Evidence map›Paper›PMID 41849013›Full record

ReviewJournal of racial and ethnic health disparities2026

Barriers and Facilitators to Perinatal Care Access and Utilization among Black Multiparous Women in the United States: A Scoping Review.

Donald Babamomba Amenah, Ursula Ann Wepaare Bobi, Yunting Fu, Eunji Lee, Elisha Baafi Oduro, Moses Akwobugi, Kelley N Robinson, Doris Titus-Glover

Abstract readReview
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In one paragraph

Review in Journal of racial and ethnic health disparities, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Donald Babamomba AmenahDepartment of Family and Community Health, University of Maryland School of Nursing, 655 W Lombard St, Baltimore, MD, 21201, USA. donaldamenah@umaryland.edu.ORCID http://orcid.org/0009-0005-8091-2265
Ursula Ann Wepaare BobiBirmingham Clinical Trials Unit, College of Medicine and Health, University of Birmingham, Birmingham, UK.
Yunting FuHealth Sciences and Human Service Libraray, University of Maryland, Baltimore, MD, USA.
Eunji LeeDepartment of Family and Community Health, University of Maryland School of Nursing, 655 W Lombard St, Baltimore, MD, 21201, USA.
Elisha Baafi OduroDepartment of Organizational Systems and Adult Health, University of Maryland School of Nursing, Baltimore, MD, USA.
Moses AkwobugiDepartment of Organizational Systems and Adult Health, University of Maryland School of Nursing, Baltimore, MD, USA.
Kelley N RobinsonDepartment of OBGYN/Women and Children's Services, Luminis Health Anne Arundel Medical Center, Annapolis, MD, USA.
Doris Titus-GloverSchool of Nursing, Universities at Shady Grove, University of Maryland, Rockville, MD, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundBlack multiparous women in the U.S. face persistent, intersecting barriers to timely and adequate perinatal care, yet their unique experiences remain understudied.

objectiveTo explore multilevel barriers and facilitators to accessing and utilizing perinatal care among Black multiparous women in the U.S.

methodsWe conducted a scoping review following the Joanna Briggs Institute's methodology and the PRISMA-ScR guidelines. Literature searches were conducted across Medline, Embase, Scopus, APA PsycINFO, CINAHL, and ProQuest Dissertations & Theses Global through March 2025, yielding 29 eligible studies.

resultsThematic Analysis revealed that delays in accessing and utilizing care stemmed from a complex interplay of multilevel factors. At the individual level, barriers included distress, diminished autonomy, prior traumatic birth experiences, and childcare responsibilities, while facilitators were health literacy, resilience, higher education, and self-advocacy. Interpersonal barriers involved feeling dismissed, disrespected, or devalued by providers, often manifesting as discrimination, mistreatment, and the loss of trust; facilitators include strong support systems, racially concordant care, and trust building. Community-level barriers comprised limited insurance coverage, long wait times, transportation challenges, and cultural disconnects in healthcare settings, whereas facilitators included convenient clinic hours, childcare services, outreach, and awareness programs. At the societal level, racism and pervasive stereotypes were key barriers, while strengthened health policy emerged as a facilitator.

conclusionBlack multiparous women encounter multilevel barriers that delay access to and quality of perinatal care. Their perspectives are crucial to designing equitable and effective maternal health interventions that enhance care and reduce disparities.

Indexed as

Access to health servicesBlack/African AmericanMaternal health servicesMultiparous womenPerinatal careUtilization of care

Identifiers

PMID41849013

What Socratic holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.