Costs of Newborn Care Following Complications During Pregnancy and Delivery

Amy Law, Mark McCoy, Richard Lynen, Suellen M. Curkendall, Justin Gatwood, Paul L. Juneau, Pamela Landsman-Blumberg

Research output: Contribution to journalArticle

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.

Original languageEnglish (US)
Pages (from-to)2081-2088
Number of pages8
JournalMaternal and child health journal
Volume19
Issue number9
DOIs
StatePublished - Sep 1 2015

Fingerprint

Pregnancy Complications
Newborn Infant
Health Care Costs
Costs and Cost Analysis
Mothers
Population
Cohort Studies
Retrospective Studies
Parturition
Databases
Hemorrhage
Hypertension
Pregnancy
Health

All Science Journal Classification (ASJC) codes

  • Epidemiology
  • Pediatrics, Perinatology, and Child Health
  • Obstetrics and Gynecology
  • Public Health, Environmental and Occupational Health

Cite this

Law, A., McCoy, M., Lynen, R., Curkendall, S. M., Gatwood, J., Juneau, P. L., & Landsman-Blumberg, P. (2015). Costs of Newborn Care Following Complications During Pregnancy and Delivery. Maternal and child health journal, 19(9), 2081-2088. https://doi.org/10.1007/s10995-015-1721-2

Costs of Newborn Care Following Complications During Pregnancy and Delivery. / Law, Amy; McCoy, Mark; Lynen, Richard; Curkendall, Suellen M.; Gatwood, Justin; Juneau, Paul L.; Landsman-Blumberg, Pamela.

In: Maternal and child health journal, Vol. 19, No. 9, 01.09.2015, p. 2081-2088.

Research output: Contribution to journalArticle

Law, A, McCoy, M, Lynen, R, Curkendall, SM, Gatwood, J, Juneau, PL & Landsman-Blumberg, P 2015, 'Costs of Newborn Care Following Complications During Pregnancy and Delivery', Maternal and child health journal, vol. 19, no. 9, pp. 2081-2088. https://doi.org/10.1007/s10995-015-1721-2
Law, Amy ; McCoy, Mark ; Lynen, Richard ; Curkendall, Suellen M. ; Gatwood, Justin ; Juneau, Paul L. ; Landsman-Blumberg, Pamela. / Costs of Newborn Care Following Complications During Pregnancy and Delivery. In: Maternal and child health journal. 2015 ; Vol. 19, No. 9. pp. 2081-2088.
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