Improving reproductive health care services for women with a physical disability: Insights from a community survey of women with spinal cord injury in Switzerland

Bertschy, S; Ehrmann, C; Stute, Petra; Skempes, D; Maurer-Marti, G; Gemperli, A (2020). Improving reproductive health care services for women with a physical disability: Insights from a community survey of women with spinal cord injury in Switzerland. Clinical obstetrics, gynecology and reproductive medicine, 6, pp. 1-7. OAT 10.15761/COGRM.1000313

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Objective: To describe a cohort of women with a physical disability in various reproductive life stages to support the development of specific management targets, especially during the fertile stage.
Design: Community survey. Population / Sample: We analysed data from 440 female participants with chronic spinal cord injury (SCI) aged over 16 years from the cross-sectional community survey of the Swiss Spinal Cord Injury Cohort Study (SwiSCI) in 2017.
Methods: The full cohort was analysed using descriptive analysis. For women in the fertile reproductive life stage, a regression technique was used to identify the predictors of becoming a mother after SCI.
Results: More than 50% of the sample were aged over 56, and approximately one fourth were in the fertile (16-45 years) age group. Motherhood after SCI was most prevalent in women with low and incomplete lesions and those who sustained an SCI at a young age. The chances of giving birth significantly decreased when sustaining an SCI after the age of 35. The mean age at first delivery after SCI (age 31.2±5 years) was five years higher compared to women with an SCI who gave birth before sustaining SCI (age 26.2±5 years).
Conclusions: The study provides evidence for the need for tailored and specific lifespan adjusted obstetric and gynaecological services for women with SCI and for women with a disability in general.

Item Type:

Journal Article (Original Article)

Division/Institute:

04 Faculty of Medicine > Department of Gynaecology, Paediatrics and Endocrinology (DFKE) > Clinic of Gynaecology

UniBE Contributor:

Stute, Petra

Subjects:

600 Technology > 610 Medicine & health

ISSN:

2059-4828

Publisher:

OAT

Language:

English

Submitter:

Monika Zehr

Date Deposited:

25 Jan 2021 14:00

Last Modified:

25 Jan 2021 14:00

Publisher DOI:

10.15761/COGRM.1000313

BORIS DOI:

10.48350/151050

URI:

https://boris.unibe.ch/id/eprint/151050

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