Informing Equity-Oriented Approaches to Postpartum Care Following Severe Maternal Morbidity Events: A Qualitative Descriptive Study Protocol

Severe maternal morbidity (SMM) encompasses life-threatening complications during pregnancy, childbirth, or the postpartum period and is associated with profound physical, psychological, and social consequences. Individuals affected by SMM often report fragmented postpartum care and unmet emotional needs, underscoring the need for equity-oriented approaches. Embedded within the SERENE (Supportive, Evidence-informed, Responsive, and Equity-oriented prevention and care model to reduce the incidence and NEgative impacts of severe maternal morbidity) research program, this protocol describes a qualitative descriptive study (2024–2027) that aims to generate data grounded in the experiences of people affected by SMM and health care providers to inform the development of postpartum care pathways, practice guidance and educational interventions. Using purposeful sampling, we will conduct semi-structured interviews with multiple participant groups including individuals who have experienced SMM, involved family members, and health care professionals across Ontario, Canada. Findings will inform the co-development of practice guidance, a care pathway and an educational intervention to enhance provider confidence in delivering equity-oriented care. Ethical considerations include use of a participant safety protocol to navigate discussion of sensitive topics and trauma-informed supports for research staff. This study will generate actionable insights to strengthen postpartum care systems and reduce health inequities for individuals recovering from SMM.