Biomaterial Database

Medicaid costs of live births from unintended pregnancies in Florida. 1995

R S Hopkins, and H Marshall, and S Hoecherl

Family Health Services, State Health Office, Florida Department of Health and Rehabilitative Services, Tallahassee, USA.

The Florida Pregnancy Risk Assessment Monitoring System (PRAMS) survey, a population-based, random sample mail-telephone query of new mothers of live-born infants, includes questions about pregnancy timing and wantedness, sources of payment for care, other related topics, mother's risk behaviors, satisfaction with prenatal care, and the newborn's health. There were 2,059 completed responses in 1993. Results are weighted for factors affecting response rates to reflect all births. An estimated 13.8% (95% confidence interval 11.7, 15.9) of all Florida babies in 1993 were unwanted at conception, and 20.3% (16.5, 24.1) of those whose deliveries were paid for by Medicaid were unwanted. The Medicaid program currently pays for the prenatal, intrapartum, delivery and infant health care of an estimated 16,000 pregnancies and newborns each year that were unwanted at conception. The total annual cost is estimated at $401 million, or over 8% of all 1992-93 Medicaid costs.

UI	MeSH Term	Description	Entries
D007231	Infant, Newborn	An infant during the first 28 days after birth.	Neonate,Newborns,Infants, Newborn,Neonates,Newborn,Newborn Infant,Newborn Infants
D007743	Labor, Obstetric	The repetitive uterine contraction during childbirth which is associated with the progressive dilation of the uterine cervix (CERVIX UTERI). Successful labor results in the expulsion of the FETUS and PLACENTA. Obstetric labor can be spontaneous or induced (LABOR, INDUCED).	Obstetric Labor
D008425	Maternal Behavior	The behavior patterns associated with or characteristic of a mother.	Maternal Patterns of Care,Maternal Care Patterns,Behavior, Maternal,Behaviors, Maternal,Care Pattern, Maternal,Care Patterns, Maternal,Maternal Behaviors,Maternal Care Pattern,Pattern, Maternal Care,Patterns, Maternal Care
D008484	Medicaid	Federal program, created by Public Law 89-97, Title XIX, a 1965 amendment to the Social Security Act, administered by the states, that provides health care benefits to indigent and medically indigent persons.	Dental Medicaid Program,Medical Assistance, Title 19,Dental Medicaid Programs,Medicaid Program, Dental,Medicaid Programs, Dental,Program, Dental Medicaid,Programs, Dental Medicaid
D011247	Pregnancy	The status during which female mammals carry their developing young (EMBRYOS or FETUSES) in utero before birth, beginning from FERTILIZATION to BIRTH.	Gestation,Pregnancies
D011275	Pregnancy, Unwanted	Pregnancy, usually accidental, that is not desired by the parent or parents.	Unwanted Pregnancies,Pregnancies, Unwanted,Unwanted Pregnancy
D011295	Prenatal Care	Care provided the pregnant woman in order to prevent complications, and decrease the incidence of maternal and prenatal mortality.	Antenatal Care,Care, Antenatal,Care, Prenatal
D003365	Costs and Cost Analysis	Absolute, comparative, or differential costs pertaining to services, institutions, resources, etc., or the analysis and study of these costs.	Affordability,Analysis, Cost,Cost,Cost Analysis,Cost Comparison,Cost Measures,Cost-Minimization Analysis,Costs and Cost Analyses,Costs, Cost Analysis,Pricing,Affordabilities,Analyses, Cost,Analyses, Cost-Minimization,Analysis, Cost-Minimization,Comparison, Cost,Comparisons, Cost,Cost Analyses,Cost Comparisons,Cost Measure,Cost Minimization Analysis,Cost, Cost Analysis,Cost-Minimization Analyses,Costs,Measure, Cost,Measures, Cost
D005260	Female		Females
D005431	Florida	State bounded on east by the Atlantic Ocean, on the south by the Gulf of Mexico, on the west by Alabama and on the north by Alabama and Georgia.