TOWARDS NEURO-AFFIRMATIVE OBSTETRIC CARE: AN ANALYSIS OF AUTISTIC WOMEN’S PREGNANCY AND CHILDBIRTH EXPERIENCES

Abstract

The aim. To reveal how autistic identity shapes liminal experiences of motherhood during pregnancy and childbirth within institutionally structured obstetric care, highlighting the importance of neurodiversity-affirming practices. Methods. An inclusive qualitative research design was employed. Data were collected through semi-structured interviews with fourteen autistic women without intellectual disability. The data were analysed using inductive reflexive thematic analysis. Results. The findings show that pregnancy and childbirth among autistic women are often transformed into a “special interest”. On the one hand, this operates as an adaptive strategy that enhances a subjective sense of control, reduces autistic anxiety and unpredictability, facilitates understanding of physiological and emotional dynamics, and helps avoid excessive healthcare visits. On the other hand, in clinical contexts, self-acquired expert knowledge may generate tension when it is dismissed, devalued, or perceived as challenging medical authority. The study also underscores the role of sensory processing and pain experiences during the perinatal period, demonstrating that negative experiences are more strongly associated with a lack of validation than with sensory sensitivity itself. Additionally, the use of ambiguous or metaphorical language in medical communication complicates interactions with healthcare professionals and may increase the risk of obstetric complications.