The Cost of Prenatal Care Services in the City of Aydın: A Cross-Sectional Study

Yıl 2019, Cilt: 27 Sayı: 3, 253 - 262, 01.10.2019

Safiye Özvurmaz Zekiye Karaçam , Vesile Ünay

Öz

DOI: 10.26650/FNJN423377

Aim: To determine the cost of prenatal care
services provided to pregnant women in the city of Aydın, Turkey.

Method: This cross-sectional study was
conducted over the period of February-December 2016 at the Aydın Maternity and
Children’s Hospital. The convenience sampling method was used to recruit 403
women who were in weeks 36-42 of pregnancy into the study. Data for the study
were collected with the Descriptive Information Form and the Prenatal Care
Service Usage Form.  Descriptive
statistics, Mann-Whitney U and Kruskal-Wallis tests were used to analyse data.

Results: It was determined that the
pregnant women were followed up an average total number of 10.94±4.30 times and
97.0% received care at the state hospital. It was found that for each pregnant
woman, the mean total cost of prenatal care was $138.77±$93.44, the sum paid by
general health insurance was $96.12±$46.38, individual contributions stood at
$25.05±$10.43 and payments made to the private institutions was
$110.32±$142.31.  It was observed that
the total prenatal care cost was not influenced by some of the characteristics
of the pregnant women.

Conclusion: It was revealed in the study
that most pregnant women received prenatal care at the state hospitals and at
family health centers and that they had approximately 11 prenatal care
follow-ups amounting to a total mean cost of about $139. A contribution can be
made to making prenatal care more cost-effective by organizing the number and
scope of prenatal care sites on the basis of the individual characteristics of
risk factors pregnant women. 

Cite this article as: Özvurmaz, S.,
Karaçam, Z, Ünay, V. (2019). The cost of prenatal care services in the City of
Aydın: A cross-sectional study. FNJN Florence Nightingale Journal of Nursing,
27(3), 253-262.

Anahtar Kelimeler

Cost, follow-up, prenatal care

Kaynakça

• Beulen, L., Grutters, J. P., Faas, B. H., Feenstra, I., van Vugt, J. M., & Bekker, M. N. (2014). The consequences of implementing non-invasive prenatal testing in Dutch national health care: a cost-effectiveness analysis. European Journal of Obstetrics & Gynecology and Reproductive Biology, 182, 53–61. doi:10.1016/j.ejogrb.2014.08.028.Caughey, A. B., & Burchfield, D. J. (2014). Costs and cost-effectiveness of periviable care. Seminars in Perinatology, 38 (1), 56-62. doi: 10.1053/j.semperi.2013.07.010.Cavassini, A. C., Lima, S. A., Calderon, I. M., & Rudge, M. V. (2012). Cost-benefit of hospitalization compared with outpatient care for pregnant women with pregestational and gestational diabetes or with mild hyperglycemia, in Brazil. Sao Paulo Medical Journal, 130(1):17-26. Retrieved from http://www.scielo.br/pdf/spmj/v130n1/a04v130n1.pdf.Akadlı-Ergöçmen, B., Çavlin, A., & Abbasoğlu-Özgören, A. (2014). Reproductive health. In: Hacettepe University Institute of Population Studies, TR Ministry of Development and TUBITAK. 2013 Turkey demographic and health survey. (pp. 141-155). Ankara: Elma Teknik Basım Matbaacılık. Evans, M.I., Sonek, J.D., Hallahan, T.W., Krantz, D.A. (2015). Cell-free fetal DNA screening in the USA: a cost analysis of screening strategies. Ultrasound in Obstetrics & Gynecology, 45(1), 74-83. doi:10.1002/uog.14693. Implementing Regulation of Family Medicine. Official Gazette Date: 25.01.2013, Official Gazette Number: 28539. Retrieved from http://dosyahsm.saglik.gov.tr/Eklenti/22,ahuygyontpdf.pdf?0.Grzeskowiak, E. L., Dekker, G., Rivers, K., Roberts-Thomson, K., Roy, A., Smith, B., … AAMS study group. (2014). A randomized controlled trial to assess the clinical and cost effectiveness of a nurse-led antenatal asthma management service in South Australia (AAMS study). BMC Pregnancy Childbirth, 14, 9. doi:10.1186/1471-2393-14-9.O’Dea, A., Infanti, J. J., Gillespie, P., Tummon, O., Fanous, S., Glynn, L. G., ... Dunne, F. P. (2014). Screening uptake rates and the clinical and cost effectiveness of screening for gestational diabetes mellitus in primary versus secondary care: study protocol for a randomised controlled trial. Trials, 15, 27. doi:10.1186/1745-6215-15-27.Owusu-Edusei, K. O., Tao, G., Gift, T.L., Wang, A., Wang, L., Tun, Y., … Bulterys, M. (2014). Cost-effectiveness of integrated routine offering of prenatal HIV and syphilis screening in China. Sexually Transmitted Diseases, 41(2), 103-110. doi:10.1097/OLQ.0000000000000085.Kahn, J. G., Jiwani, A., Gomez, G. B., Hawkes, S. J., Chesson, H. W., Broutet, N., ... Newman, L. M. (2014). The cost and cost-effectiveness of scaling up screening and treatment of syphilis in pregnancy: a model. PLoS One, 9(1), 1-10. doi:10.1371/journal.pone.0087510.
• Caughey, A. B., & Burchfield, D. J. (2014). Costs and cost-effectiveness of periviable care. Seminars in Perinatology, 38 (1), 56-62.
• Evans, M.I., Sonek, J.D., Hallahan, T.W., Krantz, D.A. (2015). Cell-free fetal DNA screening in the USA: a cost analysis of screening strategies. Ultrasound in Obstetrics & Gynecology, 45(1), 74-83.