RT Journal Article T1 Influence of Family Income Level on Obstetric and Perinatal Outcomes in Spain A1 Ballesta Castillejos, Ana A1 Gómez Salgado, Juan A1 Rodríguez Almagro, Julián Javier A1 Hernández Martínez, Antonio AB For pregnant women, having a low family income status is associated with late prenatalattendance and an increased risk of adverse outcomes during pregnancy, delivery, and immediatelyafter delivery. However, the influence of the socioeconomic level on maternal and child health maybe minimal as long as the health system model is able to neutralise health inequity. For this reason,the objective of this study is to determine the relationship between the socioeconomic level assessedthrough monthly household income and obstetric and perinatal outcomes in the Spanish HealthSystem, where midwives play a relevant role. To meet this objective, a cross-sectional observationalstudy aimed at women who have been mothers between 2013 and 2018 in Spain was developed.The final study population was 5942 women. No statistically significant differences with lineartrend were found between income level and obstetric and perinatal outcomes after the adjustmentby confounding factors (pregnancy composite morbidity, p = 0.447; delivery composite morbidity,p = 0.590; perinatal composite morbidity, p = 0.082; postpartum composite morbidity, p = 0.407).The main conclusion is that, in the current Spanish health system, household income as an indicatorof socioeconomic status is not related to perinatal outcomes after the adjustment by confoundingfactors. These results are likely due to the public model of our health system that serves all citizenson equal footing, although other social and individual factors may have influenced these results. PB MDPI SN 2071-1050 YR 2020 FD 2020-07 LK http://hdl.handle.net/10272/18846 UL http://hdl.handle.net/10272/18846 LA eng NO Ballesta Castillejos, A., Gómez Salgado, J., Rodríguez Almagro, J., & Hernández Martínez, A. (2020). Influence of Family Income Level on Obstetric and Perinatal Outcomes in Spain. Sustainability, 12(14), 5523. DOI: https://doi.org/10.3390/su12145523 DS Repositorio Institucional de la Universidad de Huelva RD 30 may 2026