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Postdates pregnancy in an indigent population: the financial burden
Linda Fonseca1, Manju Monga, Jeannie Silva
1Department of Obstetrics, Gynecology, and Reproductive Science, University of Texas Houston Medical School, 6431 Fannin, Houston, TX 77030, USA.
American Journal of Obstetrics and Gynecology
|May 16, 2003
Summary
Routine early ultrasound scans and induction for postdate pregnancies in an indigent population present a significant financial burden. Current antenatal testing practices are more cost-effective despite late prenatal care initiation.
Area of Science:
- Obstetrics and Gynecology
- Health Economics
- Maternal-Fetal Medicine
Background:
- Indigent populations often exhibit delayed initiation of prenatal care.
- Postdate pregnancies require careful monitoring to ensure fetal well-being.
- Fetal testing strategies impact healthcare system costs.
Purpose of the Study:
- To compare the financial burden of twice-weekly fetal testing from 41 weeks gestation versus early dating ultrasound in an indigent population.
- To evaluate the cost-effectiveness of different antenatal testing protocols for postdate pregnancies.
Main Methods:
- Retrospective chart review of women with postdate pregnancies at Lyndon Baines Johnson Hospital.
- Recorded patient demographics, gestational age at prenatal care initiation, and number of biophysical profiles.
- Compared costs of twice-weekly testing versus early ultrasound dating and routine induction strategies.
Main Results:
- The estimated financial burden of antenatal testing for postdate pregnancies (41 weeks to delivery) was $252,118.
- Routine early ultrasound scans for the entire population would cost $902,538.
- Current practice costs were estimated at $402,457, highlighting cost variations.
Conclusions:
- Indigent patients often lack early prenatal care and early ultrasound scans.
- Routine early ultrasound and induction at 41 weeks would impose a substantial financial burden.
- Current antenatal testing protocols appear more financially viable for this population.
