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The Cost Effectiveness of Preventing Preterm Delivery in Twin Pregnancies

Published online by Cambridge University Press:  01 August 2014

E. Papiernik  and
L.G. Keith
E. Papiernik*
Affiliation:
Department of Obstetrics and Gynecology, Baudelocque University Clinic, University René Descartes, Paris, France
L.G. Keith
Affiliation:
Department of Obstetrics and Gynecology, Northwestern University Medical School, and Prentice Women's Hospital and Maternity Center of Northwestern Memorial Hospital, Chicago, Illinois, USA
*
Department of Obstetrics and Gynecology, Baudelocque Clinic, René Descartes University, 123 Bd. de Port Royal, F-75014 Paris, France

Abstract

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As an extension of previous work on the risk of prematurity in singletons and on the social cost of twin births, an analysis has been carried out into the cost effectiveness of preventing premature delivery in twin pregnancies. The cost of prevention is assessed in terms of early diagnosis through ultrasound screening and of an extra 11 weeks of work leave to expectant mothers. When this cost is compared to the social cost involved in the transfer of newborns to neonatal intensity care units and in supporting handicapped children, it is concluded that the total cost of prevention corresponds to one-third of the long-term costs associated to lack of prevention.

Keywords

Twin pregnancyPreterm deliveryCost effectivenessPrevention
Type
Research Article
Information
Acta geneticae medicae et gemellologiae: twin research , Volume 39 , Issue 3 , July 1990 , pp. 361 - 369
Copyright
Copyright © The International Society for Twin Studies 1990

References

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