Table 1.

Model results for costs of untreated MMHCs (in millions of dollars) for the 2019 birth cohort: All Texas mothers

Outcomes	Total	Year 0	Year 1	Year 2	Year 3	Year 4	Year 5
Maternal costs
Productivity losses	610.2	222.7	77.5	81.0	84.7	88.5	92.5
Suicide	12.0	4.4	1.5	1.6	1.7	1.7	1.8
Preeclampsiaa	36.8	36.8	0.0	0.0	0.0	0.0	0.0
Cesarean deliverya	55.2	55.2	0.0	0.0	0.0	0.0	0.0
Peripartum staya	31.3	31.3	0.0	0.0	0.0	0.0	0.0
Non-obstetric health expenditures	445.1	162.4	56.5	59.1	61.8	64.6	67.5
Benefit receipt	22.2	3.5	3.7	3.9	4.1	4.3	4.5
Child costs
Preterm birtha	371.8	371.8	0.0	0.0	0.0	0.0	0.0
Suboptimal breastfeedinga	5.7	5.7	0.0	0.0	0.0	0.0	0.0
SIDS	1.3	1.3	0.0	0.0	0.0	0.0	0.0
Behavioral and developmental disorders	555.7	89.3	93.3	97.5	101.9	106.5	111.3
Obesity	3.9	0.7	0.7	0.7	0.7	0.7	0.7
Asthma	32.8	5.3	5.5	5.7	6.0	6.3	6.6
Injury	26.3	9.6	3.3	3.5	3.7	3.8	4.0
Emergency department visits	15.7	5.7	2.0	2.1	2.2	2.3	2.4
Non-attendance of well-child care visits	-11.2	-4.1	-1.4	-1.5	-1.6	-1.6	-1.7
Total societal costs for one birth cohort (millions of $)	2,215	1,002	243	254	265	277	290
Cost per mother–child pair with an MMHC in the first year post-delivery ($)	20,106
Cost per mother–child pair with an MMHC in the first two years post-delivery ($)	24,976
Cost per mother–child pair with an MMHC, averaged over the first two years post-delivery ($)	12,488
Cost per mother–child pair with an MMHC in the first five years post-delivery ($)	44,460
Cost per mother–child pair with an MMHC, averaged over the six years from conception through the first five years post-delivery ($)	7,411

SOURCE: Authors’ analysis

^aCosts only apply to Year 0, the year of conception and birth. We assumed that other costs incur annually through Year 5

MMHCs Maternal mental health conditions, SIDS Sudden infant death syndrome