Maternal smoking during pregnancy and expenditures on neonatal health care.
Am J Prev Med
; 4(4): 216-9, 1988.
Article
en En
| MEDLINE
| ID: mdl-3139017
ABSTRACT
PIP: An estimated 21-39% of low-birthweight births are attributable to maternal smoking during pregnancy. Low birthweight is the single most important predictor of neonatal morbidity and mortality; moreover, the intensity of neonatal care is significantly higher for these infants. Previous studies of the economic burden of cigarette smoking-related morbidity have not considered the costs that arise due to smoking during pregnancy. This study calculated expenditures on neonatal care in the US based on the relationship between maternal smoking and the incidence of low-birthweight deliveries. In 1983, maternal smoking during pregnancy was responsible for 35,816 low-weight births (under 2500 grams) in the US, or 14.5% of the total number of low-weight births in that year. 14,977 (6.6%) of admissions to Neonatal Intensive Care Units in 1983 were attributable to smoking during pregnancy. Total costs for these hospitalized infants were US$272 million--approximately 8.5% of total national expenditures on neonatal intensive care. Of this amount, US$267 million represents costs that would not have been incurred in the absence of maternal smoking during pregnancy. The cost of neonatal care in the US in 1983 was thus an average of US$288 higher for infants born to women who smoked during pregnancy. These findings show that, in addition to representing a significant threat to neonatal health, cigarette smoking during pregnancy also imposes a substantial economic burden on the medical care system. Greater attention to the relationship between maternal smoking and neonatal care expenditures is needed to stimulate health care providers to plan interventions aimed at reducing smoking during pregnancy.
Palabras clave
Americas; Behavior; Biology; Birth Weight; Body Weight; Correlation Studies; Developed Countries; Diseases; Economic Factors; Expenditures; Financial Activities; Low Birth Weight--etiology; Neonatal Diseases And Abnormalities; North America; Northern America; Physiology; Pregnancy; Reproduction; Research Methodology; Smoking--cost; Socioeconomic Factors; Statistical Studies; Studies; United States
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Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Recién Nacido de Bajo Peso
/
Fumar
/
Enfermedades del Recién Nacido
Tipo de estudio:
Etiology_studies
/
Health_economic_evaluation
/
Prognostic_studies
Límite:
Female
/
Humans
/
Newborn
/
Pregnancy
País/Región como asunto:
America do norte
Idioma:
En
Revista:
Am J Prev Med
Asunto de la revista:
SAUDE PUBLICA
Año:
1988
Tipo del documento:
Article
Pais de publicación:
Países Bajos