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Interventions to reduce inequalities for pregnant women living with disadvantage in high-income countries: an umbrella review protocol

Abstract:

Background

Women who live with disadvantages such as socioeconomic deprivation, substance misuse, poor mental health, or domestic abuse face inequalities in health before, during, and after pregnancy and for their infants through to childhood. Women do not experience these factors alone; they accumulate and interact. Therefore, there is a need for an overview of interventions that work across health and social care and target women at risk of inequalities in maternal or child health.

Methods

Systematic review methodology will be used to identify systematic reviews from high-income countries that describe interventions aiming to reduce inequalities for women who experience social disadvantage during pregnancy. We will describe the range of interventions and their effectiveness in reducing inequalities in maternal or child health. Any individual, hospital, or community-level activity specific to women during the pre-conception, antenatal, or postpartum period up to 1 year after birth will be included, regardless of the setting in which they are delivered. We will search eight electronic databases with the pre-determined search strategy and supplement them with extensive grey literature searches. We will present a narrative synthesis, taking into account the quality assessment and coverage of included studies.

Discussion

Inequalities in maternal and child health are a key priority area for national policymakers. Understanding the range and effectiveness of interventions across the perinatal period will inform policy and practice. Identifying gaps in the evidence will inform future research.

Systematic review registration

PROSPERO CRD42023455502.
Publication status:
Published
Peer review status:
Peer reviewed

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Files:
Publisher copy:
10.1186/s13643-024-02556-7

Authors


More by this author
Institution:
University of Oxford
Division:
MSD
Department:
Nuffield Department of Population Health
Sub department:
NPEU
Role:
Author
ORCID:
0000-0001-5216-8268
More by this author
Institution:
University of Oxford
Division:
MSD
Department:
Nuffield Department of Population Health
Sub department:
NPEU
Role:
Author
More by this author
Institution:
University of Oxford
Division:
GLAM
Department:
Science and Medicine Subject Area
Sub department:
Health Care Libraries
Role:
Author
ORCID:
0000-0002-1142-6440
More by this author
Institution:
University of Oxford
Division:
MSD
Department:
Nuffield Department of Population Health
Sub department:
NPEU
Role:
Author
ORCID:
0000-0002-1984-4575



Publisher:
BioMed Central
Journal:
Systematic Reviews More from this journal
Volume:
13
Issue:
1
Article number:
139
Place of publication:
England
Publication date:
2024-05-23
Acceptance date:
2024-05-03
DOI:
EISSN:
2046-4053
Pmid:
38783327


Language:
English
Keywords:
Pubs id:
1998748
Local pid:
pubs:1998748
Deposit date:
2024-06-21

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