Open research questions in Maternal and Perinatal Health Interventions
650 gap statements mined from Maternal and Perinatal Health Interventions papers in our 7.9M-paper local library, which holds 5,086 papers on the topic — drawn mostly from each paper's own stated research gap, future-work, challenge and limitation notes, and its abstract. The ones listed below are a selection still marked open; each names the study that raised it, with a DOI link where the paper has one.
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What the literature leaves open
Future studies are needed to assess the practicality, sustainability, and effectiveness of the model in diverse workplace settings.
Strengthening reproductive health among female workers through the Gerakan Pekerja Perempuan Sehat Produktif program: Application of the continuous health examination network model in Indonesia · 2026 · DOIFuture studies with larger multicenter cohorts are warranted to validate these potential predictors and to establish more robust clinical models for risk stratification in cases of complete uterine rupture.
Factors Associated with Adverse Neonatal Outcomes in Complete Rupture of the Pregnant Uterus: A Single-Center Cohort Study · 2026 · DOIFifth, while the present study identified patterns of change in trauma perception, future research should examine whether these change patterns are stable over longer follow-up periods and how they relate to PTSD symptom profiles identified in previous person-centered studies.
Heterogeneity in maternal perceptions of psychological birth trauma: a latent profile analysis and predictor study · 2026 · DOIInterpretation of the available evidence is limited by substantial heterogeneity imaging methods, timing of assessment, surgical techniques, suture materials, operator’s experience, and patient characteristics.
Surgery-related factors predisposing to uterine niche after cesarean section: a systematic review · 2026 · DOIFuture research should examine women’s experiences across diverse sociocultural and healthcare settings, explore partners’ experiences, and investigate communication approaches during obstetric ultrasound.
Pregnant Women’s Experiences of Obstetric Abdominal Ultrasound: A Qualitative Study Exploring Emotional, Cognitive, and Relational Dimensions · 2026 · DOIThe significant correlation on the left side of the scar suggests that tissue elasticity may influence pain sensitivity, though the variability across different regions of the scar warrants further investigation.
The Relationship Between the Elastic Properties and Pain Pressure Threshold in Cesarean Scar Tissue—An Observational Study · 2024 · DOIEven if the OCP had limited information about any aspect of patient care, he could access it smoothly through the open database.
Nonpharmacological pain relief for labour pain: knowledge, attitude, and barriers among obstetric care providers · 2024 · DOIBecause of the sensitive nature of the data and in accordance with Norwegian research legislation and the regulations governing the Medical Birth Registry of Norway, access to the raw data is limited to approved research groups with the appropriate licenses.
Implementation of manual perineal protection reduced OASIS incidence in first vaginal births after previous caesarean section · 2026 · DOICultural, social, economic, gender-related, and community factors shape these postpartum experiences, while gaps in knowledge about postnatal care and breastfeeding remain evident.
Postpartum needs and experiences of young and first-time mothers in northwestern Tanzania · 2026 · DOIThe CORONIS study did not include a post-cesarean section gynecological ultrasound examination; thus, no data on the uterine scar parameters were available.
Surgery-related factors predisposing to uterine niche after cesarean section: a systematic review · 2026 · DOIThe greatest limitation of this study is, as mentioned in the Statistical Analysis of Methods section, the presence of a potential lateral position group that happens to be in the same posture as the intervention group within the control group.
Evaluation of postural therapy using lateral position according to fetal back orientation on breech presentation and breech recurrence (BRLT study): An open-label randomized controlled trial · 2025 · DOIProspective studies incorporating multivariable analyses are warranted to elucidate the determinants of these disparities.
Comparing Delivery Modes and Caesarean Section Indications Between Turkish Nationals and Syrian Refugees: A 7-Year, Large-Scale Retrospective Cohort Study · 2026 · DOIFuture multi-center studies are warranted to externally validate these findings across diverse populations.
Nomogram Predicting Intrapartum Cesarean Delivery in Singleton Pregnancies at Term: A Prospective Observational Study Utilizing an Ultrasound-Based System · 2026 · DOIEpisiotomy remains the primary surgical intervention during childbirth to prevent severe maternal complications, particularly in resource-constrained settings like Uganda, where alternatives are scarce.
Prevalence and Predictors of Severe Perineal Tears Following Episiotomy: A Cross-Sectional Study in Uganda · 2026 · DOIAlthough trial evidence demonstrated that adjunctive azithromycin use at the time of birth reduces postpartum infection in pregnant persons who undergo an unscheduled cesarean delivery, use of azithromycin outside that trial has not been reported.
Adoption of Adjunctive Azithromycin for Unscheduled Cesarean Delivery and Postpartum Infections · 2026 · DOIAlthough effective communication between midwives and mothers is linked to positive physiological and emotional outcomes, research on this topic within maternity wards remains limited, and both perspectives have not been adequately explored.
Rebirth of the Meaning of Natural Childbirth: A Qualitative Study on the Perceived Impacts of Effective Midwife–Mother Communication among Iranian Midwives and Mothers · 2026 · DOIIn Qatar, healthcare systems integrated midwifery-led services to increase the workforce supporting women, but no studies have examined women's experiences with midwives.
Exploring the Lived Experience of Women Receiving Antenatal, Intrapartum, and Immediate Postnatal Care: The Essence of Being with the Midwives · 2026 · DOIAlthough educational interventions are considered an important solution, there is still insufficient empirical evidence on their effectiveness.
Educational Intervention to Promote Respectful Maternity Care: Improvements in Midwives’ Knowledge and Practice as well as Mother Satisfaction of Childbirth · 2026 · DOIFuture research should explore comprehensive, midwife-led postpartum care in diverse families, including after perinatal complications.
Little is known about how maternity care providers’ characteristics, values, and prior exposure to community birth influence attitudes toward community birth.
Provider Perspectives on Community Birth Transfers: Analysis of Personal Values and Attitudes Toward Community Birth Among Maternity Care Providers in Community and Hospital Settings · 2026 · DOIWhether the safety profile of birth center births has remained stable as volumes have grown is an open question.
The proposed parity‐specific JW‐DEQ cut‐off scores may facilitate the identification of severe FOC; however, further validation in independent samples is warranted.
Identifying pregnant women with severe fear of childbirth using the Japanese version of the Wijma Delivery Expectancy/Experience Questionnaire: A cross‐sectional study · 2026 · DOICounty of residence was not recorded, so we could not assess whether all regions of Romania were represented in the sample.
Associations Between Antenatal Care and Information and Pregnant Women’s Preferred Mode of Birth in Romania: A Cross-Sectional Study · 2026 · DOIInvestigating the effects of different IVR designs on user comfort and hygiene, - Studying the relationship between IVR design and drug release…
Limited understanding of user preferences for IVR design characteristics - Lack of optimization of IVR design for user uptake and use - Need for improved design to address disparities in women's reproductive…
Most-cited papers in Maternal and Perinatal Health Interventions
- Planned caesarean section versus planned vaginal birth for breech presentation at term: a randomised multicentre trial · The Lancet · 2000 · 1,538 citations
- Trends and projections of caesarean section rates: global and regional estimates · BMJ Global Health · 2021 · 1,329 citations
- Strategies for reducing maternal mortality: getting on with what works · The Lancet · 2006 · 1,309 citations
- Global epidemiology of use of and disparities in caesarean sections · The Lancet · 2018 · 1,215 citations
- Short-term and long-term effects of caesarean section on the health of women and children · The Lancet · 2018 · 1,123 citations
- Birth Spacing and Risk of Adverse Perinatal Outcomes · JAMA · 2006 · 948 citations
- WHO Statement on Caesarean Section Rates · BJOG An International Journal of Obstetrics & Gynaecology · 2015 · 828 citations
- Socioeconomic Disparities in Adverse Birth Outcomes · American Journal of Preventive Medicine · 2010 · 672 citations
- Maternal mortality and severe morbidity associated with low-risk planned cesarean delivery versus planned vaginal delivery at term · Canadian Medical Association Journal · 2007 · 652 citations
- Factors affecting the utilization of antenatal care in developing countries: systematic review of the literature · Journal of Advanced Nursing · 2008 · 643 citations
Most recent work
- Evolution of modern cesarean delivery: historic perspective and new challenges · American Journal of Obstetrics and Gynecology · 2026
- Epidemiology of cesarean delivery: frequency, indications, related morbidity, and evidence-based strategies for optimal use · American Journal of Obstetrics and Gynecology · 2026
- The Impact of Community‐Based Midwife Continuity of Care Models for Women Living in Areas of Social Disadvantage and Ethnic Diversity in the United Kingdom: A Prospective Cohort Study · BJOG An International Journal of Obstetrics & Gynaecology · 2026
- Why do cesarean delivery rates persistently rise despite evidence-based efforts to reduce them? · American Journal of Obstetrics and Gynecology · 2026
- Endometrium-free closure technique for hysterotomy incision at cesarean delivery · American Journal of Obstetrics and Gynecology · 2026
- Midwifery-led continuity-of-care education affects health literacy, empowerment and childbirth fear: a quasi-experimental study · Journal of Obstetrics and Gynaecology · 2026
- Cesarean Delivery on Maternal Request · JAMA · 2026
- Effect of ethnicity and parity on utilisation of labour epidural analgesia: a retrospective study · Anaesthesia · 2026
- Amos maternity review: Doctors must work differently as units “no longer fit for purpose,” but report is dogged by controversy · BMJ · 2026
- Hurting together: The gendered embodiment of pain in women ultrarunners · Psychology of sport and exercise · 2026
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