Evidence map›Paper›PMID 40631497›Full record

SynthesisBJOG : an international journal of obstetrics and gynaecology2025

Effects of Race, Ethnicity and Socioeconomic Deprivation on Postpartum Haemorrhage in High-Income Countries: A Systematic Review and Meta-Analysis.

Amy Elsmore, Gbenga Alayande, Elizabeth Mainwaring, Mahfam Jafarpour, Michael P Rimmer, Neil Cockburn, Jason Curtis, Ragave Ilaalagan, Bassel Al-Wattar, Sarah Bell and 3 more

Abstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in BJOG : an international journal of obstetrics and gynaecology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

3 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Laparoscopic Versus Robot-Assisted Sacrocolpopexy: A Systematic Review and Meta-Analysis.BJOG : an international journal of obstetrics and gynaecology · 2026
    Pooled it
  2. Article
  3. 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

13 authors.

Amy ElsmoreDepartment of Obstetrics and Gynaecology, The Shrewsbury and Telford NHS Trust, Shrewsbury, UK.ORCID https://orcid.org/0000-0003-4669-4266
Gbenga AlayandeDepartment of Obstetrics and Gynaecology, The Royal Wolverhampton NHS Trust, Wolverhampton, UK.
Elizabeth MainwaringSchool of Medicine, The University of Cambridge, Cambridge, UK.
Mahfam JafarpourSchool of Medicine, Keele University, Keele, Staffordshire, UK.
Michael P RimmerThe Centre for Reproductive Health, Institute of Regeneration and Repair, University of Edinburgh, Edinburgh, UK.
Neil CockburnDepartment of Applied Health Science, University of Birmingham, Birmingham, UK.
Jason CurtisShrewsbury and Telford Health Libraries, The Shrewsbury and Telford NHS Trust, Shrewsbury, UK.
Ragave IlaalaganDepartment of Obstetrics and Gynaecology, The Shrewsbury and Telford NHS Trust, Shrewsbury, UK.
Bassel Al-WattarClinical Trials Unit, Faculty of Health Medicine and Social Care, Anglia Ruskin University, Chelmsford, UK.
Sarah BellDepartment of Anaesthesia, Cardiff and Vale University Health Board, Cardiff, UK.
Bala KarunakaranDepartment of Obstetrics and Gynaecology, The Shrewsbury and Telford NHS Trust, Shrewsbury, UK.
William Parry-SmithDepartment of Obstetrics and Gynaecology, The Shrewsbury and Telford NHS Trust, Shrewsbury, UK.
Pensee WuSchool of Medicine, Keele University, Keele, Staffordshire, UK.ORCID https://orcid.org/0000-0003-0011-5636

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPostpartum haemorrhage (PPH) is a leading cause of mortality and morbidity globally. While individual studies have revealed disparities in outcomes, a comprehensive summary of PPH risk across diverse groups is lacking.

objectivesTo quantify the association between ethnicity, deprivation and risk of PPH in high-income countries (HICs). SEARCH STRATEGY: A systematic search of MEDLINE, CINAHL, EMBASE and Google Scholar from inception to 20 August 2024. SELECTION CRITERIA: Observational and experimental studies from HICs that reported the outcome of PPH in at least two ethnic or socioeconomic groups. DATA COLLECTION AND ANALYSIS: Two reviewers performed independent data extraction. A random-effects model was used to estimate the risk. A subgroup analysis was performed by geographical region and time period. MAIN

resultsA total of 79 studies with 169 579 388 women were included, spanning 15 HICs. Ethnic minority women experienced a higher risk of PPH compared to the majority White or European group. This was seen across Black (OR 1.16, 95% CI 1.09, 1.23), Asian (OR 1.33, 95% CI 1.27, 1.39), Hispanic (OR 1.20, 95% CI 1.12, 1.29) and women from the minority ethnic group within a given study (OR 1.13, 95% CI 1.03,1.24). Due to data limitations, eight studies on PPH and socioeconomic status were summarised narratively, indicating a higher PPH risk for those experiencing deprivation.

conclusionsWomen from an ethnic minority background or exposed to socioeconomic deprivation had an increased risk of PPH in HICs. Standardisation of data collection for ethnicity and socioeconomic status is recommended to accurately quantify and address these disparities.

Indexed as

Developed CountriesEthnicityPostpartum HemorrhageRacial GroupsSocial DeprivationFemaleHealth Status DisparitiesHumansPregnancyRisk FactorsSocioeconomic Factorsethnicitymaternal health disparitiespostpartum haemorrhageracesocioeconomic deprivation

Identifiers

PMID40631497
PMCPMC12592775

What OpenQuestion holds

Textmetadata
LicenceCC BY
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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.