Prenatal and Postpartum Needs at a Student-Run Clinic [ID 957]

INTRODUCTION: Pregnant women without health insurance often experience delayed access to prenatal care and inadequate postpartum care. The Equal Access Clinic Network (EACN) is one of the few student-run clinics that provides prenatal services to uninsured women. This study aimed to assess the perinatal needs of EACN patients to improve interdisciplinary services and address care gaps. METHODS: A retrospective phone survey was conducted with 42 out of 59 contacted participants who received prenatal care from EACN between August 2021 to December 2023. Data collected included demographics, health-related social needs (HRSN screening tool), and experience of perinatal services. The Care Transition Measure (CTM-3) assessed the transition from EACN to the birthing hospital system. Descriptive analysis and Spearman correlation evaluated the relationship between CTM-3 and HRSN score. RESULTS: Most participants were Hispanic/Latino (69%), with 20% delaying prenatal care due to cost. Ninety-three percent of participants received breastfeeding education and 100% received social services. However, only 7% reported being counseled on care transition, and 91% desired more transition support. Regarding family planning, only 11% reported having contraception access, yet 82% wished they had. Mental health resources were notably lacking, with only 9% receiving them and 69% desiring them. There was a negative relationship between transition of care satisfaction and unmet social needs (r=−0.41, P =.039). CONCLUSIONS/IMPLICATIONS: The Equal Access Clinic Network was a crucial service for participants. However, this study highlights gaps in family planning, transition support, and mental health services. Addressing these gaps will improve health equity for uninsured women receiving perinatal care in our student-run clinic.