Division of Obstetrics and Gynaecology, Department of Clinical and Experimental Medicine, Faculty of Health Sciences, Linköping University, SE-581 85 Linköping, Sweden.
Public Health. 2011 May;125(5):311-7. doi: 10.1016/j.puhe.2011.02.004.
To perform a cost comparison of a weight gain restriction programme for obese pregnant women with standard antenatal care, and to identify if there were differences in healthcare costs within the intervention group related to degree of gestational weight gain or degree of obesity at programme entry.
A comparison of mean healthcare costs for participants of an intervention study at antenatal care clinics with controls in south-east Sweden.
In total, 155 women in an intervention group attempted to restrict their gestational weight gain to <7 kg. The control group comprised 193 women. Mean costs during pregnancy, delivery and the neonatal period were compared with the costs of standard care. Costs were converted from Swedish Kronor to Euros (€).
Healthcare costs during pregnancy were lower in the intervention group. There was no significant difference in total healthcare costs (i.e. sum of costs during pregnancy, delivery and the neonatal period) between the intervention group and the control group. Within the intervention group, the subgroup that gained 4.5-9.5 kg had the lowest costs. The total cost, including intervention costs, was € 1283 more per woman/infant in the intervention group compared with the control group (P=0.025). The degree of obesity at programme entry had no bearing on the outcome.
The weight gain restriction programme for obese pregnant women was effective in restricting gestational weight gain to <7 kg, but had a higher total cost compared with standard antenatal care.
比较肥胖孕妇增重限制计划与标准产前护理的成本，确定干预组内与妊娠期体重增加程度或计划入组时肥胖程度相关的医疗保健成本是否存在差异。
在瑞典东南部的产前保健诊所，对干预研究的参与者与对照组进行平均医疗保健成本比较。
共有 155 名参加干预组的妇女试图将其妊娠期体重增加限制在<7 公斤。对照组包括 193 名妇女。比较了妊娠期、分娩期和新生儿期的平均成本与标准护理的成本。成本从瑞典克朗转换为欧元（€）。
干预组的孕期医疗保健成本较低。干预组与对照组之间的总医疗保健成本（即妊娠期、分娩期和新生儿期的成本总和）没有显著差异。在干预组内，增重 4.5-9.5 公斤的亚组成本最低。与对照组相比，干预组的每位女性/婴儿的总费用（包括干预费用）高出€1283（P=0.025）。入组时的肥胖程度对结果没有影响。
肥胖孕妇增重限制计划可有效将妊娠期体重增加限制在<7 公斤，但与标准产前护理相比总费用更高。
