4.6 Article

(Re)constructing Myself: the process of transition to motherhood for women with a disability

Journal

JOURNAL OF ADVANCED NURSING
Volume 71, Issue 7, Pages 1672-1683

Publisher

WILEY
DOI: 10.1111/jan.12635

Keywords

disability; grounded theory; midwife; nurse-woman interaction; midwifery; nursing relationship; motherhood; physical disability; qualitative research; self; sensory impairment

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AimThis paper presents a substantive theory that explains the transition to motherhood for women with a disability. BackgroundOver the last thirty years, interest in exploring women's experiences of motherhood has increased. Extant theories on transition to motherhood originate, primarily, from the perspective and experiences of non-disabled women with few exploring the phenomenon from the perspective and experiences of women with a disability. Those that do tend to focus on issues of accessibility, profiling the challenges that women with a disability encounter while accessing maternity services, attaining a maternal role and fulfilling the requirements of that role. Little is known about the experiences of women with a disability and their transition to motherhood and even less about the relationship of this process on the self. DesignThe study was conducted using a Strauss and Corbin approach to grounded theory. MethodIndividual interviews (n=22) were conducted over 4years (2008-2012). Women were interviewed during pregnancy and in the postnatal period. All interviews were recorded, transcribed verbatim, imported into Nvivo 8 and analysed using the constant comparative method. FindingsThe substantive theory that emerged from the study provides a conceptual framework clinicians can reference when counselling, assisting and facilitating women with a disability during their preparation for and transition to motherhood. ConclusionThe substantive theory presented in this paper will increase clinicians' understanding of the process involved in the transition to motherhood for women with a disability.

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