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J Midwifery Womens Health. 2006 Nov-Dec;51(6):450-6.

Special issues in contraception: caring for women with disabilities.

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Yale University School of Nursing, 100 Church Street, South, Room 288, PO Box 9740, New Haven, CT 06536-0740, USA. <>


Women with disabilities make up a diverse population of underserved clients needing skilled, sensitive, and culturally-competent contraceptive care. Barriers to care for these women are structural, attitudinal, and informational, and lack of attention to their needs is also reflected in limited research and clinical guidelines. Special techniques for a modified gynecologic examination can be employed, and disabled women can work in partnership with providers to promote comfort, respect, and safety. There are specific considerations for the use of different contraceptive methods in women with movement limitations, sensory impairments, seizure disorders, developmental disability, and emotional and psychiatric disorders. A climate of welcoming respect as well as clinical expertise in issues specific to this population can enhance the ability to provide contraception to these women.

[Indexed for MEDLINE]

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