Care cost for pregnant and parturient women with diabetes and mild hyperglycemia.
OBJECTIVE
To compare inpatient and outpatient care costs for pregnant/parturient women with diabetes and mild hyperglycemia.


METHODS
A prospective observational quantitative study was conducted in the Perinatal Diabetes Center in the city of Botucatu, Southeastern Brazil, between 2007 and 2008. Direct and indirect costs and disease-specific costs (medications and tests) were estimated. Thirty diet-treated pregnant women with diabetes were followed up on an outpatient basis, and 20 who required insulin therapy were hospitalized.


RESULTS
The cost of diabetes disease (prenatal and delivery care) was US$ 3,311.84 for inpatients and US$ 1,366.04 for outpatients.


CONCLUSIONS
Direct and indirect costs as well as total prenatal care cost were higher for diabetic inpatients while delivery care costs and delivery-postpartum hospitalization were similar. Prenatal and delivery-postpartum care costs were higher for these patients compared to those paid by Brazilian National Health System.
Universidade Estadual Paulista Júlio de Mesquita Filho, Botucatu, SP, Brazil. acmolinacavassini@hotmail.com
Ana Claudia Molina
AC
Cavassini
Silvana Andrea Molina
SA
Lima
Iracema Mattos Paranhos
IM
Calderon
Marilza Vieira Cunha
MV
Rudge
D000293:Adolescent; D000553:Ambulatory Care / Q000191:economics*; D001938:Brazil; D003920:Diabetes Mellitus / Q000191:economics* / Q000628:therapy; D005260:Female; D017048:Health Care Costs / Q000706:statistics & numerical data*; D006760:Hospitalization / Q000191:economics*; D006801:Humans; D006943:Hyperglycemia / Q000191:economics* / Q000628:therapy; D011181:Postnatal Care / Q000191:economics; D049590:Postpartum Period; D011247:Pregnancy; D011254:Pregnancy in Diabetics / Q000191:economics* / Q000628:therapy; D011295:Prenatal Care / Q000191:economics; D011446:Prospective Studies