Introduction:
Disability is part of being human. Almost everyone will temporarily or permanently experience disability at some point in their life¹. Being a mother is a human right and an experience that many women desire regardless of their health status. However, for women with special needs, this experience can be a major social and health challenge in addition to a normal life change². Women with disabilities are more likely to miss out on the maternity care services they need because access to healthcare facilities is difficult. Women with disabilities can only choose between service providers whose facilities are accessible, this limits women's freedom of decision to choose a healthcare professional that suits them³. Often women with disabilities perceive that they are not sufficiently socially accepted and are not treated equally with able-bodied women in relation to pregnancy, childbirth, and motherhood⁴. The midwifery guidelines in force in Estonia state that the midwife's task is to support a woman during pregnancy, childbirth, and the postpartum period and throughout her life in matters of reproductive health. A midwife's job is to deal sensitively with patients with special needs and act accordingly⁵. In order to ensure comprehensive maternity care for a woman with special needs, it is necessary to start teaching midwifery students in cooperation with a midwife and an occupational therapist.

Aim:
Is to build up the subject in Tallinn Health Care College in Curriculum of Midwifery for woman for special needs in maternity care in cooperation with a midwife and an occupational therapist.

Methods:
The subject was developed based on literature reviews and current guidelines.

Results:
In cooperation with midwives and occupational therapists, the subject "Women with special needs in maternity care" was created. The volume of the subject is 3 ECTS and it includes an introduction to different special needs and the understanding and support of the special needs arising from them. An important place is empathic support for the woman and family members, teaching the use of personally adapted aids both during pregnancy and in the postpartum period. The cooperation between a midwife and an occupational therapist teaches a midwife student to find the best possible way to offer comprehensive maternity care to a woman with special needs.

Conclusion:
Teaching according to the topic enables the future midwife in cooperation with occupational therapists to ensure high-quality maternity care for a woman with special needs and her family.