Background

Induction of labour (IOL) is a widely used obstetric intervention, yet significant racial disparities persist in its outcomes. In the UK, Black women face disproportionately higher rates of adverse perinatal outcomes, including increased caesarean sections and reduced satisfaction with birth experiences.

Aim

To assess the success of IOL among Black women in the UK by synthesising current evidence on clinical outcomes, influencing factors and systemic contributors.

Methods

The PRISMA-ScR guideline was used, followed by a comprehensive literature search across databases for articles published between 2015 and 2025. The PEO framework guided study selection. Thematic analysis was used to extract and synthesise key findings.

Results

Ten studies were eligible for inclusion, comprising both quantitative and qualitative evidence. Black women were found to have higher caesarean section rates post-IOL, lower birth satisfaction and increased exposure to systemic barriers. Standardised guidelines often failed to address the intersection of clinical and social risk factors in this population.

Conclusion

The review highlights persistent inequities in IOL outcomes for Black women in the UK. Addressing these disparities requires culturally responsive care, individualised induction protocols, improved communication and antiracist reforms within maternity services.