ReviewInternational journal for equity in health2019
Barriers to equitable maternal health in Aotearoa New Zealand: an integrative review.
Review in International journal for equity in health, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
19 citing papers in PubMed.
- Exploring trauma-informed prenatal care preferences through diverse pregnant voices.BMC health services research · 2025Trial
- Perinatal Health Promotion in Indigenous Maternal Health: A Scoping Review of Peer-Reviewed Evidence and Australian Community-Controlled Programs.International journal of environmental research and public health · 2026Article
- Experiences of New Zealand Māori Mothers' Engagement with Health and Social Services Post-COVID-19 2020 Lockdown.Journal of racial and ethnic health disparities · 2026Article
- Foetal Movement Information and Maternal Concerns in the Third-Trimester: Findings of an Aotearoa New Zealand National Survey.The Australian & New Zealand journal of obstetrics & gynaecology · 2026Article
- Contesting authority in breastfeeding support: Maternal negotiation of professional and embodied knowledge.Journal of health psychology · 2026Article
- Pregnancy as a journey of care and connection: Indigenous women's experiences navigating health systems and community support.Frontiers in public health · 2026Article
- Examining Interpregnancy Weight Change Across a Birthing Population in Aotearoa, New Zealand.The Australian & New Zealand journal of obstetrics & gynaecology · 2025Article
- Inequality in Utilization of Maternal Healthcare Services in Low‑ and Middle‑Income Countries: A Scoping Review of the Literature.Maternal and child health journal · 2025Article
- "I'd probably just say that they probably just don't care": a qualitative study of the experiences of wāhine Māori of mental health screening during the perinatal period.BMC pregnancy and childbirth · 2025Article
- Birth by emergency caesarean delivery: Perspectives of Wāhine Māori in Aotearoa New Zealand.Journal of health psychology · 2024Article
- Towards a mother-centred maternal health promotion.Health promotion international · 2023Article
- Determinants of ethnic differences in the uptake of child healthcare services in New Zealand: a decomposition analysis.International journal for equity in health · 2023Article
- Study designs, measures and indexes used in studying the structural racism as a social determinant of health in high income countries from 2000-2022: evidence from a scoping review.International journal for equity in health · 2023Article
- The maternal health of American Indian and Alaska Native people: A scoping review.Social science & medicine (1982) · 2023Article
- Knowledge and decisions about maternal immunisation by pregnant women in Aotearoa New Zealand.BMC health services research · 2022Article
- Medication risk management and health equity in New Zealand general practice: a retrospective cross-sectional study.International journal for equity in health · 2021Article
- The views of New Zealand general practitioners and patients on a proposed risk assessment and communication tool: a qualitative study using Normalisation Process Theory.Implementation science communications · 2021Article
- "Ashamed, Silent and Stuck in a System"-Applying a Structural Violence Lens to Midwives' Stories on Social Disadvantage in Pregnancy.International journal of environmental research and public health · 2020Article
- Social determinants and inequitable maternal and perinatal outcomes in Aotearoa New Zealand.Women's health (London, England)Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe purpose of this review was to examine the literature for themes of underlying social contributors to inequity in maternal health outcomes and experiences in the high resource setting of Aotearoa New Zealand. These 'causes of the causes' were explored and compared with the international context to identify similarities and New Zealand-specific differences.
methodA structured integrative review methodology was employed to enable a complex cross disciplinary analysis of data from a variety of published sources. This method enabled incorporation of diverse research methodologies and theoretical approaches found in the literature to form a unified overall of the topic.
resultsSix integrated factors - Physical Access, Political Context, Maternity Care System, Acceptability, Colonialism, and Cultural factors - were identified as barriers to equitable maternal health in Aotearoa New Zealand. The structure of the maternal health system in New Zealand, which includes free maternity care and a woman centred continuity of care structure, should help to ameliorate inequity in maternal health and yet does not appear to. A complex set of underlying structural and systemic factors, such as institutionalised racism, serve to act as barriers to equitable maternity outcomes and experiences. Initiatives that appear to be working are adapted to the local context and involve self-determination in research, clinical outreach and community programmes.
conclusionsThe combination of six social determinants identified in this review that contribute to maternal health inequity is specific to New Zealand, although individually these factors can be identified elsewhere; this creates a unique set of challenges in addressing inequity. Due to the specific social determinants in Aotearoa New Zealand, localised solutions have potential to further maternal health equity.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.