Workshop 3: Refining research questions and identifying interventions by

Please add a + for each theme your table has chosen and then please answer the questions outlined

jai097 — 2025-02-04 22:48:30 UTC

Discussion prompts

jai097 — 2025-02-04 22:48:49 UTC

For each theme, what are the most pressing research questions that can be addressed?

What existing interventions can be scaled up or adapted to address these themes?

Are there innovative approaches or methodologies that should be considered?

Access theme - but also postnatal, interconception

2025-02-06 14:03:03 UTC

Which models of care coordination (e.g. care navigators, paraprofessionals, social complexity midwives, link workers, social prescribers, named midwife) are effective at reducing disparities in key maternal and infant outcomes? (i.e. models which address the fragmentation of the system)

Perinatal Care and Patient Safety

hollyhopesmith — 2025-02-06 14:04:29 UTC

RQ How do we reduce inequalities in preterm delivery

RQ How do we empower women before and during intrapartum care to reduce inequalities in informed decision making - reducing inequalities in intrapartum death, brain injury and serious neonatal morbidity

RQ How can work force diversity and education improve patient satisfaction among groups experiencing maternal disparities

Access theme

2025-02-06 14:20:16 UTC

How is the structure and organisation of health and social care exacerbating inequalities and how can this be overcome? E.g. not being able to access different people and services in different parts of the system easily, such as women needing to get 3 buses to have a test at hospital that could be done in primary care, GP not being notified of care that needs to happen postnatally.

Access theme (but could be others too)

2025-02-06 14:33:26 UTC

How can we use routine data to identify the risks and allocate care (e.g. midwifery caseloads and time) where it's most needed and what is the impact of doing this? I.e. how do we use data to respond to risk more effectively and in a standardised way, as approaches/thresholds vary currently and we don't know what combinations of risks are most important or associated with worst outcomes.

2025-02-06 14:36:08 UTC

•What models of postnatal care, including duration of hospital stay are clinically and cost effective for women living in deprivation or social isolation.

Access

2025-02-06 14:37:37 UTC

What are the most clinically and cost-effective models of providing timely, accessible unscheduled care throughout pregnancy?

Maternal mental health and trauma informed care

hollyhopesmith — 2025-02-06 14:38:42 UTC

RQ What community based mental health projects that support culturally appropriate programmes demonstrate short and long-term benefits for women from vulnerable and minoritised groups.

RQ What are the most resource efficient models to support the mental health of the 1 in 5 women who experience perinatal mental illness

RQ Can the delivery model of community resources such as health visiting be redesigned to provide embedded and tailored support for mental health needs of the mother, family and neighbourhood.

RQ How can we integrate mental and reproductive health support to improve preconception mental health?

RQ How can we reduce delay in mental health screening and diagnosis for women from Black, Asian and disadvantaged backgrounds.

Access

2025-02-06 14:39:21 UTC

What are the most clinically and cost-effective methods of facilitating interpreter services throughout the maternity journey in primary and secondary care settings, during scheduled and unscheduled care?

Perinatal care

2025-02-06 14:40:38 UTC

How does the implementation of standardised intrapartum risk assessment and escalation influence maternal and neonatal outcomes in high-risk populations?

What is best way to change workplace culture to get best care for women who need it most?

2025-02-06 14:50:32 UTC

Expand trauma informed care to operative birth care providers

2025-02-06 14:50:59 UTC

How can we optimise multi professional team working and escalation in perinatal safety? Consider culture, systems, staffing levels and how to reframe maternity care

2025-02-06 14:52:05 UTC

What are different barriers to access of maternity care for different groups of disadvantaged women, and how to overcome them? [ access is physical, perception of services, travel distance....]

2025-02-06 14:53:27 UTC

How can we optimise perinatal care incorporating personalised medicine and early pregnancy care.

2025-02-06 14:55:47 UTC

...with specific consideration for women with existing chronic conditions including cardiovascular risk factors and risk factors for VTE.

Perinatal - what is the impact of digital maternity records on providing safe and effective care and how might this be optimised?

2025-02-06 14:58:16 UTC

Social and medical model of pregnancy and childbirth, how can we best getting them working in parallel? For example, 'maternal mental health' is not just about severe end of illness [suicide, PTSD...], but also raised anxiety in every woman with a disability coming to maternity unit or every woman who has experienced institutional racism in hospital before attending maternity unit....

2025-02-06 14:58:45 UTC

Access

2025-02-06 14:59:23 UTC

What is an appropriate schedule and model of antenatal check-ups for women with medically uncomplicated pregnancies living with social risk factors?

Evaluation and improvement in translation services

2025-02-06 14:59:40 UTC

Can we use complex system modelling to identify best complex interventions to reduce inequity?

2025-02-06 15:00:28 UTC