The cost of twin pregnancy: Maternal and neonatal factors

Barbara Luke; Morton B. Brown; Pierre K. Alexandre; Toyin Kinoshi; Mary Jo O'Sullivan; Dibe Martin; Ruta B. Misiunas; Clark Nugent; Cosmas Van De Ven; Roger B. Newman; Jill G. Mauldin; Frank R. Witter

doi:10.1016/j.ajog.2004.05.057

The cost of twin pregnancy: Maternal and neonatal factors

Barbara Luke, Morton B. Brown, Pierre K. Alexandre, Toyin Kinoshi, Mary Jo O'Sullivan, Dibe Martin, Ruta B. Misiunas, Clark Nugent, Cosmas Van De Ven, Roger B. Newman, Jill G. Mauldin, Frank R. Witter

School of Medicine

Research output: Contribution to journal › Article › peer-review

25 Scopus citations

Abstract

Objective: The purpose of this study was to evaluate factors affecting birth charges in twin pregnancies. Study design: Clinical and financial data were obtained on 1486 twin pregnancies delivered between 1995 to 2002 at medical centers in Maryland, Florida, Michigan, and South Carolina. Maternal and neonatal length of stay (LOS) and charges were modeled by gestational age and other risk factors using a general linear model. Results: Maternal and infant birth admission LOS and charges increased significantly with a decline in gestational age. Maternal LOS and charges were also significantly increased by cesarean delivery and preeclampsia. Newborn LOS and charges increased significantly by monochorionicity and slowed growth between 20 to 28 weeks. For mother and infants, the shortest LOS and lowest birth charges were at 37 to 38 weeks. Conclusion: These findings reflect the substantial maternal and neonatal morbidity associated with twin pregnancies, and demonstrate that 37 to 38 weeks is their optimal gestation.

Original language	English (US)
Pages (from-to)	909-915
Number of pages	7
Journal	American journal of obstetrics and gynecology
Volume	192
Issue number	3
DOIs	https://doi.org/10.1016/j.ajog.2004.05.057
State	Published - Mar 2005

Keywords

Birth charges
Neonatal morbidity
Twin pregnancy

ASJC Scopus subject areas

Obstetrics and Gynecology

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10.1016/j.ajog.2004.05.057

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title = "The cost of twin pregnancy: Maternal and neonatal factors",

abstract = "Objective: The purpose of this study was to evaluate factors affecting birth charges in twin pregnancies. Study design: Clinical and financial data were obtained on 1486 twin pregnancies delivered between 1995 to 2002 at medical centers in Maryland, Florida, Michigan, and South Carolina. Maternal and neonatal length of stay (LOS) and charges were modeled by gestational age and other risk factors using a general linear model. Results: Maternal and infant birth admission LOS and charges increased significantly with a decline in gestational age. Maternal LOS and charges were also significantly increased by cesarean delivery and preeclampsia. Newborn LOS and charges increased significantly by monochorionicity and slowed growth between 20 to 28 weeks. For mother and infants, the shortest LOS and lowest birth charges were at 37 to 38 weeks. Conclusion: These findings reflect the substantial maternal and neonatal morbidity associated with twin pregnancies, and demonstrate that 37 to 38 weeks is their optimal gestation.",

keywords = "Birth charges, Neonatal morbidity, Twin pregnancy",

author = "Barbara Luke and Brown, {Morton B.} and Alexandre, {Pierre K.} and Toyin Kinoshi and O'Sullivan, {Mary Jo} and Dibe Martin and Misiunas, {Ruta B.} and Clark Nugent and {Van De Ven}, Cosmas and Newman, {Roger B.} and Mauldin, {Jill G.} and Witter, {Frank R.}",

year = "2005",

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doi = "10.1016/j.ajog.2004.05.057",

language = "English (US)",

volume = "192",

pages = "909--915",

journal = "American journal of obstetrics and gynecology",

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TY - JOUR

T1 - The cost of twin pregnancy

T2 - Maternal and neonatal factors

AU - Luke, Barbara

AU - Brown, Morton B.

AU - Alexandre, Pierre K.

AU - Kinoshi, Toyin

AU - O'Sullivan, Mary Jo

AU - Martin, Dibe

AU - Misiunas, Ruta B.

AU - Nugent, Clark

AU - Van De Ven, Cosmas

AU - Newman, Roger B.

AU - Mauldin, Jill G.

AU - Witter, Frank R.

PY - 2005/3

Y1 - 2005/3

N2 - Objective: The purpose of this study was to evaluate factors affecting birth charges in twin pregnancies. Study design: Clinical and financial data were obtained on 1486 twin pregnancies delivered between 1995 to 2002 at medical centers in Maryland, Florida, Michigan, and South Carolina. Maternal and neonatal length of stay (LOS) and charges were modeled by gestational age and other risk factors using a general linear model. Results: Maternal and infant birth admission LOS and charges increased significantly with a decline in gestational age. Maternal LOS and charges were also significantly increased by cesarean delivery and preeclampsia. Newborn LOS and charges increased significantly by monochorionicity and slowed growth between 20 to 28 weeks. For mother and infants, the shortest LOS and lowest birth charges were at 37 to 38 weeks. Conclusion: These findings reflect the substantial maternal and neonatal morbidity associated with twin pregnancies, and demonstrate that 37 to 38 weeks is their optimal gestation.

AB - Objective: The purpose of this study was to evaluate factors affecting birth charges in twin pregnancies. Study design: Clinical and financial data were obtained on 1486 twin pregnancies delivered between 1995 to 2002 at medical centers in Maryland, Florida, Michigan, and South Carolina. Maternal and neonatal length of stay (LOS) and charges were modeled by gestational age and other risk factors using a general linear model. Results: Maternal and infant birth admission LOS and charges increased significantly with a decline in gestational age. Maternal LOS and charges were also significantly increased by cesarean delivery and preeclampsia. Newborn LOS and charges increased significantly by monochorionicity and slowed growth between 20 to 28 weeks. For mother and infants, the shortest LOS and lowest birth charges were at 37 to 38 weeks. Conclusion: These findings reflect the substantial maternal and neonatal morbidity associated with twin pregnancies, and demonstrate that 37 to 38 weeks is their optimal gestation.

KW - Birth charges

KW - Neonatal morbidity

KW - Twin pregnancy

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The cost of twin pregnancy: Maternal and neonatal factors

Abstract

Keywords

ASJC Scopus subject areas

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