is incorporated into the care philosophy of their organisational structure (DoH 2006).
The most significant barrier cited by many disabled people is the inappropriate attitudes, behaviours and lack of disability awareness demonstrated by the National Health Service (NHS).
Clients with disabilities may have physical, mental, sensory or learning disabilities, or other impairments that...