April 30, 2025
Interventions to reduce inequalities for pregnant women living with disadvantage in high-income countries: an umbrella review | BMC Public Health
  • Felkner A, Patel, R., Kotnis, R., Kenyon, S., Knight, M. (Eds.) on behalf of MBRRACE-UK. Saving Lives, Improving Mothers’ Care Compiled Report – Lessons learned to inform maternity care from the UK and Ireland Confidential Enquiries into Maternal Deaths and Morbidity 2020–22. Oxford: National Perinatal Epidemiology Unit,: University of Oxford; 2024.

  • Nair M, Knight M, Kurinczuk JJ. Risk factors and newborn outcomes associated with maternal deaths in the UK from 2009 to 2013: a national case-control study. BJOG. 2016;123(10):1654–62.

    CAS 
    PubMed 
    PubMed Central 

    Google Scholar 

  • Harron K, Gilbert R, Fagg J, Guttmann A, van der Meulen J. Associations between pre-pregnancy psychosocial risk factors and infant outcomes: a population-based cohort study in England. Lancet Public Health. 2021;6(2):e97–105.

    PubMed 
    PubMed Central 

    Google Scholar 

  • National Institute for Health and Care Excellence. Pregnancy and complex social factors: a model for service provision for pregnant women with complex social factors. NICE guidelines CG110.: National Institute for Health and Care Excellence; 2010 [Available from: https://www.nice.org.uk/guidance/cg110.

  • National Institute for Health and Care Excellence. Surveillance proposal consultation document: 2018 surveillance of pregnancy and complex social factors NICE: National Institute for Health and Care Excellence 2018. 2018. Accessed at: https://www.nice.org.uk/guidance/cg110/resources/2018-surveillance-of-pregnancy-and-complex-social-factors-a-model-for-service-provision-for-pregnant-women-with-complex-social-factors-nice-guideline-cg110-pdf-8465941479877.

  • Fitzpatrick S, Bramley G, Johnsen S. Pathways into Multiple Exclusion Homelessness in Seven UK Cities. Urban Studies. 2013;50(1):148–68.

    Google Scholar 

  • Khan Z, Vowles Z, Fernandez Turienzo C, Barry Z, Brigante L, Downe S, et al. Targeted health and social care interventions for women and infants who are disproportionately impacted by health inequalities in high-income countries: a systematic review. Int J Equity Health. 2023;22(1):131.

    PubMed 
    PubMed Central 

    Google Scholar 

  • Hollowell J, Oakley L, Kurinczuk JJ, Brocklehurst P, Gray R. The effectiveness of antenatal care programmes to reduce infant mortality and preterm birth in socially disadvantaged and vulnerable women in high-income countries: a systematic review. BMC Pregnancy Childbirth. 2011;11:13.

    PubMed 
    PubMed Central 

    Google Scholar 

  • Pedersen JF, Kallesoe SB, Langergaard S, Overgaard C. Interventions to reduce preterm birth in pregnant women with psychosocial vulnerability factors-A systematic review. Midwifery. 2021;100:103018.

    PubMed 

    Google Scholar 

  • Knight M BK, Patel R, Shakespeare J, Kotnis R, Kenyon S, Kurinczuk JJ (Eds.) on behalf of MBRRACE-UK,. Lessons leaned to inform maternity care from the UK and Ireland Confidential Enquiries into Maternal Deaths and Morbidity 2018–20 Oxford: National Perinatal Epidemiology Unit: University of Oxford; 2022.

  • Kuh D, Ben-Shlomo Y, Lynch J, Hallqvist J, Power C. Life course epidemiology. J Epidemiol Community Health. 2003;57(10):778–83.

    CAS 
    PubMed 
    PubMed Central 

    Google Scholar 

  • Vousden N, Geddes-Barton D, Roberts N, Knight M. Interventions to reduce inequalities for pregnant women living with disadvantage in high-income countries: an umbrella review protocol. Syst Rev. 2024;13(1):139.

    CAS 
    PubMed 
    PubMed Central 

    Google Scholar 

  • Esan OB AN, Saberian S., Christianson, L., McHale, P., Pennington, A., Geary, R. and Ayorinde, A. Mapping Existing policy interventions to tackle ethnic health inequalities in maternal and neonatal health in England: A systematic scoping review with stakeholder engagement. NHS Race & Health Observatory: NHS Race & Health Observatory. 2022. Available at: https://www.nhsrho.org/wp-content/uploads/2022/12/RHO-Mapping-existing-policy-interventions_December-2022.pdf.

  • Motrico E, Bina R, Kassianos AP, Le HN, Mateus V, Oztekin D, et al. Effectiveness of interventions to prevent perinatal depression: An umbrella review of systematic reviews and meta-analysis. Gen Hosp Psychiatry. 2023;82:47–61.

    PubMed 
    PubMed Central 

    Google Scholar 

  • Branquinho M, Rodriguez-Muñoz MdlF, Maia BR, Marques M, Matos M, Osma J, et al. Effectiveness of psychological interventions in the treatment of perinatal depression: A systematic review of systematic reviews and meta-analyses. J Affect Disord. 2021;291:294–306.

  • Dubreucq J, Kamperman AM, Al-Maach N, Bramer WM, Pacheco F, Ganho-Avila A, et al. Examining the evidence on complementary and alternative therapies to treat peripartum depression in pregnant or postpartum women: study protocol for an umbrella review of systematic reviews and meta-analyses. BMJ Open. 2022;12(11):e057327.

    PubMed 
    PubMed Central 

    Google Scholar 

  • Aromataris E, Fernandez R, Godfrey CM, Holly C, Khalil H, Tungpunkom P. Summarizing systematic reviews: methodological development, conduct and reporting of an umbrella review approach. Int J Evid Based Healthc. 2015;13(3):132–40.

    PubMed 

    Google Scholar 

  • Shea BJ, Reeves BC, Wells G, Thuku M, Hamel C, Moran J, et al. AMSTAR 2: a critical appraisal tool for systematic reviews that include randomised or non-randomised studies of healthcare interventions, or both. BMJ. 2017;358:j4008.

    PubMed 
    PubMed Central 

    Google Scholar 

  • Bougioukas KI, Vounzoulaki E, Mantsiou CD, Savvides ED, Karakosta C, Diakonidis T, et al. Methods for depicting overlap in overviews of systematic reviews: An introduction to static tabular and graphical displays. J Clin Epidemiol. 2021;132:34–45.

    PubMed 

    Google Scholar 

  • Sukhato K, Wongrathanandha C, Thakkinstian A, Dellow A, Horsuwansak P, Anothaisintawee T. Efficacy of additional psychosocial intervention in reducing low birth weight and preterm birth in teenage pregnancy: A systematic review and meta-analysis. J Adolesc. 2015;44:106–16.

    PubMed 

    Google Scholar 

  • Aslam RhW, Hendry M, Booth A, Carter B, Charles JM, Craine N, et al. Intervention Now to Eliminate Repeat Unintended Pregnancy in Teenagers (INTERUPT): a systematic review of intervention effectiveness and cost-effectiveness, and qualitative and realist synthesis of implementation factors and user engagement. BMC Med. 2017;15(1):155.

    PubMed 
    PubMed Central 

    Google Scholar 

  • Rojas-García A, Ruíz-Pérez I, Gonçalves DC, Rodríguez-Barranco M, Ricci-Cabello I. Healthcare Interventions for Perinatal Depression in Socially Disadvantaged Women: A Systematic Review and Meta-Analysis. Clin Psychol Sci Pract. 2014;21(4):363–84.

    Google Scholar 

  • Martín-Gómez C, Moreno-Peral P, Bellón JA, Conejo-Cerón S, Campos-Paino H, Gómez-Gómez I, et al. Effectiveness of psychological interventions in preventing postpartum depression in non-depressed women: a systematic review and meta-analysis of randomized controlled trials. Psychol Med. 2022;52(6):1001–13.

    PubMed 

    Google Scholar 

  • Rivas C, Ramsay J, Sadowski L, Davidson LL, Dunne D, Eldridge S, et al. Advocacy interventions to reduce or eliminate violence and promote the physical and psychosocial well-being of women who experience intimate partner abuse. Cochrane Database Syst Rev. 2015;12:CD005043.

    Google Scholar 

  • Terplan M, Ramanadhan S, Locke A, Longinaker N, Lui S. Psychosocial interventions for pregnant women in outpatient illicit drug treatment programs compared to other interventions. Cochrane database Syst rev. 2015;4:CD006037.

    Google Scholar 

  • Fang Q, Lin L, Chen Q, Yuan Y, Wang S, Zhang Y, et al. Effect of peer support intervention on perinatal depression: A meta-analysis. Gen Hosp Psychiatry. 2022;74:78–87.

    PubMed 

    Google Scholar 

  • Huang R, Yan C, Tian Y, Lei B, Yang D, Liu D, et al. Effectiveness of peer support intervention on perinatal depression: A systematic review and meta-analysis. J Affect Disord. 2020;276:788–96.

    PubMed 

    Google Scholar 

  • Carter EB, Temming LA, Akin J, Fowler S, Macones GA, Colditz GA, et al. Group Prenatal Care Compared With Traditional Prenatal Care: A Systematic Review and Meta-analysis. Obstet Gynecol. 2016;128(3):551–61.

    PubMed 
    PubMed Central 

    Google Scholar 

  • Robinson K, Garnier-Villarreal M, Hanson L. Effectiveness of CenteringPregnancy on Breastfeeding Initiation Among African Americans: A Systematic Review and Meta-analysis. J Perinat Neonatal Nurs. 2018;32(2):116–26.

    PubMed 

    Google Scholar 

  • Mohammadi S, Shojaei K, Maraghi E, Motaghi Z. The Effectiveness of Prenatal Care Programs on Reducing Preterm Birth in Socioeconomically Disadvantaged Women: A Systematic Review and Meta-Analysis. Iran J Nurs Midwifery Res. 2023;28(1):20–31.

    PubMed 
    PubMed Central 

    Google Scholar 

  • Boyle M, Murphy-Tighe S. An integrative review of community nurse-led interventions to identify and respond to domestic abuse in the postnatal period. J Adv Nurs. 2022;78(6):1601–17.

    PubMed 

    Google Scholar 

  • Kåks P, Målqvist M. Peer support for disadvantaged parents: a narrative review of strategies used in home visiting health interventions in high-income countries. BMC Health Serv Res. 2020;20(1):682.

    PubMed 
    PubMed Central 

    Google Scholar 

  • Lioret S, Harrar F, Boccia D, Hesketh KD, Kuswara K, Van Baaren C, et al. The effectiveness of interventions during the first 1,000 days to improve energy balance-related behaviors or prevent overweight/obesity in children from socio-economically disadvantaged families of high-income countries: a systematic review. Obesity Rev. 2023;24(1):e13524.

    CAS 

    Google Scholar 

  • Molloy C, Beatson R, Harrop C, Perini N, Goldfeld S. Systematic review: Effects of sustained nurse home visiting programs for disadvantaged mothers and children. J Adv Nurs. 2021;77(1):147–61.

    PubMed 

    Google Scholar 

  • Lieberman K, Le H-N, Perry DF. A systematic review of perinatal depression interventions for adolescent mothers. J Adolesc. 2014;37(8):1227–35.

    PubMed 

    Google Scholar 

  • Jidong DE, Husain N, Roche A, Lourie G, Ike TJ, Murshed M, et al. Psychological interventions for maternal depression among women of African and Caribbean origin: a systematic review. BMC Womens Health. 2021;21(1):83.

    PubMed 
    PubMed Central 

    Google Scholar 

  • Ponting C, Mahrer NE, Zelcer H, Dunkel Schetter C, Chavira DA. Psychological interventions for depression and anxiety in pregnant Latina and Black women in the United States: A systematic review. Clin Psychol Psychother. 2020;27(2):249–65.

    PubMed 
    PubMed Central 

    Google Scholar 

  • Klatter CK, van Ravesteyn LM, Stekelenburg J. Is collaborative care a key component for treating pregnant women with psychiatric symptoms (and additional psychosocial problems)? A systematic review. Arch Womens Ment Health. 2022;25(6):1029–39.

    PubMed 
    PubMed Central 

    Google Scholar 

  • Van Parys A-S, Verhamme A, Temmerman M, Verstraelen H. Intimate partner violence and pregnancy: a systematic review of interventions. PLoS ONE. 2014;9(1):e85084.

    PubMed 
    PubMed Central 

    Google Scholar 

  • Jahanfar S, Howard LM, Medley N. Interventions for preventing or reducing domestic violence against pregnant women. Cochrane Database Syst Rev. 2014;11:CD009414.

    Google Scholar 

  • Sangsawang B, Wacharasin C, Sangsawang N. Interventions for the prevention of postpartum depression in adolescent mothers: a systematic review. Arch Womens Ment Health. 2019;22(2):215–28.

    PubMed 

    Google Scholar 

  • Luo Y, Ebina Y, Kagamiyama H, Sato Y. Interventions to improve immigrant women’s mental health: A systematic review. J Clin Nurs. 2023;32(11–12):2481–93.

    PubMed 

    Google Scholar 

  • Byerley BM, Haas DM. A systematic overview of the literature regarding group prenatal care for high-risk pregnant women. BMC Pregnancy Childbirth. 2017;17(1):329.

    PubMed 
    PubMed Central 

    Google Scholar 

  • Darling EK, Kjell C, Tubman-Broeren M, Marquez O. The Effect of Prenatal Care Delivery Models Targeting Populations with Low Rates of PNC Attendance: A Systematic Review. J Health Care Poor Underserved. 2021;32(1):119–36.

    PubMed 

    Google Scholar 

  • Coast E, Jones E, Lattof SR, Portela A. Effectiveness of interventions to provide culturally appropriate maternity care in increasing uptake of skilled maternity care: a systematic review. Health Policy Plan. 2016;31(10):1479–91.

    PubMed 
    PubMed Central 

    Google Scholar 

  • Karger S, Bull C, Enticott J, Callander EJ. Options for improving low birthweight and prematurity birth outcomes of indigenous and culturally and linguistically diverse infants: a systematic review of the literature using the social-ecological model. BMC Pregnancy Childbirth. 2022;22(1):3.

    PubMed 
    PubMed Central 

    Google Scholar 

  • Frederiksen Y, Farver-Vestergaard I, Skovgard NG, Ingerslev HJ, Zachariae R. Efficacy of psychosocial interventions for psychological and pregnancy outcomes in infertile women and men: a systematic review and meta-analysis. BMJ Open. 2015;5(1):e006592.

    PubMed 
    PubMed Central 

    Google Scholar 

  • Tibingana-Ahimbisibwe B, Katabira C, Mpalampa L, Harrison RA. The effectiveness of adolescent-specific prenatal interventions on improving attendance and reducing harm during and after birth: a systematic review. Int J Adolesc Med Health. 2016;30(3):/j/ijamh.2018.30.issue-3/ijamh-2016-0063/ijamh-2016-0063.xml. https://doi.org/10.1515/ijamh-2016-0063.

  • Jongen C, McCalman J, Bainbridge R, Tsey K. Aboriginal and Torres Strait Islander maternal and child health and wellbeing: a systematic search of programs and services in Australian primary health care settings. BMC Pregnancy Childbirth. 2014;14(1):251.

    PubMed 
    PubMed Central 

    Google Scholar 

  • Ashman AM, Brown LJ, Collins CE, Rollo ME, Rae KM. Factors Associated with Effective Nutrition Interventions for Pregnant Indigenous Women: A Systematic Review. J Acad Nutr Diet. 2017;117(8):1222-53.e2.

    PubMed 

    Google Scholar 

  • Eppes EV, Augustyn M, Gross SM, Vernon P, Caulfield LE, Paige DM. Engagement With and Acceptability of Digital Media Platforms for Use in Improving Health Behaviors Among Vulnerable Families: Systematic Review. J Med Internet Res. 2023;25:e40934.

    PubMed 
    PubMed Central 

    Google Scholar 

  • Caulfield LE, Bennett WL, Gross SM, Hurley KM, Ogunwole SM, Venkataramani M, et al. Maternal and Child Outcomes Associated With the Special Supplemental Nutrition Program for Women, Infants, and Children (WIC). Rockville (MD): Agency for Healthcare Research and Quality (US); 2022.

  • Segura-Perez S, Hromi-Fiedler A, Adnew M, Nyhan K, Perez-Escamilla R. Impact of breastfeeding interventions among United States minority women on breastfeeding outcomes: a systematic review. Int J Equity Health. 2021;20(1):72.

    PubMed 
    PubMed Central 

    Google Scholar 

  • Frederiksen BN, Rivera MI, Ahrens KA, Malcolm NM, Brittain AW, Rollison JM, et al. Clinic-Based Programs to Prevent Repeat Teen Pregnancy: A Systematic Review. Am J Prev Med. 2018;55(5):736–46.

    PubMed 
    PubMed Central 

    Google Scholar 

  • Carneiro PC, S. & Ridath, N. The short-and medium-term impacts of Sure Start on educational outcomes. In: Nuffield Foundation and Economic and Social Research Council, editor. https://ifs.org.uk/sites/default/files/2024-04/SS_NPD_Report.pdf2024.

  • Stewart E, Pearce A, Given J, Gilbert R, Brophy S, Cookson R, et al. Identifying opportunities for upstream evaluations relevant to child and maternal health: a UK policy-mapping review. Arch Dis Child. 2023;108(7):556–62.

    PubMed 

    Google Scholar 

  • Petticrew M, Anderson L, Elder R, Grimshaw J, Hopkins D, Hahn R, et al. Complex interventions and their implications for systematic reviews: a pragmatic approach. J Clin Epidemiol. 2013;66(11):1209–14.

    PubMed 

    Google Scholar 

  • Julian PTH, José AL-L, Betsy JB, Sarah RD, Sarah D, Jeremy MG, et al. Synthesising quantitative evidence in systematic reviews of complex health interventions. BMJ Global Health. 2019;4(Suppl 1):e000858.

  • Luchenski S, Maguire N, Aldridge RW, Hayward A, Story A, Perri P, et al. What works in inclusion health: overview of effective interventions for marginalised and excluded populations. The Lancet. 2018;391(10117):266–80.

    Google Scholar 

  • Small MJ, Allen TK, Brown HL. Global disparities in maternal morbidity and mortality. Semin Perinatol. 2017;41(5):318–22.

    PubMed 
    PubMed Central 

    Google Scholar 

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