Cesarean, forceps, or vacuum delivery has been associated with maternal and neonatal health complications and increased financial burden on the health system. A recent European study showed women with no prenatal education have an increased probability of cesarean delivery, with low SES women being less likely to have optimal prenatal care. In 2023, ESHC had a cesarean delivery rate of 35%, and a forceps or vacuum rate of 13%. Due to its location in the Municipality of Leamington, ESHC serves a large Migrant Agricultural Worker and refugee population. We noticed a high rate of suboptimal prenatal care in pregnant women belonging to these populations attending ESHC’s maternalnewborn unit. The goal of our study is to evaluate any association between number of prenatal visits and pregnancy outcomes in terms of delivery methods in women attending ESHC. We will conduct a retrospective case-control study with a target population of childbearing-age females seeking perinatal care at ESHC in the past five years. The intervention will be defined as ≥10 prenatal visits with the control being those having none or suboptimal prenatal visits. The outcome is the delivery methods. Our total sample size is 458 with an even split between the intervention and control group. Using our results, we can better inform resource allocation at ESHC to meet our population needs and reduce pregnancy complications, and we hope this study can provide baseline data for future projects to improve maternal health in similar communities.

The maternal-newborn unit at the ESHC provides perinatal care to the local community, which includes a diverse population with no or inadequate prenatal history or antenatal care. We noticed a negative association between suboptimal prenatal care and pregnancy outcomes, such as methods of delivery and associated health complications in women attending ESHC, posing an undue burden on our limited resources. The study will compare historic perinatal care data from the last five years to explore any existing association that may prompt resource allocation in the facility.