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Financial Toxicity in Relation to Childbirth
Summary
Financial toxicity, a measure of financial strain, decreased after childbirth. However, patients remain at risk for financial toxicity regardless of socioeconomic or medical factors.
Area of Science:
- Obstetrics and Gynecology
- Health Economics
- Patient Financial Toxicity
Background:
- Financial toxicity is a significant concern for patients during and after pregnancy.
- Understanding changes in financial toxicity from pregnancy to postpartum is crucial for patient support.
Purpose of the Study:
- To quantify the change in financial toxicity from pregnancy to the postpartum period.
- To identify demographic and medical factors associated with changes in financial toxicity.
Main Methods:
- A longitudinal survey was conducted with 242 obstetric patients aged 18+ at an academic medical center.
- The COmprehensive Score for financial Toxicity (COST) tool was administered during pregnancy and postpartum.
- Paired t-tests and ANOVA were used to analyze changes in financial toxicity and associated factors.
Main Results:
- Mean financial toxicity scores were significantly lower postpartum (M=19.0) compared to during pregnancy (M=21.8), p < .001.
- Concern for future financial toxicity did not significantly differ between pregnancy and postpartum periods (p = .07).
- No significant associations were found between changes in financial toxicity and sociodemographic or medical variables.
Conclusions:
- Financial toxicity decreased after childbirth among the study participants.
- Patients face risks of financial toxicity irrespective of their individual socioeconomic status or medical conditions.
- Further research is needed to explore interventions for managing financial toxicity in the postpartum period.
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