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. 1989 Dec;24(5):583–598.

The cost effectiveness of prenatal care in reducing low birth weight in New Hampshire.

R D Gorsky 1, J P Colby Jr 1
PMCID: PMC1065587  PMID: 2511163

Abstract

This study calculates the cost effectiveness of adequate prenatal care in reducing the low birth weight rate for each of three socioeconomic groups of women: those with less than 12 years of education, those with 12 years, and those with more than 12 years. Target low birth weight rates for each group were those actually achieved by New Hampshire women receiving adequate prenatal care within respective education groups. The estimated total cost associated with low birth weight births among the 1981-1984 cohort of New Hampshire resident births was more than $38 million. With universal adequate prenatal care, the low birth weight costs would be less than $32 million, a cost savings of $6.5 million. Since the additional cost of providing adequate prenatal care to all women was estimated to be $2.5 million, the net cost savings were estimated to be $4 million, or $1 million per year. For each additional $1 spent on prenatal care, $2.57 in medical care costs would be saved.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Fisher E. S., LoGerfo J. P., Daling J. R. Prenatal care and pregnancy outcomes during the recession: the Washington State experience. Am J Public Health. 1985 Aug;75(8):866–869. doi: 10.2105/ajph.75.8.866. [DOI] [PMC free article] [PubMed] [Google Scholar]
  2. Kleinman J. C., Kessel S. S. Racial differences in low birth weight. Trends and risk factors. N Engl J Med. 1987 Sep 17;317(12):749–753. doi: 10.1056/NEJM198709173171207. [DOI] [PubMed] [Google Scholar]
  3. Lennie J. A., Klun J. R., Hausner T. Low-birth-weight rate reduced by the obstetrical access project. Health Care Financ Rev. 1987 Spring;8(3):83–86. [PMC free article] [PubMed] [Google Scholar]
  4. Leveno K. J., Cunningham F. G., Roark M. L., Nelson S. D., Williams M. L. Prenatal care and the low birth weight infant. Obstet Gynecol. 1985 Nov;66(5):599–605. [PubMed] [Google Scholar]
  5. Moore T. R., Origel W., Key T. C., Resnik R. The perinatal and economic impact of prenatal care in a low-socioeconomic population. Am J Obstet Gynecol. 1986 Jan;154(1):29–33. doi: 10.1016/0002-9378(86)90387-x. [DOI] [PubMed] [Google Scholar]
  6. Showstack J. A., Budetti P. P., Minkler D. Factors associated with birthweight: an exploration of the roles of prenatal care and length of gestation. Am J Public Health. 1984 Sep;74(9):1003–1008. doi: 10.2105/ajph.74.9.1003. [DOI] [PMC free article] [PubMed] [Google Scholar]

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