The inclusion of pregnant women in research during disease outbreaks globally: A scoping review.

IF 1.3 4区 医学 Q3 NURSING
Revista Latino-Americana De Enfermagem Pub Date : 2025-07-11 eCollection Date: 2025-01-01 DOI:10.1590/1518-8345.7517.4599
Haley Kartchner Williams, Maria Docal, Angela Chang Chiu, Catherine Ling, Nancy R Reynolds
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引用次数: 0

Abstract

this scoping review aims to search the literature about conducting research on pregnant women during outbreaks globally and synthesize the findings to identify themes, analyze knowledge gaps, and provide evidence-based recommendations to inform future research.

a comprehensive literature search was conducted in November 2023 using PubMed, Embase, CINAHL, Web of Science, Scopus, and Global Health databases. Key terms included "pregnancy," "disease outbreaks," "biomedical research," and "eligibility criteria." Twenty-three articles published between 2017 and 2023 were included in the synthesis.

this review identified a pattern of exclusion of pregnant women from research during multiple disease outbreaks across diverse regions. The exclusion rates ranged from 52% to 97.8%. Ethical and moral concerns were raised, emphasizing the need for a shift toward the presumptive inclusion of pregnant women in research. Recommendations emerged from discussions on the risks and benefits of research participation, global institutional and strategic changes, and the standardized collection of pregnancy-specific data to inform public health responses.

this scoping review highlights the systemic exclusion of pregnant women from research during disease outbreaks, underscoring ethical concerns, critical knowledge gaps, and structural barriers while providing a foundation for advancing maternal health research during public health emergencies.

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在全球疾病暴发期间将孕妇纳入研究:范围审查
本综述旨在检索有关在全球疫情期间开展孕妇研究的文献,并综合研究结果,以确定主题,分析知识差距,并提供基于证据的建议,为未来的研究提供信息。我们于2023年11月使用PubMed、Embase、CINAHL、Web of Science、Scopus和Global Health数据库进行了全面的文献检索。关键词包括“怀孕”、“疾病爆发”、“生物医学研究”和“资格标准”。2017年至2023年间发表的23篇文章被纳入综合研究。本综述确定了在不同地区的多次疾病暴发期间孕妇被排除在研究之外的模式。排除率从52%到97.8%不等。提出了伦理和道德问题,强调有必要转向假定将孕妇纳入研究。讨论了参与研究的风险和益处、全球机构和战略变革以及为公共卫生对策提供信息的怀孕特定数据的标准化收集等问题,提出了建议。这一范围审查强调了在疾病暴发期间将孕妇系统性地排除在研究之外,强调了伦理问题、关键的知识差距和结构性障碍,同时为在突发公共卫生事件期间推进孕产妇健康研究提供了基础。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
自引率
11.10%
发文量
142
期刊介绍: A Revista Latino-Americana de Enfermagem constitui-se no órgão oficial de divulgação científica da Escola de Enfermagem de Ribeirão Preto da Universidade de São Paulo e do Centro Colaborador da OMS para o Desenvolvimento da Pesquisa em Enfermagem. Foi criada em abril de 1992 sendo sua primeira edição publicada em janeiro de 1993. No período de 1993 a 1997 tinha periodicidade semestral, de 1997 a 2000 trimestral e, a partir de janeiro de 2001, tem periodicidade bimestral. Caracteriza-se como periódico de circulação internacional, abrangendo predominantemente os países da América Latina e Caribe, embora seja também divulgado para assinantes dos Estados Unidos, Portugal e Espanha.
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