Accessible Pregnancy and birth Planning Begins Before Barriers Arise
Accessible pregnancy care is most effective when access needs are identified and addressed before they become barriers. Rather than waiting for a person to request accommodations, proactive planning creates a safer, more respectful, and more inclusive healthcare experience throughout pregnancy, birth, and postpartum recovery.
When I develop an Accessible Pregnancy Action Plan (APAP) birth plan, based on the disability-inclusive work of Dr. Kara Ayers, The Lurie Institute for Disability Policy at Brandeis University's Heller School for Social Policy and Management, and the Nat’l Center for Disability & Pregnancy Research, I partner directly with disabled people to understand their unique needs, preferences, and goals. I also consult with members of their pregnancy care team when appropriate to help ensure those needs are clearly communicated and integrated into clinical care.
As a Board Certified Patient Advocate and a highly experienced birth doula, I bring both advocacy expertise and hands-on maternity care experience to the planning process. Together, we identify potential barriers related to mobility, communication, sensory needs, information processing, informed consent, healthcare navigation, and postpartum support. The result is a comprehensive plan that promotes understanding between the person giving birth and the professionals caring for them.
An APAP birth plan is more than a document. It is a practical clinical tool that helps healthcare teams provide individualized, accessible care while honoring the expertise each person brings about their own body, disability, and lived experience. By anticipating needs early, we can reduce stress, improve communication, and support better outcomes throughout the pregnancy and birth journey.
I believe every person deserves maternity care that is accessible, respectful, and responsive. Through thoughtful planning and collaboration with healthcare providers, I help create birth experiences where disabled people are seen, heard, and supported at every stage of care.
