Literature Review on Provision of Appropriate and Accessible ...
Literature Review on Provision of Appropriate and Accessible ...
Literature Review on Provision of Appropriate and Accessible ...
Create successful ePaper yourself
Turn your PDF publications into a flip-book with our unique Google optimized e-Paper software.
PAGE 146<br />
- Nine women c<strong>on</strong>tacted the PAS at 12 weeks’ gestati<strong>on</strong> or<br />
later, compared with 20 per cent <strong>of</strong> all women who accessed<br />
PAS in 2006.<br />
- <str<strong>on</strong>g>Literature</str<strong>on</strong>g> Five women <str<strong>on</strong>g>Review</str<strong>on</strong>g> were <strong>on</strong> at Provisi<strong>on</strong> 18 or more <strong>of</strong> <strong>Appropriate</strong> weeks’ gestati<strong>on</strong> <strong>and</strong> <strong>Accessible</strong> when PAS<br />
Support was c<strong>on</strong>tacted, to People compared with an Intellectual with less Disability than two who per are cent <strong>of</strong> all<br />
Experiencing Crisis Pregnancy<br />
women who accessed PAS in 2006; two <strong>of</strong> these five women<br />
had several children <strong>and</strong> did not recognise the pregnancy<br />
signs.<br />
- Issues associated with late recogniti<strong>on</strong> <strong>of</strong> pregnancy included<br />
the pregnancy being recognised too late to c<strong>on</strong>sider opti<strong>on</strong>s.<br />
• Delayed decisi<strong>on</strong>-making about opti<strong>on</strong>s <strong>and</strong> c<strong>on</strong>tact with the PAS<br />
was evident:<br />
- Four women delayed four weeks or more.<br />
- Factors relevant to delayed decisi<strong>on</strong>-making were that there<br />
was a reliance <strong>on</strong> others for assistance.<br />
- The impact <strong>of</strong> family/partner’s wishes arose. Three women<br />
did not proceed with the opti<strong>on</strong> <strong>of</strong> aborti<strong>on</strong> <strong>and</strong> lost family/<br />
partner support; four women attended PAS <strong>on</strong>ly through<br />
worker interventi<strong>on</strong>/assistance.<br />
• C<strong>on</strong>tact occurred too late for some women to c<strong>on</strong>sider the opti<strong>on</strong><br />
<strong>of</strong> aborti<strong>on</strong>; 10 women (50 per cent) proceeded with aborti<strong>on</strong><br />
compared with 80 per cent <strong>of</strong> all women who accessed PAS in<br />
2006.<br />
• The implicati<strong>on</strong>s <strong>of</strong> this research, as identified by Burgen (2008,<br />
are that:<br />
- Women with intellectual disability need greater support to<br />
access c<strong>on</strong>tracepti<strong>on</strong> <strong>and</strong> health services<br />
- More appropriate <strong>and</strong> <strong>on</strong>going educati<strong>on</strong> <strong>and</strong> informati<strong>on</strong><br />
<strong>on</strong> sexual <strong>and</strong> reproductive health is needed – especially in<br />
recognising pregnancy<br />
- Women’s wishes are not always supported by her family/<br />
partner; therefore formal services <strong>and</strong> support may be<br />
needed.