Purpose: This quality improvement project evaluated implementation of social determinants of health screening and referral for food insecurity. Methods: Four obstetric providers used study-developed resources to screen and refer English-speaking patients ( n =14) during clinic visits. Providers and patients completed post-visit questionnaires. Provider feedback informed improvements to the intervention approach for consecutive study shifts. Results: Providers and patients reported high satisfaction with encounters. Referrals were made for four patients. Challenges to implementation included resource organization, time constraints, and integration into clinic workflow. Conclusion: Processes for universal screening and tailored information provision are areas to continue to strengthen for establishing equitable health care.

RESULTS: 316 women were included. Hispanics were disproportionally affected by COVID19 (Table 1). Of 60 COVID+ women, 33 (55%) women had positive RT-PCR, most with mild symptoms, and 53 (88%) women had positive IgG near delivery. There were no cases of short cervix in the positive group. The data suggest a higher rate of PPROM in the positive group but after controlling for confounders, our numbers were too small to confirm this difference (aOR 2.34, 95% CI 0.84-6.46) (Table 2). Similarly, there was no difference in sPTB rates between the groups (aOR 1.35, 95% CI 0.48-3.75). Further, there was no difference in sPTB relative to the same time period in 2019 (2.9% vs 3.1%, p¼0.68). CONCLUSION: In our cohort, COVID19 RT-PCR or IgG positive patients had a similar to slightly increased odds of cervical shortening, sPTB, and PPROM compared to negative patients.

No abstract