HCPLive Network

Gestational Diabetes Increases the Cost of Maternity Care by Up to One-Third

 
MONDAY, Jan. 21 (HealthDay News) -- Women with gestational diabetes mellitus (GDM) are significantly more likely to receive an emergency cesarean section, have their infant admitted to a neonatal care unit, and incur significantly higher maternity care costs, compared to women without GDM, according to research published online Dec. 28 in Diabetes Care.

Paddy Gillespie, Ph.D., of the National University of Ireland in Galway, and colleagues estimated the effects of GDM on the mode of delivery, rate of neonatal unit admission, and overall maternity care costs for 4,372 women, including 8.1 percent who had GDM.

The researchers found that women with GDM were 1.75 times more likely to receive an emergency cesarean section, and their infants were 3.14-fold more likely to be admitted to a neonatal care unit. The overall cost of maternity care was 34 percent higher for women with GDM compared to those without, but varied according to maternal age, weight, primiparity, and premature delivery.

"A clearer understanding of the role of GDM in determining resource use and costs can better inform decisions regarding prevention, screening, and treatment strategies for GDM in the future," the authors write. "Because these results were estimated while controlling for other individual level characteristics, we suggest that GDM plays an independent role in explaining variations in resource activity and costs of care."
 

Abstract
Full Text (subscription or payment may be required)


Copyright © 2013 HealthDay. All rights reserved.
 
 

Further Reading
No matter what reason a patient is in the intensive care unit (ICU) of a hospital every moment and medication they take matters in helping them recover. A recent study looked at what dose of systemic corticosteroids should be given to patients with chronic obstructive pulmonary disease (COPD) exacerbations during their time in critical care.
Hepatitis C virus, fibrosis, and cirrhosis patients with sustained virological response can have survival rates comparable to the general population, according to research published in JAMA.
For low-income adults with uncontrolled asthma, home visitation by community health workers is associated with improvements in asthma control and quality of life, according to a study published online Nov. 24 in JAMA Internal Medicine.
More Reading