•Are there gaps or missing areas we need to address?

•What research questions do you think we should be trying to answer?

·  Optimising the climate/environment

·  Improving nutrition

·  Maternal obesity

·  Tackling violence and promoting trauma-informed care

·  Tackling racism

·  Addressing delays and barriers in access to healthcare

·  Workforce development

·  Health literacy

·  Mental health

·  Miscarriage, stillbirth, and infant death

·  Multimorbidity

·  Infant feeding

·  Genetic disorders

·  Pre-pregnancy, pre-conception, and inter-pregnancy care

·  Community engagement and co-production

·  Working with underserved groups

·  Data and digital solutions

·  Addressing variation in clinical healthcare services

·  Improving the integration of the maternity ecosystem

·  Immigration and social policies

·  Translation and communication

·  Support for families and partners

·  Postnatal and aftercare services

·  Social influences and connections

·  Service location and accessibility

·  Commercial determinants of health

·  Workplace wellbeing and maternity leave policies

·  Intersectionality of disparities

·  Maternal death

·  Social housing and stability

·  Adolescent pregnancy support

·  Traditional medicine and integrative care

·  Community-based models

Poverty part of intersectionality so cross-cutting.

What would happen when cross-cutting themes are removed? What is critical?

Not fixing poverty or obesity but changing the consequences and care around it.

Maternal death

Perinatal death

Preterm birth

Woman-reported experience outcomes

Health care utilisation e.g. unexpected NNU admission, Maternal hospital stay, contact with services in first 100 days of life

Unplanned pregnancy rates

Ø  Working with underserved groups

Ø  Health literacy

Ø  Pre-pregnancy, pre-conception and inter-pregnancy care

Ø  Tackling poverty

Could giving money to women during pregnancy improve their outcomes? Data from global health projects. Would address poverty

Sheena multiple forms of deprivation/disadvantage. How to break that cycle.

Multilevel approaches. Interventions lie outside usual health. Eg housing interventions. NIHR also about social care

Family support interventions. Ways to prevent loss of money during pregnancy. Short term interventions might work.

Evaluate what work has been done before.

NIHR have established a formal partnership with he NHS Race and Health Observatory who employ anti-racist principles to all their research commissioning. I would like to see tackling racism and anti-racist approaches as a cross-cutting.

Yes I agree intersectionality is paramount

Research questions posed are very important to devise.

In the Canadian context I worked with ‘cultural brokers’ which seems to resonate very much with you are describing Anna in relation to navigation

Language services and support to navigate the health service. Community link workers.

Research projects should start within 6 months short term to start. Longer term could be something with 1-2 years. Long term change in policy

Family Nurse Practitioners. Why did they not have impact?

What are we currently doing that is unevaluated and requires evaluation

-Health lifestyle (including maternal weight, nutriton, physical activity, infnat feeding)

-Mental health

Cross cutting:

-community engagement

-Digital solutions

Tackling poverty

Tackling racism

Tackling violence and promoting trauma-informed care

Optimising the climate/environment

Service and systems (includes analogue to digital)

Addressing delays and barriers in access to healthcare (navigation, beyond healthcare)

Data and digital solutions

Improving the integration of the maternity ecosystem

Workforce development

Addressing variation in clinical healthcare services

Miscarriage, stillbirth, and infant death

Community (hospital to home)

Community engagement and co-production

Working with underserved groups

Health literacy

Lifecourse preparation for pregnancy and parenthood (sickness to prevention)

Pre-pregnancy, pre-conception and inter-pregnancy care

Multimorbidity

Mental health

Improving nutrition

Maternal obesity

Infant feeding

Genetic disorders

Cross-cutting principles:

Data

Digital

Economics

PPI

Capacity Building

Media

Policy informing