Evidence map›Paper›PMID 41668044›Full record

ArticleBMC pregnancy and childbirth2026

Professional perspectives on barriers to accessing maternity care in England: a qualitative study.

Kerry Brennan-Tovey, Kausiki Sarma, Dafni Lima, Abimbola Ayorinde, Heather Brown, Oluwaseun B Esan, David Gardiner, Ruth Kipping, Nicola Heslehurst, Maria Raisa Jessica Aquino and 1 more

Abstract read
In one paragraph

Article in BMC pregnancy and childbirth, 2026. 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
–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

2 citing papers in PubMed.

  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

11 authors.

Kerry Brennan-ToveyPopulation Health Sciences Institute, Faculty of Medical Sciences, Newcastle University, Baddiley-Clark Building, Richardson Road, Newcastle upon Tyne, NE2 4AX, UK. Kerry.brennan-tovey@newcastle.ac.uk.ORCID http://orcid.org/0000-0002-5516-6230
Kausiki SarmaPopulation Health Sciences Institute, Faculty of Medical Sciences, Newcastle University, Baddiley-Clark Building, Richardson Road, Newcastle upon Tyne, NE2 4AX, UK.
Dafni LimaDurham Law School, Durham University, Durham, DH1 3LE, UK.
Abimbola AyorindeWarwick Medical School, University of Warwick, Gibbet Hill Road, Coventry, CV4 7AL, UK.
Heather BrownDivision of Health Research, Faculty of Health and Medicine, Health Innovation One, Lancaster University, Sir John Fisher Drive, Lancaster, LA1 4AT, UK.
Oluwaseun B EsanNIHR School for Public Health Research Launching Fellow, Department of Public Health, Policy and Systems, University of Liverpool, Waterhouse Building (2nd Floor, Block F), 1-5 Brownlow Street, Liverpool, L69 3GL, UK.
David GardinerOffice for Health Improvement and Disparities, Stella House, Goldcrest Way, Newburn Riverside, Newcastle, NE15 8NY, UK.
Ruth KippingPopulation Health Sciences, Bristol Medical School, University of Bristol, Bristol, BS8 2PS, UK.
Nicola HeslehurstPopulation Health Sciences Institute, Faculty of Medical Sciences, Newcastle University, Baddiley-Clark Building, Richardson Road, Newcastle upon Tyne, NE2 4AX, UK.
Maria Raisa Jessica AquinoPopulation Health Sciences Institute, Faculty of Medical Sciences, Newcastle University, Baddiley-Clark Building, Richardson Road, Newcastle upon Tyne, NE2 4AX, UK.
Judith RankinPopulation Health Sciences Institute, Faculty of Medical Sciences, Newcastle University, Baddiley-Clark Building, Richardson Road, Newcastle upon Tyne, NE2 4AX, UK.

Funding

National Institute for Health and Care Research, Applied Research Collaboration West Midlands NIHR 200165National Institute for Health and Care Research, School for Public Health Research NIHR 204000
6 · The paper itself

Abstract

backgroundWomen living on low income in England are at an increased risk of experiencing stillbirth, neonatal death, preterm birth, low birth weight and maternal mortality. Women with poor access to financial, educational, and social and health resources engage less with health and care services throughout their pregnancy, due to social stressors, low health literacy, digital exclusion, lack of support, language barriers, transport difficulties, and stigma and judgement from healthcare professionals. Existing evidence documents the experiences of women facing socioeconomic disadvantage, little is known about how healthcare professionals understand and respond to these barriers. The aim of this qualitative study was to explore professionals' perceptions of the barriers pregnant women living on low income face when accessing maternity care.

methodsData were collected through one-to-one semi-structured interviews with professionals (i.e., midwives, health visitors, Voluntary, Community and Social Enterprise (VCSE) practitioner) working in the NHS, local authority or VCSE organisations in the North East of England. Purposive snowballing sampling was used to recruit participants. Anonymised interview data was thematically analysed and incorporated Ecological Systems Theory (EST).

resultsSeventeen participants were interviewed (NHS maternity services n = 6; local authority n = 3 and VCSE n = 8). Data highlighted three interlinked levels of barriers that professionals perceived pregnant women living on low income experience accessing maternity care: structural, interactional and individual. Structural barriers included digital exclusion, language-related difficulties and service delivery challenges related to staffing shortages. Interactional barriers included limited social networks, lack of partner involvement, and experiences of racism and discrimination. Lastly, individual level challenges included cost of travel and other pregnancy-related costs, fear of professionals and unfamiliarity with services.

conclusionsFindings from this study present professionals' perspectives of the different challenges pregnant women living on low income face when accessing maternity care. These include language and communication, a lack of social support network, the cost and time of travel and the fear of professionals and unfamiliarity of service. Recommendations to improve access to maternity services include the implementation of recycled smart phones, the use of digital translation apps within appointments and the use of pre-paid travel vouchers.

Indexed as

Attitude of Health PersonnelHealth Services AccessibilityMaternal Health ServicesAccess to Primary CareAdultCommunication BarriersEnglandFemaleHumansPovertyPregnancyQualitative ResearchAccessBarriersMaternityPovertyProfessionals

Identifiers

PMID41668044
PMCPMC13020039

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.