Evidence map›Paper›PMID 42441580›Full record

ArticlePloS one2026

Sickle cell disease and maternity care: A qualitative synthesis of women's and health providers experiences.

Kenneth Finlayson, Gill Moncrieff, Cath Harris, Soo Downe

Abstract read
In one paragraph

Article in PloS one, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

4 authors.

Kenneth FinlaysonSchool of Nursing and Midwifery, University of Central Lancashire, Preston, United Kingdom.ORCID https://orcid.org/0000-0002-1287-7630
Gill MoncrieffNursing Midwifery and Allied Health Professions Research Unit, University of Stirling, Scotland, United Kingdom.ORCID https://orcid.org/0000-0001-7142-9953
Cath HarrisApplied Health Research Hub, University of Central Lancashire, Preston, United Kingdom.ORCID https://orcid.org/0000-0001-7763-830X
Soo DowneSchool of Nursing and Midwifery, University of Central Lancashire, Preston, United Kingdom.ORCID https://orcid.org/0000-0003-2848-2550

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionSickle Cell Disease (SCD) is one of the most prevalent genetic diseases in the world. For women with SCD or those with Sickle Cell Trait (SCT) reproductive choices not only require consideration of genetic inheritance but also the exacerbation of pregnancy induced SCD symptoms and potential birth complications. To explore these issues a qualitative synthesis was conducted incorporating the views of women with SCD or SCT as well as healthcare professionals working with these women in maternity settings.

methodsDatabase searches were performed in MEDLINE, Embase, MIDIRS, CINAHL Ultimate, PsycINFO, Social Sciences Citation Index, Global Index Medicus and CNKI, as well as reference lists of included studies published January 2000-October 2024. Studies reporting qualitative data from women with SCD or SCT and health professionals providing care to these women during the maternity phase were included. DATA COLLECTION AND ANALYSIS: Author findings were extracted, coded and synthesised using techniques derived from thematic synthesis. Confidence in the quality, coherence, relevance and adequacy of data underpinning the resulting findings was assessed using GRADE-CERQual.

resultsEleven studies from four different countries (UK, Brazil, France and Uganda) were identified including eight focusing on the views of women, two reporting on the views of health professionals and one exploring both. From these four analytical themes were generated: Beyond the routine of antenatal screening; Myths, misunderstandings and submissiveness; Fear and uncertainty in the face of adversity; The importance of familial and organizational support. Confidence in the results was moderate to good.

conclusionThe synthesis suggests that the intersection of SCD and maternity care is beset with a lack of understanding and inadequate health system support. In some contexts, women endure stigmatization, discrimination and poor quality care. Public awareness campaigns and educational initiatives, particularly amongst healthcare professionals, are urgently required to address these issues.

Indexed as

Anemia, Sickle CellHealth PersonnelMaternal Health ServicesBrazilFemaleHumansPregnancyQualitative ResearchUgandaUnited Kingdom

Identifiers

PMID42441580
PMCPMC13362093

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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.