Table 6 Labour and birth care received and perceptions of care for women with different types of disability
Disability | No disability | |||||
|---|---|---|---|---|---|---|
Physical condition & illness | Sensory | Mental health disability | Learning disability | More than one disability | ||
Labour and birth care received | (n = 730) n (%) | (n = 197) n (%) | (n = 336) n (%) | (n = 120) n (%) | (n = 99) n (%) | (n = 22,673) n (%) |
Had met staff before labour | 213 (30.0) ** | 61 (33.3) * | 76 (23.3) | 39 (33.6) * | 41 (42.3) ** | 5191 (23.3) |
aOR (95% CI) | 0.74 (0.62-0.88) | 0.58 (0.42-0.80) | 0.95 (0.73-1.25) | 0.6 (0.39-0.90) | 0.48 (0.31-0.75) | 1 |
Had choice of place of birth | 406 (58.5) ** | 136 (74.7) | 220 (69.6) ** | 84 (73.0) | 53 (58.9) ** | 17329 (80.1) |
aOR (95% CI) | 1.48 (1.19- 1.84) | 1.14 (0.75- 1.72) | 1.53 (1.14- 2.05) | 1.26 (0.76-2.07) | 1.76 (1.00- 3.08) | 1 |
Able to choose a comfortable position in labour | 229 (42.7)** | 93 (55.7) | 161 (54.8) | 59 (52.2) | 37 (45.1) | 11308 (57.2) |
aOR (95% CI) | 1.82 (1.52-2.81) | 0.96 (0.69-1.33) | 1.12 (0.88-1.43) | 1.12 (0.75-1.67) | 1.55 (0.97-2.47) | 1 |
Given epidural for pain relief in labour | 193 (35.5) * | 41 (24.6) | 93 (31.1) | 30 (26.5) | 22 (26.8) | 5746 (28.9) |
aOR (95% CI) | 0.71 (0.59-0.86) | 1.25 (0.84-1.86) | 0.81 (0.62-1.05) | 1.03 (0.65-1.63) | 1.15 (0.67-1.97) | 1 |
Given pethidine for pain relief in labour | 159 (29.2) | 55 (32.9) | 104 (34.8) | 30 (26.5) | 23 (28.0) | 5948 (29.9) |
aOR (95% CI) | 1.01 (0.83-1.24) | 0.89 (0.63-1.25) | 0.76 (0.59-0.97) | 1.4 (0.88-2.25) | 1.15 (0.67-1.96) | 1 |
Caesarean section birth | 271 (37.6) ** | 47 (24.4) | 77 (23) | 21 (18.1) | 29 (30.2) | 5437 (24.2) |
aOR (95% CI) | 1.84 (1.52-2.24) | 0.74 (0.49-1.13) | 1.07 (0.81-1.44) | 0.90 (0.56-1.46) | 1.38 (0.82-2.33) | 1 |
Maternal perceptions of labour and birth care | ||||||
Partner/companion definitely welcomed | 577 (81.4) | 159 (84.6) | 257 (79.3) | 92 (78.6) | 72 (77.4) | 18677 (84.4) |
aOR (95% CI) | 1.06 (0.62-1.80) | 2.19 (1.07-4.46) | 1.6 (0.87-2.95) | 1.4 (0.50-3.95) | 1.8 (0.69-4.70) | 1 |
Definitely had confidence and trust in staff | 526 (72.8) | 134 (70.2) | 225 (68.4) | 72 (61.5)* | 59 (60.2)* | 16617 (74.0) |
aOR (95% CI) | 1.36 (0.95-1.94) | 1.37 (0.73-2.57) | 1.88 (1.18-3.00) | 1.75 (0.86-3.57) | 3.05 (1.56-5.95) | 1 |
Always spoken to in a way you could understand | 592 (82.5) | 157 (81.3) | 268 (80.5) | 82 (68.9)** | 69 (71.1)** | 18914 (84.3) |
aOR (95% CI) | 1.06 (0.69-1.63) | 0.96 (0.68-1.36) | 0.59 (0.37-0.95) | 0.66 (0.39-1.13) | 1.23 (1.00-1.50) | 1 |
Always involved enough in decisions about care | 458 (64.7)** | 134 (71.7) | 217 (67.0) | 72 (61.0)* | 55 (56.7)* | 15917 (72.1) |
aOR (95% CI) | 0.78 (0.57-1.06) | 0.97 (0.54-1.73) | 0.57 (0.39-0.85) | 1.05 (0.52-2.13) | 0.37 (0.21-0.66) | 1 |
Definitely received the pain relief you wanted | 287 (55.8) | 94 (60.3) | 163 (56.2) | 59 (56.7) | 38 (50.7) | 11356 (60.5) |
aOR (95% CI) | 1.27 (1.00-1.60) | 0.85 (0.54-1.34) | 1.62 (1.21-2.15) | 0.68 (0.37-1.25) | 2.09 (1.24-3.53) | 1 |
Not left alone and worried during labour | 599 (83.4) | 150 (78.1) | 258 (79.1) | 87 (75.0)* | 71 (74.7) | 18824 (84.4) |
aOR (95% CI) | 1.1 (0.90-1.36) | 1.51 (1.06-2.17) | 1.47 (1.11-1.94) | 1.62 (1.04-2.53) | 1.59 (0.94-2.67) | 1 |
Labour and birth care overall rating ‘Good’ | 662 (92.1) | 182 (93.8) | 296 (90.8) | 108 (90.8) | 79 (79.8)** | 20971 (93.6) |
aOR (95% CI) | 0.79 (0.59-1.05) | 1.25 (0.68-2.30) | 0.66 (0.44-0.98) | 0.89 (0.46-1.73) | 0.35 (0.20-0.61) | 1 |