Women with Disabilities -The Healthcare Team- Part 2

Interviewing the Doctor

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Here are some questions you may wish to ask:

What are the pros and cons of pregnancy for me?

If the doctor is opposed, ask why?

What do you know about my disability, and what access do you have regarding it?

Do you have experience with the pregnancy and delivery of babies with disabled women? How much?

In what way will you be working with my regular doctor?

If there are unusual symptoms that arise, who should I call if I am not sure if those symptoms are pregnancy or disability related?

How will labor and delivery be affected by my disability?

Will there be a need for treatments that differ from the usual types, due to my disability, and how will we get the cooperation of the hospital for those treatments?

Do you think I may need a caesarian section? Why? Would you set a date, or wait for labor to begin spontaneously?

Can I get a referral for genetic counseling?

The physical exam

Besides the questions suggested previously, the examination is also another time to decide on the doctor who will tend to your care. How the doctor behaves during the examination and time taken to let you know what he/she is doing in that exam will assist in your final decision.

Does the doctor ask you questions during the exam? Are you treated with sensitivety and consideration? Are the questions the doctor is asking relative to your level of sensation, mobility, and flexibility? Regarding your comfort?

The doctor’s partners

If the doctor has partners or a physician that they use when they are not available, you will need to schedule an appointment with them on one of your regular visits, as early as possible. See if they also are “on board” and will be responsive to your needs and care.

You will need to feel comfortable with any one of these doctors, in case they are the one in delivery with you. It would be much more comfortable to have a familiar face, and know if they also will support your needs.

Women with Disabilities -The Healthcare Team- Part 1

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When do you start your Search?

The search should begin as early in the pregnancy as possible. When you do a gynecological examination is the opportune time to decide if you are able to become pregnant. Hopefully, that will occur with a doctor with whom you feel comfortable.

But if the pregnancy was unexpected, or you have not found that great doctor with whom you feel comfortable, the earliest point of time is best. It is important for the baby’s sake. It has been discovered that women who receive care late in the pregnancy or have had no prenatal care at all tend to run a higher risk of infant mortality.

Finding a doctor may be a challenge. Some will immediately advise an abortion. Other doctors will become enthused by the challenges.

You need that doctor to know you well enough to understand the way the changes of pregnancy will affect you. Health issues unrelated to the disability you have will most likely need to be addressed early.

How to Find a Doctor

You could find the doctor via those with whom you trust. You may also get recommendations from the doctor who has been working with your disability.

Evaluating the Doctor’s Practice

The recommendations of friends with whom you trust can assist you in assessing the skills of the doctor. Or listening to the impressions of the patients the doctor has had in the past.

Sometimes there may be differing experiences; it’s in this instance that the opinion of an older and well-trusted doctor in the community may come in handy. There is no singular way to assess what doctor may work for you, other than knowing what you are looking for in the care administered by a doctor.

Check the office policies, by checking with the receptionist. You can ask about fees, for normal birth and caesarian section. Ask about payment and billing, insurance the doctor will accept. You will need to know what hospital the doctor is affiliated. Also check the doctor’s flexibility with requests, such as persons allowed to attend the birth, and whether the doctor will work with you on having a natural birth. Most importantly, check accessibility, if you are using a wheelchair…are the rooms and bathrooms set-up for your ease of use. The answers to these questions may narrow the choices of whom to visit.

You could ask for only a consult, rather than a visit with a full physical examination until you have decided upon which doctor you will use. Bring with you the father-to-be or an advocate. You then will have someone to share impressions and ideas with, or who would think of questions you may have not been able to think about in your nervousness.