{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,15]],"date-time":"2026-10-15T17:47:41Z","timestamp":1792086461376,"version":"4.4.0"},"reference-count":30,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2014,12,25]],"date-time":"2014-12-25T00:00:00Z","timestamp":1419465600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100000002","name":"National Institutes of Health","doi-asserted-by":"publisher","award":["R21HD068756-01A1"],"award-info":[{"award-number":["R21HD068756-01A1"]}],"id":[{"id":"10.13039\/100000002","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Acta Obstet Gynecol Scand"],"published-print":{"date-parts":[[2015,2]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>Little is known about how functional impairments might affect the pregnancies of women with mobility disability. We aimed to explore complications that arise during pregnancy that are specifically related to physical functional impairments of women with significant mobility disabilities.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>Qualitative descriptive analysis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting<\/jats:title>\n                    <jats:p>\n                      Telephone interviews with women from 17\n                      <jats:styled-content style=\"fixed-case\">USA<\/jats:styled-content>\n                      states.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Sample<\/jats:title>\n                    <jats:p>22 women with significant mobility difficulties who had delivered babies within the prior 10\u00a0years; most participants were recruited through social networks.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      We conducted 2\u2010h, in\u2010depth telephone interviews using a semi\u2010structured, open\u2010ended interview protocol. We used\n                      <jats:styled-content style=\"fixed-case\">NVIVO<\/jats:styled-content>\n                      software to sort interview transcript texts for conventional content analyses.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Main outcome measures<\/jats:title>\n                    <jats:p>Functional impairment\u2010related complications during pregnancy.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The women's mean (standard deviation) age was 34.8 (5.3)\u00a0years. Most were white, well\u2010educated, and higher income; eight women had spinal cord injuries, four cerebral palsy, and 10 had other conditions; 18 used wheeled mobility aids; and 14 had cesarean deliveries (eight elective). Impairment\u2010related complications during pregnancy included: falls; urinary tract and bladder problems; wheelchair fit and stability problems that reduced mobility and compromised safety; significant shortness of breath, sometimes requiring respiratory support; increased spasticity; bowel management difficulties; and skin integrity problems (this was rare, but many women greatly increased skin monitoring during pregnancy to prevent pressure ulcers).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>In addition to other pregnancy\u2010associated health risks, women with mobility disabilities appear to experience problems relating to their functional impairments. Pre\u2010conception planning and in\u2010depth discussions during early pregnancy could potentially assist women with mobility disabilities to anticipate and address these difficulties.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/aogs.12544","type":"journal-article","created":{"date-parts":[[2014,11,21]],"date-time":"2014-11-21T12:52:52Z","timestamp":1416574372000},"page":"133-140","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":54,"title":["Effects of disability on pregnancy experiences among women with impaired mobility"],"prefix":"10.1111","volume":"94","author":[{"given":"Lisa I.","family":"Iezzoni","sequence":"first","affiliation":[{"name":"Mongan Institute for Health Policy Massachusetts General Hospital Boston MA USA"},{"name":"Department of Medicine Harvard Medical School Boston MA USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amy J.","family":"Wint","sequence":"additional","affiliation":[{"name":"Mongan Institute for Health Policy Massachusetts General Hospital Boston MA USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Suzanne C.","family":"Smeltzer","sequence":"additional","affiliation":[{"name":"Center for Nursing Research Villanova University College of Nursing Philadelphia PA USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jeffrey L.","family":"Ecker","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Massachusetts General Hospital Boston MA USA"},{"name":"Department of Obstetrics and Gynecology Harvard Medical School Boston MA USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2014,12,25]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0003-9993(97)90218-5"},{"key":"e_1_2_9_3_1","volume-title":"Rocking the cradle: ensuring the rights of parents with disabilities and their children","author":"National Council on Disability","year":"2012"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1136\/archdischild-2014-306576.431"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.pmrj.2012.10.011"},{"key":"e_1_2_9_6_1","first-page":"1561","volume-title":"Physical medicine and rehabilitation: principles and practice","author":"Kirschner KL","year":"2005"},{"key":"e_1_2_9_7_1","first-page":"145","volume-title":"Welner's guide to the care of women with physical disabilities","author":"Baschat AA","year":"2004"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1097\/MLR.0b013e318290218d"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.1080\/00016340802356909"},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00404-006-0126-2"},{"key":"e_1_2_9_11_1","first-page":"189","article-title":"ACOG committee opinion. 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