Department of Population Medicine, Harvard Medical School, Boston, Massachusetts, USA
Department of Social and Behavioral Sciences, Harvard University T H Chan School of Public Health, Boston, Massachusetts, USA.
BMJ Open. 2023 Nov 14;13(11):e075443. doi: 10.1136/bmjopen-2023-075443.
Sexual and gender minoritised (SGM) populations are disproportionately impacted by multilevel risk factors for obstetrical and perinatal outcomes, including structural (eg, stigma, discrimination, access to care) and individual risk factors (eg, partner violence, poor mental health, substance use). Emerging evidence shows SGM childbearing people have worse obstetrical outcomes and their infants have worse perinatal outcomes, when compared with their cisgender and heterosexual counterparts; this emerging evidence necessitates a comprehensive examination of existing literature on obstetrical and perinatal health among SGM people. The goal of this scoping review is to comprehensively map the extent, range and nature of scientific literature on obstetrical and perinatal physical health outcomes among SGM populations and their infants. We aim to summarise findings from existing literature, potentially informing clinical guidelines on perinatal care, as well as highlighting knowledge gaps and providing directions for future research.
We will follow the Joanna Briggs Institute (JBI) scoping review framework and report findings according to the PRISMA Extension for Scoping Reviews (PRISMA-ScR) guidelines. We will conduct a broad systematic search in Medline/PubMed, Embase, CINAHL and Web of Science Core Collection. Eligible studies will include peer-reviewed, empirical, English-language publications pertaining to obstetrical and perinatal physical health outcomes of SGM people or their infants. No temporal or geographical limitations will be applied to the search. Studies conducted in all settings will be considered. Records will be managed, screened and extracted by two independent reviewers. Study characteristics, key findings and research gaps will be presented in tables and summarised narratively.
Ethical approval is not required as primary data will not be collected. The findings of this scoping review will be disseminated through a peer-reviewed journal and conference presentations.
Open Science Framework https://osf.io/6fg4a/.
性少数群体（SGM）人群在产科和围产期结局的多层次风险因素方面受到不成比例的影响，这些风险因素包括结构性因素（例如，耻辱、歧视、获得医疗保健的机会）和个体风险因素（例如，伴侣暴力、心理健康不良、药物使用）。新出现的证据表明，与顺性别和异性恋者相比，SGM 生育人群的产科结局更差，他们的婴儿的围产期结局更差；这一新出现的证据需要对 SGM 人群的产科和围产期健康的现有文献进行全面审查。本范围综述的目的是全面绘制 SGM 人群及其婴儿的产科和围产期身体健康结局的科学文献的范围、范围和性质。我们旨在总结现有文献的发现，为围产期护理的临床指南提供信息，并突出知识空白，为未来的研究提供方向。
我们将遵循乔安娜·布里格斯研究所（JBI）的范围综述框架，并根据 PRISMA 扩展范围综述（PRISMA-ScR）指南报告发现。我们将在 Medline/PubMed、Embase、CINAHL 和 Web of Science Core Collection 中进行广泛的系统搜索。合格的研究将包括同行评议的、经验性的、与 SGM 人群或其婴儿的产科和围产期身体健康结局相关的英文出版物。搜索将不设置时间或地理限制。将考虑在所有环境中进行的研究。记录将由两名独立审查员进行管理、筛选和提取。将以表格形式呈现研究特征、主要发现和研究空白，并进行叙述性总结。
由于不会收集原始数据，因此不需要伦理批准。本范围综述的结果将通过同行评议的期刊和会议报告进行传播。
开放科学框架 https://osf.io/6fg4a/。
