Evidence map›Paper›PMID 41651514›Full record

ArticleBMJ open2026

Maternity care bundle for UK women with multiple long-term health conditions: coproduction workshops.

Stephanie Hanley, Sharon McCann, Megha Singh, Zoe Vowles, Siang Ing Lee, Rachel Plachcinski, Krishnarajah Nirantharakumar, Mairead Black, Louise Locock, Beck Taylor

Abstract read
In one paragraph

Article in BMJ open, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
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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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

10 authors.

Stephanie HanleyDepartment of Applied Health Sciences, University of Birmingham, Birmingham, UK s.hanley@bham.ac.uk.ORCID http://orcid.org/0000-0002-5260-4450
Sharon McCannAberdeen Centre for Evaluation, University of Aberdeen, Aberdeen, UK.
Megha SinghDepartment of Applied Health Sciences, University of Birmingham, Birmingham, UK.ORCID http://orcid.org/0000-0003-3680-7124
Zoe VowlesGuy's and St. Thomas' NHS Foundation Trust, London, UK.
Siang Ing LeeDepartment of Applied Health Sciences, University of Birmingham, Birmingham, UK.ORCID http://orcid.org/0000-0002-2332-5452
Rachel PlachcinskiDepartment of Applied Health Sciences, University of Birmingham, Birmingham, UK.
Krishnarajah NirantharakumarDepartment of Applied Health Sciences, University of Birmingham, Birmingham, UK.ORCID http://orcid.org/0000-0002-6816-1279
Mairead BlackAberdeen Centre for Women's Health Research, Aberdeen Maternity Hospital, Aberdeen, UK.
Louise LocockAberdeen Centre for Evaluation, University of Aberdeen, Aberdeen, UK.
Beck TaylorDepartment of Health Sciences, University of Warwick, Coventry, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThe objective of this study is to co-produce a care bundle for women with multiple long-term health conditions (MLTC) that could be pilot tested and implemented in UK maternity services.

designOnline co-production workshops each attended by 20-30 key interest holders.

settingUnited Kingdom, October 2023-February 2024. POPULATION: Women with experience of pregnancy with MLTC, healthcare professionals and other interest holders involved in commissioning, planning and delivering care for pregnant women with MLTC.

methodsThis study followed a three-step process: (1) a consolidated list of key components of care for pregnant women with MLTC was created through secondary analysis of prior collected qualitative data; (2) the list of care components was explored during four co-production workshops; and (3) findings from (1) and (2) were synthesised to develop a maternity care bundle of 4-5 key care components for pregnant women with MLTC.

main outcome measuresA maternity care bundle of five key care components for pregnant women with MLTC.

resultsA list of 25 care components was refined to develop a proposed care bundle of five components. These were provisions of early and reliable medication advice and decision support; creation of a 'goals of care summary' accessible to women and the care team; provision of continuity of midwifery care throughout pregnancy and postnatal care; provision of a named care coordinator; and a formal postnatal handover of care from the multidisciplinary care team to the General Practitioner (GP) and secondary care team involving the woman.

conclusionsThis study coproduced an evidence-based care bundle for pregnant women with MLTC to enhance communication and ensure individualised care and support. Further collaborative work with women and professionals is required to refine, implement and evaluate its impact on outcomes.

Indexed as

Maternal Health ServicesPatient Care BundlesPrenatal CareChronic DiseaseFemaleHumansPregnancyUnited KingdomDelivery of Health Care, IntegratedPostpartum PeriodPregnancyQUALITATIVE RESEARCH

Identifiers

PMID41651514
PMCPMC12887499

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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.