Abstract
Most workplaces still fall short in supporting women's health during pregnancy, postnatal return, and menopause, costing organisations talent, engagement, and trust. But what if a few simple, evidence-based shifts could change the game? Dr Ruth Abrams and Dr Lilith Wiley reveal the four key pillars that make workplace interventions for women's health truly effective, and how leadership signals, manager support, and organisational signals all play a pivotal role in real change. In this episode, you'll discover the groundbreaking findings from a comprehensive realist review of over 13,000 documents, identifying what works, for whom, and under what circumstances in supporting women at work. Ruth and Lilith break down the critical success factors: thoughtfully designed interventions, organisational readiness to adapt, the vital role of line managers and co-workers, and the importance of aligned signals sent both internally and externally. They also share surprising gaps in current evidence, such as the lack of evaluated practices around IVF, miscarriage support, and shared parental leave, highlighting areas ripe for innovation. You'll learn how organisations can move beyond minimum compliance to genuinely signal their commitment, by developing flexible, inclusive policies, training managers in real-time support, and fostering a culture of openness and continuous learning. Signalling authenticity and aligning policies with lived experiences drive engagement, retention, and trust, making women's health a business priority, not just a wellbeing initiative. This episode is essential listening for HR leaders, managers, and organisational change-makers who want practical, evidence-based strategies to create healthier, more inclusive workplaces. It’s a call to reframe how we support women, showing that genuine care isn’t just good compassion but good business. The future of work depends on it.