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Costs of Newborn Care Following Complications During Pregnancy and Delivery
- Source :
- Maternal and child health journal. 19(9)
- Publication Year :
- 2015
-
Abstract
- The aim of this study is examine the impact of pregnancy and delivery complications on the healthcare costs of newborns during the first 3 months of life. We conducted a retrospective cohort study of newborns born to women ages 15-49 using de-identified medical and pharmacy claims from the Truven Health MarketScan Commercial Claims and Encounters database incurred between January 1, 2007 and December 31, 2011. Total healthcare costs and resource utilization were examined and compared for the first 3 months of life between cohorts of newborns either with or without evidence of categorized maternal complications. Incremental costs were also determined using multivariable analysis for the conditions found to be the most prevalent in the study population. A total of 137,040 infants were studied, 75.4% of which were born to mothers who had experienced at least one complication during pregnancy or delivery. Fetal abnormalities (26.2%), early or threatened labor (16.6%), and hemorrhage (10.8%) were the most frequently observed complications. Diabetes (8.0%) and hypertension (7.7%) were also common, with the majority of other conditions present in 1% or less of the study population. Adjusted analyses found significant differences for seven conditions where incremental costs ranged from $987 to $10,287. Complications are common during pregnancy and delivery and some complications may lead to increased healthcare costs for newborns immediately following birth.
- Subjects :
- Adult
medicine.medical_specialty
Pediatrics
Adolescent
Epidemiology
Pharmacy
Cohort Studies
Pregnancy
Health care
Medicine
Humans
Infant Health
Retrospective Studies
business.industry
Public health
Public Health, Environmental and Occupational Health
Obstetrics and Gynecology
Retrospective cohort study
Health Care Costs
Middle Aged
medicine.disease
Delivery, Obstetric
Pregnancy Complications
Pediatrics, Perinatology and Child Health
Population study
Female
business
Complication
Cohort study
Subjects
Details
- ISSN :
- 15736628
- Volume :
- 19
- Issue :
- 9
- Database :
- OpenAIRE
- Journal :
- Maternal and child health journal
- Accession number :
- edsair.doi.dedup.....698966010bcf642516775c098c833229