Evidence map›Paper›PMID 41727906›Full record

SynthesisNIHR open research2026

Experiences of women from ethnic minorities and underserved, marginalised and disadvantaged groups in communicating with health professionals during antenatal care: An overview of qualitative systematic reviews.

Kusum Singal, Moira Cruickshank, Aniebiet Ekong, Clare Robertson, Pauline McDonagh Hull, Denitza Williams, Tara Fairley, Louise Locock, Mary Kilonzo, Mo Ade and 8 more

Abstract readSystematic Review
In one paragraph

Synthesis in NIHR open research, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

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

  1. Pooled it
  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

18 authors.

Kusum SingalAberdeen Centre for Evaluation, University of Aberdeen Institute of Applied Health Sciences, Aberdeen, Scotland, UK.ORCID https://orcid.org/0000-0002-6696-0333
Moira CruickshankAberdeen Centre for Evaluation, University of Aberdeen Institute of Applied Health Sciences, Aberdeen, Scotland, UK.
Aniebiet EkongUniversity of Aberdeen Aberdeen Centre for Women's Health Research, Aberdeen, Scotland, UK.
Clare RobertsonAberdeen Centre for Evaluation, University of Aberdeen Institute of Applied Health Sciences, Aberdeen, Scotland, UK.ORCID https://orcid.org/0000-0001-6019-6795
Pauline McDonagh HullCumming School of Medicine, University of Calgary, Calgary, Alberta, Canada.
Denitza WilliamsDivision of Population Medicine, School of Medicine, Cardiff University, Cardiff, Wales, UK.
Tara FairleyNHS Grampian, Aberdeen Maternity Hospital, Aberdeen, Scotland, UK.
Louise LocockAberdeen Centre for Evaluation, University of Aberdeen Institute of Applied Health Sciences, Aberdeen, Scotland, UK.
Mary KilonzoHealth Economics Research Unit, University of Aberdeen Institute of Applied Health Sciences, Aberdeen, Scotland, UK.
Mo AdeIndependent Patient and Public Involvement Partner, Southeast England, UK.
Lilla BraithwaiteIndependent Patient and Public Involvement Partner, Lothian, UK.
Debra BickHealth Services Research Institute, University of Warwick Warwick Medical School, Coventry, England, UK.
Declan DevaneSchool of Nursing and Midwifery, University of Galway, Galway, Ireland.
Magdalena Rzewuska DiazAberdeen Centre for Evaluation, University of Aberdeen Institute of Applied Health Sciences, Aberdeen, Scotland, UK.
Gillian TaylorPeterhead Maternity Unit, NHS Grampian, Aberdeen, Scotland, UK.
Siladitya BhattacharyaUniversity of Aberdeen School of Medicine Medical Sciences and Nutrition, Aberdeen, Scotland, UK.
Mairead BlackUniversity of Aberdeen Aberdeen Centre for Women's Health Research, Aberdeen, Scotland, UK.
Miriam BrazzelliAberdeen Centre for Evaluation, University of Aberdeen Institute of Applied Health Sciences, Aberdeen, Scotland, UK.ORCID https://orcid.org/0000-0002-7576-6751

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Maternal mortality rates show disproportional disparities among disadvantaged groups. Objective To conduct an overview of qualitative systematic reviews to summarise the antenatal care experience of ethnic minority and underserved, marginalised and disadvantaged women in high-income countries. Search strategy Seven electronic databases were searched to identify reviews published between 2011-2022. Selection criteria Two reviewers independently screened search results and full texts of potentially eligible articles. Data collection and analysis Data were extracted by two independent reviewers, critically appraised using the JBI tool and assessed for overlap. A thematic analysis was conducted. Main results Nineteen qualitative reviews were included. Most were conducted in the UK (n = 12) and provided a thematic synthesis of findings. Studied populations included women from minority ethnic groups and those who were migrants, homeless, refugees, asylum seekers, disabled, obese, or had experienced genital mutilation or human trafficking. Common challenges included language and cultural differences, and lack of effective interactions with healthcare professionals. Many women experienced discrimination, isolation, limited awareness of available services and negative attitudes from maternity care staff. Limited access to maternity services was influenced by various factors, including costs and communication barriers. Positive experiences included interactions with culturally responsive healthcare professionals, support from social groups, and access to interpreters. Conclusions: Our findings highlight the complex challenges some women face during maternity care. Future research should focus on more personalised care solutions, long-term evaluations of maternity services, training of healthcare professionals, and ways to improve the quality of information provided and the interaction with healthcare professionals.

Indexed as

disadvantaged women.ethnic minoritiesmaternity carepregnancySystematic reviews

Identifiers

PMID41727906
PMCPMC12917361

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.