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CME Credit Offered
CME Credit Offered
Abstract Award
Abstract Award
Recording available 2/16-5/2
Recording available 2/16-5/2
AIUM Credit
AIUM Credit
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Foundation Awardee
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Abstract Award
Abstract Award
Foundation Awardee
Foundation Awardee

Poster Session 4

Category: Health Equity/Community Health

Poster Session 4

(1263) Social Determinants Of Health And Birth Outcomes After Implementation Of A Systematic Screening Program

Thursday, February 12, 2026
3:30 PM - 5:00 PM  
Objective:
To assess the association between birth and perinatal outcomes and Social Determinants of Health (SDoH), identified through a universal SDoH screening implemented in the context of a quality improvement project.

Study Design:
This was a case-control study conducted at a tertiary level maternity hospital within a publicly funded healthcare system. Assessment of 14 SDoH domains, integrated into the Electronic Health Records, was systematically performed at admission for delivery. Cases were defined as patients with a positive SDoH screening for one or more domains. The two women who delivered immediately after each case, with a negative SDoH screening, constituted the control group. Logistic regression was used to estimate the independent association between SDoH and maternal and neonatal outcomes, controlling for pre-specified demographic and clinical risk factors.

Results:
Of the total screened patients, 234 (2.9%) had a positive SDoH screening and constituted the case group. The most frequently reported SDoH belonged to the domain of individual-level social relationships and living conditions (Figure 1). Patients with a positive SDoH screening were more likely to be younger, have a migration history, identify differently than non-Hispanic White and have comorbidities. Compared with controls, patients who screened positive for SDoH had significantly higher rates of preeclampsia, preterm birth, fetal growth restriction, cesarean delivery, postpartum blood transfusion, newborn admission to the neonatal unit (Figure 2). Multivariable analysis showed that a positive SDoH screening is an independent predictor of preterm birth < 34 weeks (OR 5.0, 95% CI 2.3-11.6) and admission to the neonatal unit (OR 3.0, 95% CI 1.7-5.4).

Conclusion:
After implementation of a systematic SDoH screening program in a maternity hospital, we demonstrated an association between a positive screening and adverse birth outcomes. As this occurs in a context ensuring equitable access to maternity care for all women, interventions should target other factors in the complex pathways that contribute to differences in outcomes.