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Short and long-term costs among women experiencing preterm labour or preterm birth: the German experience

Shibani Pokras1, Jeanne Pimenta2, Evie Merinopoulou3

  • 1Value Evidence & Outcomes, GlaxoSmithKline, 1250 South Collegeville Road, Upper Providence, PA, 19426, USA. shibani.x.pokras@gsk.com.

BMC Pregnancy and Childbirth
|July 6, 2018
PubMed

Insights

Maternal costs associated with preterm labor and birth (PTL/PTB) are significant, with the highest expenses occurring during pregnancy. Costs generally decrease with increasing gestational age (GA) at delivery.

Area of Science:

  • Medical Economics
  • Public Health
  • Obstetrics

Background:

  • Preterm labor and birth (PTL/PTB) pose significant risks to infants and families, alongside substantial societal healthcare and economic burdens.
  • While infant costs are known, maternal costs related to PTL/PTB in Germany require detailed examination.

Purpose of the Study:

  • To comprehensively analyze maternal costs and resource utilization for PTL/PTB.
  • To assess these costs during pregnancy, delivery hospitalization, and up to three years postpartum.
  • To investigate the impact of gestational age (GA) at delivery on maternal costs.

Main Methods:

  • Utilized Statutory Health Insurance (SHI) data from AOK Hessen, Germany (2009-2013).
  • Included mothers aged 12-44 with deliveries and >9 months of prior medical history.
  • Defined PTL/PTB using ICD-10 codes, DRG codes (birthweight <2500g), or GA <37 weeks.

Main Results:

  • 20% of mothers experienced PTL/PTB.
  • Median maternal costs during pregnancy were €2130.
  • Delivery hospitalization costs were €2037 with a mean stay of 6.0 days; both decreased with increasing GA.
  • Long-term median costs (Years 1-3 postpartum) ranged from €332-€607, with higher costs for lower GAs.

Conclusions:

  • The highest maternal costs associated with PTL/PTB in Germany occur during pregnancy.
  • Maternal costs decrease with increasing gestational age, particularly during delivery hospitalization and the first year postpartum.
Abstract

Keywords:
Cohort studiesCost and cost analysesGermanyObstetric labour, prematurePremature birth

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