ArticleFrontiers in pediatrics2025
Perinatal outcomes in neonates referred to social services in a tertiary neonatal intensive care unit from a resource-limited setting: a five-year study.
Article in Frontiers in pediatrics, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Background: Beyond medical complexity, social determinants of health and social vulnerability have emerged as factors shaping perinatal and neonatal outcomes among socially vulnerable families in neonatal intensive care units. However, data integrating maternal, neonatal, and social risk factors among infants requiring social-service referral during neonatal intensive care unit (NICU) hospitalization remain limited, especially in resource-limited settings. Study design: A retrospective cohort study was conducted including all neonates who received a formal social-service consultation between January 2020 and December 2024, and a comparison group of infants hospitalized without referral. Methods: Data were extracted from electronic medical records and social-service notes. Maternal variables included age, marital status, antenatal visit frequency, prenatal testing, smoking or substance use, hematologic parameters, and antenatal corticosteroid administration. Neonatal variables included birth weight, gestational age, APGAR scores, NICU diagnoses, prematurity-related morbidities, respiratory support, thyroid function tests, hearing-screening results, and hospitalization duration. Social-service notifications were categorized as legal/judicial reasons, parental psychosocial or functional challenges, parental care risks, and socioeconomic vulnerabilities. Group comparisons used Results: A total of 193 neonates were assessed. Referred infants ( Conclusion: Infants referred to social services in the NICU represent a distinctly vulnerable population characterized by inadequate maternal antenatal care, unmarried status, maternal anemia, and substance exposure. Integrating early social-risk screening into routine antenatal care and strengthening multidisciplinary perinatal-social collaboration may improve outcomes in high-risk families.
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