Kitai H, Omi Y, Inagaki N, Kaneta Y, Toyoshima K, Itoh K, Nishino R; International Society of Technology Assessment in Health Care. Meeting.
Annu Meet Int Soc Technol Assess Health Care Int Soc Technol Assess Health Care Meet. 2000; 16: 402.
Dept. of OB. and Gyn., Saitama Social Insurance Hospital, 4-9-3 Kitaurawa, Saitama, Japan 336-0002
Introduction: The birth rate of Japan has decreased to 9.5 per 1000 population in accordance with the increase in age of couples at marriage and the delay of births of their first child in 1997. Delayed childbirth is one of the important risks in reproductive health and has significant effect on the economical structure of social welfare. This study was aimed to analyse medical risk and expense due to late child bearing. Methods: National vital statistics in 1998, national survey on high risk pregnancy in 1995 and average medical charges in our hospital and institutions affiliated to use were used to show risk and cost of pregnancy in women groups of different age. Results: Perinatal mortality rates in 1000 birth from 20-29, 30-34, and 35-39 year old women groups were 5.8, 6.0 and 8.6. Rates of complicated pregnancy which needs outpatient care were 10.6%, 14.7% and 18.0% in each group of women, while rates of admission during pregnancy were 6.2%, 7.4% and 11.1%. Rates of operative delivery were 11.5%, 8.1% and 7.7% although those of cesarean section were 9.5%, 11.5% and 16.8%. Average costs of care for normal pregnancy and childbirth was 1,000 and 4,000 U.S $, while extra expenses due to medical care for complication, admission, operative delivery and cesarean section were $570, $380 and $1,520. Expected costs for childbirth of each women group were $5,400; $5,500; and $5,700. Rates of abortion per live birth were 8.1%, 19.9% and 33.*% among these groups and those of infertility were assumed 4.0%, 9.4% and 30.0%. Expected costs for abortation and infertility were $170, $590 and $1,330. Age related increase in reproductive cost was caused partly by risk of pregnancy and childbirth and mainly by abortion and infertility. Because difference in prognosis of babies due to maternal age were not included not time necessary for doctor's visits were not considered in this study, these cost may increase expense due to maternal age were not included, not time necessary for doctor's visits were not considered in this study, these cost may increase expense due to delayed childbirth. Conclusion: Delayed child bearing substantially cause personal as well as social expense due to increased risk of age-related disorders. Social support and prevention of delayed child bearing may decrease medical expense as well as contribute to build efficient structure for social welfare.
Publication Types:
Keywords:
- Birth Rate
- Cesarean Section
- Child
- Delivery, Obstetric
- Female
- Humans
- Infant
- Infant Mortality
- Japan
- Live Birth
- Maternal Age
- Parturition
- Population
- Population Dynamics
- Pregnancy
- Pregnancy Complications
- Pregnancy Outcome
- Pregnancy, High-Risk
- Reproductive Medicine
- United States
- economics
- surgery
- hsrmtgs
Other ID:
UI: 102271867
From Meeting Abstracts