Domestic abuse can both compromise, and catalyse, access to services and social support is a positive factor when accessing care.Delayed and inadequate care has adverse effects on women’s physical and psychological health, however further research is required to fully explore the nature and extent of these consequences.

accomidating women ma-72accomidating women ma-75

Although a total of twenty studies included all three key elements (disability, domestic abuse and pregnancy), only nine focused upon access and utilisation of maternity services.

Figure ] have recommended that researchers continually evolve their search strategy.

Disabled women are two times more likely to suffer physical abuse from an intimate partner than non-disabled women [].

Disability and domestic abuse during pregnancy may therefore have compounding effects on women’s access to and utilisation of maternity services, placing them at increased risk of undetected pregnancy complications.

Abstracts were included for review on the basis of the inclusion and exclusion criteria presented in Table Forty-nine full text articles were screened for eligibility against the inclusion criteria.

All articles were read in full by the first author and then reviewed independently by other members of the team to moderate the screening process (each member of the team read 7 full text articles).

A final hand search was therefore conducted using the reference lists of the nine included papers.

This yielded a further 15 papers of interest, two of which met all four inclusion criteria after independent review by two authors.

This includes psychological, physical, sexual, financial and emotional abuse.

Generally within the UK, the term ‘abuse’ is preferred over ‘violence’ because this most adequately captures the range of abusive behaviours extending beyond physical abuse.

Eleven articles were identified through a search of six electronic databases and data were analysed to identify: the factors that facilitate or compromise access to care; the consequences of inadequate care for pregnant women’s health and wellbeing; and the effectiveness of existing strategies for improvement.