Overview:
Pregnant women with sensory disabilities—particularly those who are Deaf, hard of hearing, blind, or visually impaired—face unique barriers in accessing safe, respectful, and effective maternity care. Communication challenges, limited provider training, and inaccessible clinical environments can contribute to poorer maternal outcomes and experiences. Midwives, as frontline maternity care providers, require targeted training to bridge these gaps.

Objective:
This systematic review examines the scope, content, delivery, and effectiveness of midwifery training programs designed to improve care for pregnant women with sensory disabilities.

Methods:
A systematic literature search was conducted across MEDLINE, CINAHL, PsycINFO, and Scopus for studies published between 2000 and 2024. Inclusion criteria were empirical studies and pilot programs that assessed pre- or post-registration midwifery training specifically addressing Deafness, hearing loss, blindness, or visual impairment in maternity contexts. Quality appraisal followed PRISMA guidelines using the CASP and JBI tools.

Results:
Out of 2,481 records screened, 17 studies met the inclusion criteria. Training interventions were rare, often short-term, and typically focused on basic awareness rather than clinical competency. Programs co-developed with individuals with lived experience and those incorporating sign language basics, tactile communication methods, and assistive technology use significantly improved midwives’ confidence and patient satisfaction. However, a lack of formal assessment tools and long-term evaluation remains challenging.

Conclusion:
There is an urgent need for structured, experiential, and co- designed training programs that embed communication accessibility, cultural competence (e.g., Deaf culture), and assistive technology use into midwifery education. Such training is vital to ensuring that pregnant women with sensory disabilities receive equitable, empowering, and dignified maternity care.