Associations between minoritised racial and ethnic populations and poorer health outcomes are well documented.1,2 In The Lancet, Jameela Sheikh and colleagues3 contribute to this evidence base with a systematic review and individual participant data (IPD) meta-analysis. 51 studies from 20 high-income to upper-middle-income countries, from the International Prediction of Pregnancy Complications (IPPIC) Network, with at least two ethnic or racial categories (White, Black, South Asian, Hispanic, or other), were included.