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Related Experiment Videos

Womb rent.

J J Pomerance, B S Schifrin, J L Meredith

    American Journal of Obstetrics and Gynecology
    |June 15, 1980
    PubMed
    Summary
    This summary is machine-generated.

    Neonatal intensive care costs vary significantly with gestational age. Delaying delivery by a few days, when safe, can lead to substantial financial savings in neonatal care.

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    Area of Science:

    • Neonatal Medicine
    • Health Economics
    • Perinatology

    Background:

    • Neonatal intensive care costs are a significant concern.
    • Gestational age at delivery is a key determinant of neonatal outcomes and resource utilization.
    • Previous studies have not comprehensively analyzed the cost-gestational age relationship.

    Purpose of the Study:

    • To analyze the relationship between gestational age at delivery and the cost of neonatal intensive care.
    • To identify specific gestational age ranges associated with peak neonatal care expenditures.
    • To evaluate the financial implications of postponing delivery for very preterm infants.

    Main Methods:

    • Analysis of hospital charges for 137 infants born between 24 and 34 weeks' gestation (1973-1977).

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  • Cost data adjusted to 1977 rates and weighted by a smoothed survival curve.
  • Cost estimates calculated per infant based on gestational age, RDS development, and survival status.

    • Main Results:

    • Estimated costs varied significantly by gestational age, ranging from $7,000 at 24 weeks to $9,000 at 34 weeks.
    • Bimodal peak costs of $36,000/infant were observed at 26 and 29 weeks' gestation.
    • Average hospital care costs decreased by approximately $5,400 per week between 29 and 34 weeks' gestation.

    Conclusions:

    • Gestational age is a critical factor influencing neonatal care costs.
    • Significant financial benefits may be realized by safely postponing delivery, particularly between 29 and 34 weeks' gestation.
    • Optimizing delivery timing can lead to substantial cost reductions in neonatal intensive care.