Barriers to Obstetric and Gynecologic Care for Women Who Use Wheelchairs [10B

Abstract

INTRODUCTION: Individuals with disabilities face significant barriers to healthcare and are at a higher risk of receiving inadequate care. Specifically, women with disabilities are more likely to be behind on routine screening examinations including Pap tests and screening mammography. This project aims to identify and explain the barriers that prevent female wheelchair users from obtaining standard gynecologic health care. METHODS: This IRB approved qualitative study was conducted to evaluate the barriers associated with seeking gynecologic health care among female wheelchair users. We recruited English-speaking female participants ages 18 and older who primarily used a wheelchair for mobility through flyer distribution and word of mouth. Interviews were conducted by a single investigator using a semi-structured interview guide and recorded for transcription. Two investigators reviewed all transcriptions for accuracy which were then coded to identify emergent themes. RESULTS: The thematic saturation was achieved with sixteen interviews. The most common barrier cited was lack of proper positioning on the exam table to perform a pelvic exam (n=13). Furthermore, another common theme was that women felt that their providers lacked knowledge and experience with women who use wheelchairs (n=13). CONCLUSION: There are many barriers to OB/GYN care for women who use wheelchairs. This study has identified how current knowledge, attitudes, practices, and existing infrastructure serve as barriers to gynecologic care. Interventions are needed to improve accessibility to care for women who use wheelchairs.