Societal cost of nine selected maternal morbidities in the United States
To estimate the cost of maternal morbidity for all 2019 pregnancies and births in the United States. Using data from 2010 to 2020, we developed a cost analysis model that calculated the excess cases of outcomes attributed to nine maternal morbidity conditions with evidence of outcomes in the literat...
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| Veröffentlicht in: | PloS one 2022-10, Vol.17 (10), p.e0275656 |
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| creator | O'Neil, Sasigant So Platt, Isabel Vohra, Divya Pendl-Robinson, Emma Dehus, Eric Zephyrin, Laurie Zivin, Kara |
| description | To estimate the cost of maternal morbidity for all 2019 pregnancies and births in the United States.
Using data from 2010 to 2020, we developed a cost analysis model that calculated the excess cases of outcomes attributed to nine maternal morbidity conditions with evidence of outcomes in the literature. We then modeled the associated medical and nonmedical costs of each outcome incurred by birthing people and their children in 2019, projected through five years postpartum.
We estimated that the total cost of nine maternal morbidity conditions for all pregnancies and births in 2019 was $32.3 billion from conception to five years postpartum, amounting to $8,624 in societal costs per birthing person.
We found only nine maternal morbidity conditions with sufficient supporting evidence of linkages to outcomes and costs. The lack of comprehensive data for other conditions suggests that maternal morbidity exacts a higher toll on society than we found.
Although this study likely provides lower bound cost estimates, it establishes the substantial adverse societal impact of maternal morbidity and suggests further opportunities to invest in maternal health. |
| doi_str_mv | 10.1371/journal.pone.0275656 |
| format | Article |
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Using data from 2010 to 2020, we developed a cost analysis model that calculated the excess cases of outcomes attributed to nine maternal morbidity conditions with evidence of outcomes in the literature. We then modeled the associated medical and nonmedical costs of each outcome incurred by birthing people and their children in 2019, projected through five years postpartum.
We estimated that the total cost of nine maternal morbidity conditions for all pregnancies and births in 2019 was $32.3 billion from conception to five years postpartum, amounting to $8,624 in societal costs per birthing person.
We found only nine maternal morbidity conditions with sufficient supporting evidence of linkages to outcomes and costs. The lack of comprehensive data for other conditions suggests that maternal morbidity exacts a higher toll on society than we found.
Although this study likely provides lower bound cost estimates, it establishes the substantial adverse societal impact of maternal morbidity and suggests further opportunities to invest in maternal health.</description><identifier>ISSN: 1932-6203</identifier><identifier>EISSN: 1932-6203</identifier><identifier>DOI: 10.1371/journal.pone.0275656</identifier><identifier>PMID: 36288323</identifier><language>eng</language><publisher>United States: Public Library of Science</publisher><subject>Breastfeeding & lactation ; Care and treatment ; Child ; Children & youth ; Cost analysis ; Cost estimates ; Cost of Illness ; Costs ; Diagnosis ; Female ; Finance ; Health Care Costs ; Health care delivery ; Health care expenditures ; Humans ; Literature reviews ; Lower bounds ; Maternal health services ; Maternal mortality ; Medical economics ; Medicine and Health Sciences ; Mental disorders ; Mental health ; Methods ; Morbidity ; Mothers ; Patient outcomes ; Postpartum ; Postpartum Period ; Pregnancy ; Pregnancy, Complications of ; Premature birth ; Quality of life ; Research and Analysis Methods ; SIDS ; Social aspects ; Sudden infant death syndrome ; United States - epidemiology</subject><ispartof>PloS one, 2022-10, Vol.17 (10), p.e0275656</ispartof><rights>COPYRIGHT 2022 Public Library of Science</rights><rights>2022 O’Neil et al. This is an open access article distributed under the terms of the Creative Commons Attribution License: http://creativecommons.org/licenses/by/4.0/ (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>2022 O’Neil et al 2022 O’Neil et al</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c692t-836d7d1ee856d1d33fca707dd1570247491cbcdd661ea72ad03d87cba5582e953</citedby><cites>FETCH-LOGICAL-c692t-836d7d1ee856d1d33fca707dd1570247491cbcdd661ea72ad03d87cba5582e953</cites><orcidid>0000-0002-2318-9614 ; 0000-0003-1780-4016 ; 0000-0002-5229-0498</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC9603953/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC9603953/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,724,777,781,861,882,2096,2915,23847,27905,27906,53772,53774,79349,79350</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/36288323$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><contributor>Harville, Emily W.</contributor><creatorcontrib>O'Neil, Sasigant So</creatorcontrib><creatorcontrib>Platt, Isabel</creatorcontrib><creatorcontrib>Vohra, Divya</creatorcontrib><creatorcontrib>Pendl-Robinson, Emma</creatorcontrib><creatorcontrib>Dehus, Eric</creatorcontrib><creatorcontrib>Zephyrin, Laurie</creatorcontrib><creatorcontrib>Zivin, Kara</creatorcontrib><title>Societal cost of nine selected maternal morbidities in the United States</title><title>PloS one</title><addtitle>PLoS One</addtitle><description>To estimate the cost of maternal morbidity for all 2019 pregnancies and births in the United States.
Using data from 2010 to 2020, we developed a cost analysis model that calculated the excess cases of outcomes attributed to nine maternal morbidity conditions with evidence of outcomes in the literature. We then modeled the associated medical and nonmedical costs of each outcome incurred by birthing people and their children in 2019, projected through five years postpartum.
We estimated that the total cost of nine maternal morbidity conditions for all pregnancies and births in 2019 was $32.3 billion from conception to five years postpartum, amounting to $8,624 in societal costs per birthing person.
We found only nine maternal morbidity conditions with sufficient supporting evidence of linkages to outcomes and costs. The lack of comprehensive data for other conditions suggests that maternal morbidity exacts a higher toll on society than we found.
Although this study likely provides lower bound cost estimates, it establishes the substantial adverse societal impact of maternal morbidity and suggests further opportunities to invest in maternal health.</description><subject>Breastfeeding & lactation</subject><subject>Care and treatment</subject><subject>Child</subject><subject>Children & youth</subject><subject>Cost analysis</subject><subject>Cost estimates</subject><subject>Cost of Illness</subject><subject>Costs</subject><subject>Diagnosis</subject><subject>Female</subject><subject>Finance</subject><subject>Health Care Costs</subject><subject>Health care delivery</subject><subject>Health care expenditures</subject><subject>Humans</subject><subject>Literature reviews</subject><subject>Lower bounds</subject><subject>Maternal health services</subject><subject>Maternal mortality</subject><subject>Medical economics</subject><subject>Medicine and Health Sciences</subject><subject>Mental disorders</subject><subject>Mental health</subject><subject>Methods</subject><subject>Morbidity</subject><subject>Mothers</subject><subject>Patient outcomes</subject><subject>Postpartum</subject><subject>Postpartum Period</subject><subject>Pregnancy</subject><subject>Pregnancy, Complications of</subject><subject>Premature birth</subject><subject>Quality of life</subject><subject>Research and Analysis Methods</subject><subject>SIDS</subject><subject>Social aspects</subject><subject>Sudden infant death syndrome</subject><subject>United States - 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Academic</collection><collection>PubMed Central (Full Participant titles)</collection><collection>DOAJ Directory of Open Access Journals</collection><jtitle>PloS one</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>O'Neil, Sasigant So</au><au>Platt, Isabel</au><au>Vohra, Divya</au><au>Pendl-Robinson, Emma</au><au>Dehus, Eric</au><au>Zephyrin, Laurie</au><au>Zivin, Kara</au><au>Harville, Emily W.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Societal cost of nine selected maternal morbidities in the United States</atitle><jtitle>PloS one</jtitle><addtitle>PLoS One</addtitle><date>2022-10-26</date><risdate>2022</risdate><volume>17</volume><issue>10</issue><spage>e0275656</spage><pages>e0275656-</pages><issn>1932-6203</issn><eissn>1932-6203</eissn><abstract>To estimate the cost of maternal morbidity for all 2019 pregnancies and births in the United States.
Using data from 2010 to 2020, we developed a cost analysis model that calculated the excess cases of outcomes attributed to nine maternal morbidity conditions with evidence of outcomes in the literature. We then modeled the associated medical and nonmedical costs of each outcome incurred by birthing people and their children in 2019, projected through five years postpartum.
We estimated that the total cost of nine maternal morbidity conditions for all pregnancies and births in 2019 was $32.3 billion from conception to five years postpartum, amounting to $8,624 in societal costs per birthing person.
We found only nine maternal morbidity conditions with sufficient supporting evidence of linkages to outcomes and costs. The lack of comprehensive data for other conditions suggests that maternal morbidity exacts a higher toll on society than we found.
Although this study likely provides lower bound cost estimates, it establishes the substantial adverse societal impact of maternal morbidity and suggests further opportunities to invest in maternal health.</abstract><cop>United States</cop><pub>Public Library of Science</pub><pmid>36288323</pmid><doi>10.1371/journal.pone.0275656</doi><tpages>e0275656</tpages><orcidid>https://orcid.org/0000-0002-2318-9614</orcidid><orcidid>https://orcid.org/0000-0003-1780-4016</orcidid><orcidid>https://orcid.org/0000-0002-5229-0498</orcidid><oa>free_for_read</oa></addata></record> |
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| source | MEDLINE; DOAJ Directory of Open Access Journals; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; Public Library of Science (PLoS); PubMed Central; Free Full-Text Journals in Chemistry |
| subjects | Breastfeeding & lactation Care and treatment Child Children & youth Cost analysis Cost estimates Cost of Illness Costs Diagnosis Female Finance Health Care Costs Health care delivery Health care expenditures Humans Literature reviews Lower bounds Maternal health services Maternal mortality Medical economics Medicine and Health Sciences Mental disorders Mental health Methods Morbidity Mothers Patient outcomes Postpartum Postpartum Period Pregnancy Pregnancy, Complications of Premature birth Quality of life Research and Analysis Methods SIDS Social aspects Sudden infant death syndrome United States - epidemiology |
| title | Societal cost of nine selected maternal morbidities in the United States |
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