{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,15]],"date-time":"2026-10-15T17:48:03Z","timestamp":1792086483255,"version":"4.4.0"},"reference-count":31,"publisher":"SAGE Publications","issue":"12","license":[{"start":{"date-parts":[[2015,12,1]],"date-time":"2015-12-01T00:00:00Z","timestamp":1448928000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of Women's Health"],"published-print":{"date-parts":[[2015,12]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Routine prenatal care includes physical examinations and weight measurement. Little is known about whether access barriers to medical diagnostic equipment, such as examination tables and weight scales, affect prenatal care among pregnant women with physical disabilities.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>We conducted 2-hour, in-depth telephone interviews with 22 women using a semistructured, open-ended interview protocol. All women had significant mobility difficulties before pregnancy and had delivered babies within the prior 10 years. We recruited most participants through social networks. We sorted interview transcript texts using used NVivo software and conducted conventional content analyses to identify major themes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Interviewee's mean (standard deviation) age was 34.8 (5.3) years. Most were white, well-educated, and higher income; 8 women had spinal cord injuries, 4 cerebral palsy, and 10 had other conditions; 18 used wheeled mobility aids. Some women's obstetricians had height adjustable examination tables, which facilitated transfers for physical examinations. Other women had difficulty transferring onto fixed height examination tables and were examined while sitting in their wheelchairs. Family members and\/or clinical staff sometimes assisted with transfers; some women reported concerns about transfer safety. No women reported being routinely weighed on an accessible weight scale by their prenatal care clinicians. A few were never weighed during their pregnancies.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>Inaccessible examination tables and weight scales impede some pregnant women with physical disabilities from getting routine prenatal physical examinations and weight measurement. This represents substandard care. Adjustable height examination tables and wheelchair accessible weight scales could significantly improve care and comfort for pregnant women with physical disabilities.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1089\/jwh.2015.5385","type":"journal-article","created":{"date-parts":[[2015,10,20]],"date-time":"2015-10-20T16:39:47Z","timestamp":1445359187000},"page":"1006-1012","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":55,"title":["Physical Accessibility of Routine Prenatal Care for Women with Mobility Disability"],"prefix":"10.1177","volume":"24","author":[{"given":"Lisa I.","family":"Iezzoni","sequence":"first","affiliation":[{"name":"Massachusetts General Hospital"},{"name":"Harvard Medical School"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amy J.","family":"Wint","sequence":"additional","affiliation":[{"name":"Massachusetts General Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Suzanne C.","family":"Smeltzer","sequence":"additional","affiliation":[{"name":"Villanova University College of Nursing"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jeffrey L.","family":"Ecker","sequence":"additional","affiliation":[{"name":"Massachusetts General Hospital"},{"name":"Harvard Medical School"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2015,12,1]]},"reference":[{"key":"e_1_3_3_2_2","volume-title":"Guidelines for perinatal care","author":"American Academy of Pediatrics, American College of Obstetricians and Gynceologists","year":"2012","unstructured":"American Academy of Pediatrics, American College of Obstetricians and Gynceologists. Guidelines for perinatal care, 7th ed. Elk Grove Village, IL; Washington, DC: American Academy of Peditarics, American College of Obstetricians and Gynceologists, 2012.","edition":"7"},{"key":"e_1_3_3_3_2","doi-asserted-by":"publisher","DOI":"10.1001\/jama.297.10.1121"},{"key":"e_1_3_3_4_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.dhjo.2012.02.002"},{"key":"e_1_3_3_5_2","first-page":"711","article-title":"Physical access barriers to care for diagnosis and treatment of breast cancer among women with mobility impairments","volume":"37","author":"Iezzoni LI","year":"2010","unstructured":"Iezzoni LI, , Kilbridge K, , Park ER. Physical access barriers to care for diagnosis and treatment of breast cancer among women with mobility impairments. Oncol Nurs For, 2010; 37:711\u2013717.","journal-title":"Oncol Nurs For"},{"key":"e_1_3_3_6_2","doi-asserted-by":"publisher","DOI":"10.1089\/jwh.2009.1831"},{"key":"e_1_3_3_7_2","doi-asserted-by":"crossref","unstructured":"Iezzoni LI O'Day BL. More than ramps. A guide to improving health care quality and access for people with disabilities. New York: Oxford University Press 2006.","DOI":"10.1093\/acprof:oso\/9780195172768.001.0001"},{"key":"e_1_3_3_8_2","doi-asserted-by":"publisher","DOI":"10.7326\/0003-4819-158-6-201303190-00003"},{"key":"e_1_3_3_9_2","doi-asserted-by":"publisher","DOI":"10.7326\/0003-4819-158-6-201303190-00010"},{"key":"e_1_3_3_10_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0003-9993(97)90218-5"},{"key":"e_1_3_3_11_2","unstructured":"National Council on Disability.. Rocking the cradle: Ensuring the rights of parents with disabilities and their children. Washington DC: National Council on Disability 2012."},{"key":"e_1_3_3_12_2","doi-asserted-by":"publisher","DOI":"10.1136\/archdischild-2014-306576.431"},{"key":"e_1_3_3_13_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.pmrj.2012.10.011"},{"key":"e_1_3_3_14_2","first-page":"1561","volume-title":"Physical medicine and rehabilitation: Principles and practice","author":"Kirschner KL","year":"2005","unstructured":"Kirschner KL, , Gill CJ, , Panko Reis JP, , Hammond C. Health issues for women with disabilities. In: DeLisa JA, , Gans BM, , Walsh NE, eds. Physical medicine and rehabilitation: Principles and practice. Philadelphia: Lippincott-Raven Publishers, 2005:1561\u20131582."},{"key":"e_1_3_3_15_2","first-page":"145","volume-title":"Welner's guide to the care of women with physical disabilities","author":"Baschat AA","year":"2004","unstructured":"Baschat AA, , Weiner CP. Chronic neurologic diseases and disabling conditions in pregnancy. In: Welner SL, , Haseltine F, eds. Welner's guide to the care of women with physical disabilities. Philadelphia: Lippincott, Williams, and Wilkins, 2004:145\u2013158."},{"key":"e_1_3_3_16_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.dhjo.2015.02.002"},{"key":"e_1_3_3_17_2","doi-asserted-by":"publisher","DOI":"10.1097\/MLR.0b013e318290218d"},{"key":"e_1_3_3_18_2","doi-asserted-by":"publisher","DOI":"10.1097\/AOG.0b013e3182118d59"},{"key":"e_1_3_3_19_2","doi-asserted-by":"publisher","DOI":"10.1023\/A:1010716820677"},{"key":"e_1_3_3_20_2","volume-title":"Disabled mothers. Stories and scholarship about mothers with disabilities","author":"Filax G","year":"2014","unstructured":"Filax G, , Taylor D, eds. Disabled mothers. Stories and scholarship about mothers with disabilities. Bradford, ON: Demeter Press, 2014."},{"key":"e_1_3_3_21_2","unstructured":"World Health Organization.. International classification of functioning disability and health. Geneva: World Health Organization 2001."},{"key":"e_1_3_3_22_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1552-6909.2006.00121.x"},{"key":"e_1_3_3_23_2","doi-asserted-by":"publisher","DOI":"10.1002\/nur.20362"},{"key":"e_1_3_3_24_2","doi-asserted-by":"publisher","DOI":"10.1002\/1098-240X(200006)23:3<246::AID-NUR9>3.0.CO;2-H"},{"key":"e_1_3_3_25_2","doi-asserted-by":"publisher","DOI":"10.1177\/1049732305276687"},{"key":"e_1_3_3_26_2","unstructured":"United States Access Board Medical Diagnostic Equipment Accessibility Standards Advisory Committee. Advancing equal access to diagnostic services: Recommendations on standards for the design of medical diagnostic equipment for adults with disabilities. Available at www.access-board.gov\/guidelines-and-standards\/health-care\/about-this-rulemaking\/advisory-committee-final-report Accessed July23 2015."},{"key":"e_1_3_3_27_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijnurstu.2014.03.007"},{"key":"e_1_3_3_28_2","doi-asserted-by":"publisher","DOI":"10.1002\/rnj.133"},{"key":"e_1_3_3_29_2","doi-asserted-by":"publisher","DOI":"10.1615\/JLongTermEffMedImplants.v15.i2.90"},{"key":"e_1_3_3_30_2","doi-asserted-by":"publisher","DOI":"10.1615\/JLongTermEffMedImplants.v14.i6.70"},{"key":"e_1_3_3_31_2","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2013-2966"},{"key":"e_1_3_3_32_2","doi-asserted-by":"publisher","DOI":"10.1002\/ajmg.a.36530"}],"container-title":["Journal of Women's Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1089\/jwh.2015.5385","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1089\/jwh.2015.5385","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1089\/jwh.2015.5385","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T17:43:28Z","timestamp":1777657408000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1089\/jwh.2015.5385"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2015,12]]},"references-count":31,"journal-issue":{"issue":"12","published-print":{"date-parts":[[2015,12]]}},"alternative-id":["10.1089\/jwh.2015.5385"],"URL":"https:\/\/doi.org\/10.1089\/jwh.2015.5385","relation":{},"ISSN":["1540-9996","1931-843X"],"issn-type":[{"value":"1540-9996","type":"print"},{"value":"1931-843X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2015,12]]}}}