Healthcare providers' perspectives and experiences caring for individuals with lower limb absence during the perinatal period: a qualitative study.

Abstract

This study explored healthcare providers' (HCPs') experiences providing care for individuals with lower limb amputation (LLA) during the perinatal period, the perceived impact of pregnancy on individuals with LLA, and strategies to improve perinatal support for individuals with LLA. This is a qualitative descriptive study. Semi-structured interviews were conducted with HCPs with experience caring for individuals with LLA during the perinatal period. A thematic analysis was conducted, informed by the DEPICT model. Eleven HCPs (prosthetists, <i>n</i> = 6; physiatrists, <i>n</i> = 5) participated. Three themes were identified that describe HCPs' perspectives on the impact of pregnancy on LLA and their approach to providing care during the perinatal period: (1) Clinical Approach: Problem Solving and Preparation, (2) Managing the Physical Impacts of Pregnancy by Maintaining Mobility, and (3) Tailoring Care to Individual Needs. Participants described using clinical expertise and trial and error to support individuals during pregnancy with limited education and resources. They reported variability in patients' physical (e.g. swelling, fatigue) and psychosocial needs necessitating tailored management. There is a lack of resources and education for clinicians regarding pregnancy and LLA. While clinicians managed this by using clinical reasoning and planning ahead, more resources for HCPs who provide care are needed.