Outcomes of surrogate pregnancies in California and hospital economics of surrogate maternity and newborn care
Outcomes of surrogate pregnancies in California and hospital economics of surrogate maternity and newborn care作者机构：Department of PediatricsDivision of NeonatologyLoma Linda University Children’s Hospital Department of Obstetrics and GynecologyLoma Linda University Children’s Hospital Office of FinanceLoma Linda University Children’s Hospital
出 版 物：《World Journal of Obstetrics and Gynecology》 (世界妇产科杂志)
年 卷 期：2015年第4卷第4期
页 面：102-107页
学科分类：1011[医学-护理学（可授医学、理学学位）] 10[医学]
主 题：Surrogacy pregnancy Assisted reproductive technologies Prematurity Multiple gestations
摘 要：AIM:To describe maternity and newborn charges for an economic analysis of surrogate pregnancies on the health care resource ***:A retrospective chart review of all women identified as being surrogates and the infants born from these pregnancies was performed between January 1,2012 and December 31,*** maternity diagnoses,mode of delivery,duration of hospitalization,and hospital charges were collected together with infants birth weights,gestational age,length of hospital stay,and hospital *** associated with the in vitro fertilization cycles,artificial insemination,or embryo(s)transfer into the surrogate were not considered in the maternity charges.A ratio contrasting the maternity hospital charges for the surrogate carrier was compared as a ratio to the mean charges for 2540 infants delivered in 2013 after naturalconception and adjusted to the baseline hospital charges for both maternity and newborn ***:Analysis of sixty-nine infants delivered from both gestational and traditional surrogate women found an increased in multiple births,NICU admission,and length of stay with hospital charges several multiples beyond that of a term infant conceived naturally and provided care in our *** singletons and twins(per infant)hospital charges were increased 26 times(P 0.001)and in triplets charges were increased 173 times(P 0.0001)when compared to a term infant provided care in a normal nursery at our ***:Maternity costs for surrogates exceed those of women who conceive naturally,and these costs are especially magnified in women with triplets and multiple births.
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