Cardio-oncology & otherCross-sectional study
The Association of Social Vulnerability With Maternal and Fetal Outcomes in a Cardio-Obstetrics Cohort
- cross-sectional study
- all consecutive patients referred to our cardio-obstetrics program from March 2023 to January 2025
Authors' conclusion
The cardio-obstetric referral population exhibited a high overall SVI. Higher social vulnerability was associated with delayed access to care but not independently associated with most adverse maternal and fetal pregnancy outcomes.
Study context
- Population
- Patients referred to a cardio-obstetrics programindividuals included
- Participants
- 489 patients
- Exposure
- risk of maternal and fetal outcomes by Social Vulnerability Index (SVI)
Main finding
As reported in the abstract
Overall median SVI of the referral cohort
overall median SVI
0.833
Observational data: associations, not effects.
Further findings
Characteristics associated with increasing SVI
- Increasing SVI was associated with younger age, higher BMI, Black race, and Medicaid insurance
Mean SVI by late entry to cardio-obstetrical care, neonatal intensive care unit admission, and fetal demise
- Mean SVI higher with late entry to cardio-obstetrical care
- P = 0.03
- Mean SVI higher with neonatal intensive care unit admission
- P = 0.04
- Mean SVI higher with fetal demise
- P < 0.001
Delayed cardio-obstetrical care
- delayed cardio-obstetrical care was associated with high SVI
- unadjusted regression analyses
Maternal and fetal outcomes
- SVI was not independently associated with most maternal and fetal outcomes
- multivariable adjusted analyses
Discriminatory performance of SVI for fetal/neonatal demise
- area under the curve
- 0.80; 95% CI: 0.68-0.92
- discriminatory performance of SVI was highest for fetal/neonatal demise
Original publication
The Association of Social Vulnerability With Maternal and Fetal Outcomes in a Cardio-Obstetrics Cohort. JACC Adv. Published 27 August 2026. doi:10.1016/j.jacadv.2026.103188
Summarised from the published abstract; every number is checked against it