PDF(Pubmed)
Abstract：
BACKGROUND: Women who live with disadvantages such as socioeconomic deprivation, substance misuse, poor mental health, or domestic abuse face inequalities in health before, during, and after pregnancy and for their infants through to childhood. Women do not experience these factors alone; they accumulate and interact. Therefore, there is a need for an overview of interventions that work across health and social care and target women at risk of inequalities in maternal or child health.
METHODS: Systematic review methodology will be used to identify systematic reviews from high-income countries that describe interventions aiming to reduce inequalities for women who experience social disadvantage during pregnancy. We will describe the range of interventions and their effectiveness in reducing inequalities in maternal or child health. Any individual, hospital, or community-level activity specific to women during the pre-conception, antenatal, or postpartum period up to 1 year after birth will be included, regardless of the setting in which they are delivered. We will search eight electronic databases with the pre-determined search strategy and supplement them with extensive grey literature searches. We will present a narrative synthesis, taking into account the quality assessment and coverage of included studies.
CONCLUSIONS: Inequalities in maternal and child health are a key priority area for national policymakers. Understanding the range and effectiveness of interventions across the perinatal period will inform policy and practice. Identifying gaps in the evidence will inform future research.
BACKGROUND: PROSPERO CRD42023455502.
METHODS: Systematic review methodology will be used to identify systematic reviews from high-income countries that describe interventions aiming to reduce inequalities for women who experience social disadvantage during pregnancy. We will describe the range of interventions and their effectiveness in reducing inequalities in maternal or child health. Any individual, hospital, or community-level activity specific to women during the pre-conception, antenatal, or postpartum period up to 1 year after birth will be included, regardless of the setting in which they are delivered. We will search eight electronic databases with the pre-determined search strategy and supplement them with extensive grey literature searches. We will present a narrative synthesis, taking into account the quality assessment and coverage of included studies.
CONCLUSIONS: Inequalities in maternal and child health are a key priority area for national policymakers. Understanding the range and effectiveness of interventions across the perinatal period will inform policy and practice. Identifying gaps in the evidence will inform future research.
BACKGROUND: PROSPERO CRD42023455502.
摘要：
背景：生活在社会经济匮乏等不利条件下的女性，物质滥用,心理健康差,或者家庭暴力之前面临健康不平等，during,以及怀孕后和他们的婴儿一直到童年。妇女并不单独经历这些因素；它们积累和相互作用。因此,有必要概述在卫生和社会护理方面起作用的干预措施，并针对面临孕产妇或儿童健康不平等风险的妇女。
方法：系统评价方法将用于确定来自高收入国家的系统评价，描述旨在减少怀孕期间经历社会劣势的妇女的不平等的干预措施。我们将描述干预措施的范围及其在减少母婴健康不平等方面的有效性。任何个人,医院,或孕前妇女特有的社区活动，产前,或产后1年后将包括在内，无论它们的交付设置如何。我们将使用预定的搜索策略搜索八个电子数据库，并通过广泛的灰色文献检索对其进行补充。我们将呈现一个叙事综合，考虑到纳入研究的质量评估和覆盖面。
结论：母婴健康不平等是国家政策制定者的重点优先领域。了解围产期干预措施的范围和有效性将为政策和实践提供信息。确定证据中的差距将为未来的研究提供信息。
背景：PROSPEROCRD42023455502。
方法：系统评价方法将用于确定来自高收入国家的系统评价，描述旨在减少怀孕期间经历社会劣势的妇女的不平等的干预措施。我们将描述干预措施的范围及其在减少母婴健康不平等方面的有效性。任何个人,医院,或孕前妇女特有的社区活动，产前,或产后1年后将包括在内，无论它们的交付设置如何。我们将使用预定的搜索策略搜索八个电子数据库，并通过广泛的灰色文献检索对其进行补充。我们将呈现一个叙事综合，考虑到纳入研究的质量评估和覆盖面。
结论：母婴健康不平等是国家政策制定者的重点优先领域。了解围产期干预措施的范围和有效性将为政策和实践提供信息。确定证据中的差距将为未来的研究提供信息。
背景：PROSPEROCRD42023455502。
