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Costs of Pregnancy much reduced by Vitamin D

Under construction

Problem Rate Medical Cost
Include 1st year
Reduction
wirh Vit D
# needed
to treat
Amortized savings
per pregnancy
Preterm & LBW12% $51,800 50%20 $2,590
Low Birth
Weight
8%
CDC
$50,00060%21$2,400
Miscarriage20%$4,000
1/2 get D&C
40%
if > 20 ng
12.5$320
Stillbirth
(Omega-3)
0.6%$7,500
mean
66% 242$30
Vibrosis

Note
The savings due to Miscarriage and Stillbirth are so small that they can be ignored
Preterm birth and low birth weight (LBW) have a lot in common.
Cost savings of preventing preterm and LBW is most likely less than the sum of of the two
The range is from $2,600 to $5,000
Let's conservatively assume the amortized savings due to Vitamin D for a pregnancy = $3,000
Also assume that the total cost of vitamin D, instruction, tests, overhead, and paying the pregnant woman to take it is $1,000
   Could, for example, send a check of $546 to a pregnant woman with good level of vitamin D (> 40 ng)
      $546 = $2 a day X 39 weeks
This would still leave $2,000 net profit per Vitamin-D-boosted pregnancy for a Health Insurance company or Health Maintenance Organization

LBW REFERENCES

Appears that 1/3 of LBW is due to premature birth, 2/3 is not


The economic burden of preterm and low birth-weight (LBW) births

Inpatient Hospitalization Costs of LBW Births in Tennessee 2005

< 500g$126,015
500g to 999g$76,177
1000g to 1499g$34,688Very LBW
1500g to 1999g$14,520LBW 1
2000g to 2499g$5,853LBW 2

Note: This does not include costs of visits to doctor's offices, costs of drugs at home, etc. How many years?
 Download the PDF from VitaminDWiki


The Business Case for Promoting Healthy Pregnancy

Image page 10
 Download the PDF from VitaminDWiki__
 Download the Referenced study from VitaminDWiki
The very high costs were due to including exteremly low birth weights (< 1,250 gram)


Wikipedia chart on Low Birth Weight. Small for Gestational Age, Premature, etc

Image


Costs of Low Birth Weight (2005)

Image
 Download the PDF from VitaminDWiki


March of Dimes LBW - 2013

Image
Note: Employer costs do not include employee costs such as co-pay, time off from work,
 Download the PDF from VitaminDWiki


LBW vs Race

Image
Child Health USA 2011


LBW for countries vs year

Image

Health at a Glance 2011: OECD Indicators LBW


LBW vs country - 2011

Starting behind: Low birth weight in the United States Brookings
Image


Smoking while pregnant

Smoking while pregnant: are the problems due to low vitamin D – July 2013
CBS story did not mention vitamin D but has the following risk factors

  • Miscarriage (known to be associated with low vitamin D)
  • Sudden Infant Death Syndrome (SIDS) (known to be associated with low vitamin D)
  • mental health problems for children: ADHD, autism (known to be associated with low vitamin D)
  • premature birth, (known to be associated with low vitamin D)
  • cleft lip or palate (excess vitamin A or lack of folic)

Smoking reduces vitamin D has the following
It appears that taking Vitamin D while smoking will

  1. Decrease the incidence of the many health problems associated with smoking - even lung cancer
  2. Decrease the desire to smoke

Lower Birth Weight if Smoke and/or Non-white

Image
Smoking: Effects on Mothers and Babies in West Virginia - 1989-1998


See also VitaminDWiki

See also web

  • D&C American Pregnancy Association - sometime before Dec 2016
    "most miscarriages occur during the first 13 weeks of pregnancy"
    "If the body does not expel all the tissue, the most common procedure performed to stop bleeding and prevent infection is a D&C."
    "About 50% of women who miscarry do not undergo a D&C procedure"

Attached files

ID Name Comment Uploaded Size Downloads
7476 Economic burden of preterm and LBW.pdf PDF admin 11 Dec, 2016 14:34 94.42 Kb 93
7475 The cost of prematurity - 2005.pdf PDF admin 11 Dec, 2016 11:25 1.53 Mb 114
7474 Business case pg 10.jpg admin 11 Dec, 2016 11:21 47.02 Kb 153
7473 LBW vs country 2011.jpg admin 11 Dec, 2016 11:08 57.46 Kb 148
7472 LBW and country vs years.jpg admin 11 Dec, 2016 11:01 20.14 Kb 129
7471 LBW smoking balck and white.jpg admin 11 Dec, 2016 10:51 29.63 Kb 140
7470 LBW vs race.gif admin 11 Dec, 2016 10:44 25.84 Kb 147
7469 March of Dimes LBW.jpg admin 11 Dec, 2016 10:26 42.08 Kb 125
7468 LBW MarchoIfDimes 2013.pdf PDF admin 11 Dec, 2016 10:25 116.64 Kb 98
7466 Costs of LBW.jpg admin 09 Dec, 2016 01:49 37.02 Kb 150
7465 Cost of LBW.pdf admin 09 Dec, 2016 01:49 867.27 Kb 119
7464 Business case for Healthy Pregnancy.pdf PDF admin 08 Dec, 2016 23:32 626.57 Kb 141
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