Evidence map›Paper›PMID 38448077›Full record

ArticleBMJ open2024

Perinatal healthcare for women at risk of children's social care involvement: a qualitative survey of professionals in England.

Claire Grant, Tamsin Bicknell-Morel, Billie Lever Taylor, Claire Powell, Ruth Marion Blackburn, Rebecca Lacey, Jenny Woodman

Open access · goldAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in BMJ open, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
2.7field-weighted citation impact, top 11% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 5 citations in OpenAlex.

  1. Article
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 6 institutions in 1 country.

Claire GrantDepartment of Epidemiology and Public Health, University College London Institute of Epidemiology and Health Care, London, UK claire.grant.20@ucl.ac.uk.ORCID 0000-0002-1545-6428
Tamsin Bicknell-MorelHomerton Healthcare NHS Foundation Trust, London, UK.
Billie Lever TaylorDivision of Methodologies, Florence Nightingale Faculty of Nursing Midwifery & Palliative Care, King's College London, London, UK.ORCID 0000-0002-6865-3425
Claire PowellPopulation, Policy and Practice, University College London Great Ormond Street Institute of Child Health, London, UK.ORCID 0000-0002-6581-0165
Ruth Marion BlackburnPopulation, Policy and Practice, University College London Great Ormond Street Institute of Child Health, London, UK.ORCID 0000-0002-3491-7381
Rebecca LaceyDepartment of Epidemiology and Public Health, University College London Institute of Epidemiology and Health Care, London, UK.
Jenny WoodmanThomas Coram Research Institute, University College London Social Research Institute, London, UK.ORCID 0000-0002-9403-4177
Great Ormond Street Hospital · GBCoram · GBDepartment of Health and Social Care · GBHomerton University Hospital NHS Foundation Trust · GBKing's College London · GBSt George's, University of London · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundWomen with complex health needs are more at risk of having children's social care involvement with their newborns than other mothers. Around the time of pregnancy, there are opportunities for health services to support women with these needs and mitigate the risk of mother-baby separation. Yet little is known about healthcare professionals' experiences of providing this support.

methodsWe administered an online survey to perinatal healthcare professionals across England (n=70 responders), including midwives, obstetricians, perinatal psychologists/psychiatrists and health visitors. We asked about their experiences of providing care for pregnant women with chronic physical conditions, mental health needs, intellectual/developmental disabilities and substance use disorders, who might be at risk of children's social care involvement. We conducted a framework analysis.

resultsWe constructed five themes from participant data. These include (1) inaccessible healthcare for women with complex needs, (2) the challenges and importance of restoring trust, (3) services focusing on individuals, not families, (4) the necessity and caution around multidisciplinary support and (5) underfunded services inhibiting good practice.

conclusionsWomen who are at risk of children's social care involvement will likely experience perinatal healthcare inequities. Our findings suggest that current perinatal healthcare provision for this population is inadequate and national guidelines need updated to inform support.

Indexed as

Health FacilitiesIntellectual DisabilityChildDelivery of Health CareEnglandFemaleHealth PersonnelHumansInfantInfant, NewbornPregnancyChild protectionMaternal medicineMENTAL HEALTHSubstance misuse

Identifiers

PMID38448077
PMCPMC10916114
OpenAlexW4392513983

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.