A systematic review has highlighted the low consideration afforded to the antenatal health needs and aspirations of Indigenous people in New Zealand, Australia, Canada and the United States. A total of 17 primary research papers on antenatal education classes in these countries, published between 2008 and 2018, were identified from a search of 5 electronic databases. Only 2 studies identified Indigenous participants, and in those studies, Indigenous participants were underrepresented. It was therefore not possible to understand the antenatal experiences of Indigenous people. The study authors stated that targeted Indigenous interventions considering culture, language and wider aspects of holistic health must be prioritised to address the antenatal health inequities of Indigenous people.