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Table 5 Summary of potential benefit of interventions

From: Interventions to reduce inequalities for pregnant women living with disadvantage in high-income countries: an umbrella review

Intervention Type

Benefit or potential benefit

Limited or no benefit

Home-based interventions [20, 21, 31,32,33,34,35, 40, 41, 48, 50, 53]

Potential benefit on some maternal and child health outcomes in women with disadvantage

Good evidence for preventing repeat births and repeat unintended pregnancy in adolescents

Limited benefit for preventing or reducing IPV

Psychosocial interventions [20, 22,23,24,25, 35,36,37, 40,41,42, 48, 53]

Potential benefit in treating perinatal depression in adolescents and treating and preventing perinatal depression in disadvantaged women from mainly minoritized ethnic groups

Potential to improve breastfeeding in women from various minoritized ethnic groups

Advocacy interventions are of potential benefit in preventing and reducing IPV

Potential to benefit neonatal outcomes in adolescents

Limited role in treating depression in migrant women

Non-advocacy-based psychosocial interventions not effective at reducing IPV

In women with substance abuse, limited benefit in improving neonatal health outcomes

Peer support interventions [26, 27, 33, 48]

Insufficient evidence

Approaches to overcome physical barriers or incentivise health or healthcare. [21, 25, 45, 46, 49, 53]

Insufficient evidence

Digital and written education interventions [33, 35, 36, 41, 51, 53]

-

Limited benefit at improving maternal health outcomes in vulnerable families

Models of maternity care [7, 28,29,30, 43, 44]

In women with social disadvantage, midwife models of care had mostly positive effects across a range of outcomes

Group care identified to have potential to benefit PTB and breastfeeding rates in African American women

Mixed impact of group care on adolescents and women with low-income

Integrated or Interdisciplinary care [7, 38, 42, 48, 50, 54]

In women with social disadvantage, interdisciplinary care had potential benefit across a range of outcomes

Limited evidence of interdisciplinary programs at reducing repeat teenage pregnancy or improving neonatal outcomes

Interventions targeting cultural barriers to clinical care [13, 21, 22, 24, 30, 39,40,41,42, 45, 46, 49, 50, 53]

Some evidence that cultural interventions improved use, or timing of care but low quality

Mixed impact across other outcomes

Community engagement and development [45, 46, 49, 50]

Insufficient evidence

Media Campaigns [50]

Insufficient evidence

Policies [52, 53]

Insufficient evidence