Hum. Reprod. Advance Access published online on September 23, 2004
Human Reproduction, doi:10.1093/humrep/deh531
© 2004 by European Society of Human Reproduction and Embryology
| ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
1 Department of Public Health Science and General Practice, University of Oulu, P.O.Box 5000, University of Oulu, 90014 Oulu, Finland; Department of Obstetrics and Gynecology, University Hospital of Oulu, P.O.Box 220, 90024 Oulu, Finland
* To whom correspondence should be addressed. E-mail: sari.koivurova{at}oulu.fi.
BACKGROUND: The use of expensive infertility treatments is increasing rapidly. To compare the prenatal and neonatal health care costs after IVF and spontaneous conception, we conducted a study based on a cohort of IVF and control pregnancies and neonates. METHODS: A cohort of 215 IVF mothers and 255 IVF neonates were compared with a cohort of 662 control mothers and 388 control children, randomly chosen from the Finnish Medical Birth Register and matched for sex, year of birth, area of residence, parity, maternal age, socioeconomic status and plurality. The analyses on prenatal and neonatal costs were performed by plurality. Singletons were also compared with twins. The cost calculations were based on the known level of utilization of maternal and neonatal health care services. RESULTS: The total health care costs for an IVF singleton until the end of the neonatal period were
Revised June 14, 2004
Accepted August 26, 2004
Article
Health care costs resulting from IVF: prenatal and neonatal periods
2 Department of Public Health Science and General Practice, University of Oulu, P.O.Box 5000, University of Oulu, 90014 Oulu, Finland
3 National Research and Development Center for Welfare and Health, P.O.Box 220, 00531 Helsinki, Finland
4 Department of Public Health Science and General Practice, University of Oulu, P.O.Box 5000, University of Oulu, 90014 Oulu, Finland; Department of Epidemiology and Public Health, Imperial College London, Norfolk Place, London W2 1PG, UK
Abstract 
5780 and 15 580 for an IVF twin. The health care costs were 1.3-fold for IVF singletons and 1.1-fold for IVF twins compared to control singletons and twins. The costs for twins were 
3-fold compared to singletons. CONCLUSIONS: The health care costs of an IVF singleton neonate were higher than those of a spontaneously conceived control neonate with similar backgrounds. For twins the health care costs were equal. Multiple births increase the health care costs and therefore the reduction of multiple pregnancies is the most effective way to reduce the health care costs resulting from IVF.
CiteULike 
Connotea 
Del.icio.us What's this?
This article has been cited by other articles:
|
|
 |
|
  Z. Veleva, P. Karinen, C. Tomas, J. S. Tapanainen, and H. Martikainen Elective single embryo transfer with cryopreservation improves the outcome and diminishes the costs of IVF/ICSI Hum. Reprod., July 1, 2009; 24(7): 1632 - 1639. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
E. Sullivan, Y. Wang, M. Chapman, and G. Chambers Success rates and cost of a live birth following fresh assisted reproduction treatment in women aged 45 years and older, Australia 2002-2004 Hum. Reprod., July 1, 2008; 23(7): 1639 - 1643. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
M. Hansen, L. Colvin, B. Petterson, J. J. Kurinczuk, N. de Klerk, and C. Bower Admission to hospital of singleton children born following assisted reproductive technology (ART) Hum. Reprod., June 1, 2008; 23(6): 1297 - 1305. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 D. Siassakos, A. Syed, and P. Wardle Tubal disease and assisted reproduction Obstet Gynaecol (Lond), April 1, 2008; 10(2): 80 - 87. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
G. M. Chambers, M. G. Chapman, N. Grayson, M. Shanahan, and E. A. Sullivan Babies born after ART treatment cost more than non-ART babies: a cost analysis of inpatient birth-admission costs of singleton and multiple gestation pregnancies Hum. Reprod., December 1, 2007; 22(12): 3108 - 3115. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
S. Koivurova, A.-L. Hartikainen, M. Gissler, E. Hemminki, and M.-R. Jarvelin Post-neonatal hospitalization and health care costs among IVF children: a 7-year follow-up study Hum. Reprod., August 1, 2007; 22(8): 2136 - 2141. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
A.K. Ludwig, A. Katalinic, V. Steinbicker, K. Diedrich, and M. Ludwig Antenatal care in singleton pregnancies after ICSI as compared to spontaneous conception: data from a prospective controlled cohort study in Germany Hum. Reprod., March 1, 2006; 21(3): 713 - 720. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
M.J.C. Eijkemans, E.M.E.W. Heijnen, C. de Klerk, J.D.F. Habbema, and B.C.J.M. Fauser Comparison of different treatment strategies in IVF with cumulative live birth over a given period of time as the primary end-point: methodological considerations on a randomized controlled non-inferiority trial Hum. Reprod., February 1, 2006; 21(2): 344 - 351. [Abstract] [Full Text] [PDF]
|
|