Social determinants of health and pregnancy outcome: A retrospective analysis

Abstract

Background: There is significant disparity in pregnancy outcomes in the United States. These disparities are often driven by social determinants of health such as access to insurance, median income and level of education.Aim: We explore the interaction between races, insurance type and maternal education on pregnancy outcome.Methods: We queried the US vital statistics records from 2015-2019 to conduct a retrospective analysis of all deliveries. Using multivariate analysis model, we determined the interaction between races, insurance, maternal education and pregnancy outcome. Primary measures of pregnancy outcome were 5 min Apgar score, neonatal unit admission, neonates receiving assisted ventilation > 6 hours, mothers requiring blood transfusion and admission to intensive care unit.