Technology-Based Interventions and the Lived Realities of Racialised Women’s Maternal Health: An Exploration of Effectiveness and Experience

<p dir="ltr">Literature Review</p><p dir="ltr">A systematic literature review was undertaken to critically evaluate and synthesise existing research on the impact of technology-based interventions (T-Is) on maternal behaviour. Fifteen studies were identified as eligible, assessing outcomes related to weight management, smoking cessation, exclusive breastfeeding, blood pressure monitoring, and postpartum attendance. The interventions revealed inconsistent reporting of application of behaviour change theories, with even fewer studies explicitly outlining mechanisms of change. The most robust evidence emerged from randomised controlled trials. Findings indicate that T-Is may have a positive influence on maternal health behaviours among racialised women in high-income countries; however, the review highlights the need for a stronger evidence base regarding factors contributing to the health disparity before widespread implementation of T-Is to intervene can be recommended.</p><p dir="ltr">Empirical Research</p><p dir="ltr">This study explored South Asian women’s experiences of adverse pregnancy and birth outcomes with a focus on racial bias and discrimination in maternity care. From a reflexive thematic analysis of semi-structured interviews with fourteen women, three themes were developed: navigating the system; intersecting lack of power; and idealised care: unmet reality. Findings revealed that intersecting identities and systemic racism resulted in poor communication, compounding disempowerment and emotional distress. The study highlights the need for early, culturally informed, and co-produced training in healthcare curricula, evaluation of current National Health Service pilot training programmes and the implementation of policy applying an intersectional lens.</p>