# Experiences of pregnancy and motherhood among women with disabilities in the district of Nkangala, Mpumalanga province

## TL;DR

This study explores the challenges and experiences of pregnancy and motherhood among women with disabilities in Nkangala, Mpumalanga, highlighting gaps in healthcare support and social attitudes.

## Contribution

The study provides new insights into the reproductive health experiences of women with disabilities in a specific South African context.

## Key findings

- Women with disabilities face unplanned pregnancies and mixed emotions about motherhood.
- Lack of consistent maternal care and stigma from healthcare workers were significant challenges.
- Strong family support and access to maternal care improved outcomes for mothers and children.

## Abstract

Experiences of pregnancy and motherhood needs among women with disabilities are not often discussed by families, communities, and even within healthcare facilities, resulting in their reproductive health needs being overlooked and inadequately supported.

This study aimed to explore experiences of pregnancy and motherhood among women with disabilities within Nkangala District, Mpumalanga province.

A qualitative, exploratory descriptive design was used among a sample of 10 women with disabilities who met the inclusion criteria. Snowball sampling method was used to recruit participants, and the sample size was determined by data saturation. One-on-one in-depth interviews using an unstructured interview guide were used to collect data.

Analysis revealed seven major themes reflecting women’s experiences: unplanned pregnancy; mixed emotions including relief; decisions around pregnancy termination; support received during pregnancy and postpartum; attitudes of community members and healthcare professionals; difficulties in fulfilling motherly roles; and challenges of raising a child while with a disability. Women who received consistent maternal care and strong family support were able to nurture and care effectively for their children.

The healthcare sector needs to improve policies related to the reproductive health of women with disabilities, how they are treated to reduce the stigma and the negative comments that healthcare workers make to this population group during pregnancy and motherhood.

The study contributes to a deeper understanding of disability, promotes inclusion and challenges harmful conceptions. This knowledge can eventually improve maternal care, improve the results for mothers and children, and increase the social integration for women with disabilities.