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

Objective: 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. Method: a comprehensive l...

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Main Authors: Haley Kartchner Williams, Maria Docal, Angela Chang Chiu, Catherine Ling, Nancy R Reynolds
Format: Article
Language:English
Published: Universidade de São Paulo 2025-07-01
Series:Revista Latino-Americana de Enfermagem
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Online Access:http://revodonto.bvsalud.org/scielo.php?script=sci_arttext&pid=S0104-11692025000100507&lng=en&tlng=en
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author Haley Kartchner Williams
Maria Docal
Angela Chang Chiu
Catherine Ling
Nancy R Reynolds
author_facet Haley Kartchner Williams
Maria Docal
Angela Chang Chiu
Catherine Ling
Nancy R Reynolds
author_sort Haley Kartchner Williams
collection DOAJ
description Objective: 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. Method: 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. Results: 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. Conclusion: 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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spelling doaj-art-ae8cec7efe3643a09b27565ec42aa4c12025-08-20T02:41:34ZengUniversidade de São PauloRevista Latino-Americana de Enfermagem1518-83452025-07-013310.1590/1518-8345.7517.4599The inclusion of pregnant women in research during disease outbreaks globally: A scoping reviewHaley Kartchner Williamshttps://orcid.org/0009-0004-5460-8967Maria Docalhttps://orcid.org/0009-0007-6378-5422Angela Chang Chiuhttps://orcid.org/0009-0000-6144-9862Catherine Linghttps://orcid.org/0000-0002-4187-8683Nancy R Reynoldshttps://orcid.org/0000-0002-5023-1953 Objective: 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. Method: 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. Results: 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. Conclusion: 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.http://revodonto.bvsalud.org/scielo.php?script=sci_arttext&pid=S0104-11692025000100507&lng=en&tlng=enPregnant WomenPregnancyDisease OutbreaksBiomedical ResearchClinical Studies as TopicEligibility Determination
spellingShingle Haley Kartchner Williams
Maria Docal
Angela Chang Chiu
Catherine Ling
Nancy R Reynolds
The inclusion of pregnant women in research during disease outbreaks globally: A scoping review
Revista Latino-Americana de Enfermagem
Pregnant Women
Pregnancy
Disease Outbreaks
Biomedical Research
Clinical Studies as Topic
Eligibility Determination
title The inclusion of pregnant women in research during disease outbreaks globally: A scoping review
title_full The inclusion of pregnant women in research during disease outbreaks globally: A scoping review
title_fullStr The inclusion of pregnant women in research during disease outbreaks globally: A scoping review
title_full_unstemmed The inclusion of pregnant women in research during disease outbreaks globally: A scoping review
title_short The inclusion of pregnant women in research during disease outbreaks globally: A scoping review
title_sort inclusion of pregnant women in research during disease outbreaks globally a scoping review
topic Pregnant Women
Pregnancy
Disease Outbreaks
Biomedical Research
Clinical Studies as Topic
Eligibility Determination
url http://revodonto.bvsalud.org/scielo.php?script=sci_arttext&pid=S0104-11692025000100507&lng=en&tlng=en
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