SynthesisFrontiers in public health2026
Addressing the U.S. maternal health crisis: a systematic review of healthcare access barriers, disparate outcomes, and effective interventions.
Synthesis in Frontiers in public health, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
What it found
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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.
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.
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Who cites it
1 citing paper in PubMed.
- Urban-rural disparities in the trends and causes of maternal deaths in Jinan, 1991-2025: a longitudinal trend analysis.Frontiers in public health · 2026Article
Corrections and comments
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Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Background: The United States faces a profound maternal health crisis despite its global economic standing, with maternal mortality rates significantly higher than other high-income countries and stark disparities across racial and ethnic lines. This systematic literature review aims to synthesize current evidence on barriers to maternal healthcare access, resulting health outcomes, and effective interventions for reducing disparities. Methods: Following PRISMA guidelines, a comprehensive search was conducted across PubMed, Web of Science, and ProQuest for literature published January 2000 and December 2024. The initial search yielded 122,756 records, which were narrowed to 44 studies for final synthesis after applying inclusion/exclusion criteria. Thematic analysis identified patterns related to barriers, outcomes, and interventions in maternal healthcare. Results: The systematic search identified 44 studies for synthesis. Analysis revealed five major barrier categories affecting maternal healthcare access: financial (24 references), systematic (34 references), educational (6 references), geographical (17 references), and comorbidity-related (1 reference). These barriers contributed to concerning disparities in maternal health outcomes, with Black women experiencing mortality rates 3-4 times higher than White women. Promising interventions included safety net providers (such as community health centers, mental health teams), culturally sensitive approaches, healthcare workers (doulas, translators), predictive models, special initiatives, and policy changes (Medicaid expansion, telehealth). Conclusion: Addressing the U.S. maternal health crisis requires coordinated action targeting multifaceted barriers and implementing evidence-based interventions. Recommendations include expanding Medicaid coverage beyond the current postpartum limit, implementing approaches addressing social determinants of health, integrating diverse healthcare workers into maternal care teams, and prioritizing culturally sensitive, patient-informed care while actively addressing systematic barriers, particularly racism and discrimination.
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Registered trials
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