Giving Birth in Canada - Publications du gouvernement du Canada

Canadian Association of Midwives, Across Canada, [online], cited. January 16 ..... home for longer periods of time due to financial and job-security issues.119 ...... Survey of Canadian Call Centre Programs (Ottawa: Canadian Coordinating.
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Giving Birth in Canada The Costs

The contents of this publication may be reproduced in whole or in part, provided the intended use is for non-commercial purposes and full acknowledgement is given to the Canadian Institute for Health Information. Canadian Institute for Health Information 495 Richmond Road Suite 600 Ottawa, Ontario K2A 4H6 Phone: (613) 241-7860 Fax: (613) 241-8120 www.cihi.ca ISBN 1-55392-815-6 (PDF) © 2006 Canadian Institute for Health Information Cette publication est aussi disponible en français sous le titre Donner naissance au Canada — Les coûts ISBN 1-55392-817-2 (PDF)

Giving Birth in Canada The Costs

Table of Contents About the Canadian Institute for Health Information . . . . . . . . . . . . . . . . . . . v Acknowledgements . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . vii About This Report . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ix Highlights of This Report . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . x How Much Does It Cost to Have a Baby?. . . . . . . . . . . . . . . . . . . . . . . . . 1 Care Before Birth: The Costs of Pregnancy . . . . . . . . . . . . . . . . . . . . . . . 3 Routine Prenatal Visits . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 Prenatal Care Providers . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5 When Complications Arise . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6 When Getting Pregnant Is Difficult . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6 The Cost of Treating Infertility . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6 Variation in Funding for Reproductive Technologies . . . . . . . . . . . . . . . 9 Birth Defects . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10 Screening for Birth Defects . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10 Diagnostic Testing for Chromosomal Abnormalities . . . . . . . . . . . . . . . 10 Hospitalization Before Birth . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11 The Costs of Labour and Delivery . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13 The Costs of Vaginal Deliveries . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14 Attending Vaginal Deliveries . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15 Midwives . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16 Hospital Costs of Vaginal Deliveries . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17 Other Delivery Costs . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18 Mothers’ Length of Stay in Hospital. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19 When Expectant Mothers Need More Assistance. . . . . . . . . . . . . . . . . . . . . . 22 Complications in the Labour and Delivery Room . . . . . . . . . . . . . . . . . . . 22 Costs Associated with Neonatal Care . . . . . . . . . . . . . . . . . . . . . . . . . . . 25 Costs of Routine Care for Newborns/Neonates . . . . . . . . . . . . . . . . . . . . . . . . 25 Hospital Costs . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25 Physician Costs . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26 Costs Outside the Health Care System: From Hospital to Community . . . . . 27 Costs of Newborn and Neonatal Care With Complications/Risks . . . . . . . . . 29 Hospital Costs—Low–Birth Weight and Preterm Babies . . . . . . . . . . . . . . 29 Hospital Costs—NICU Admissions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 31 Physician Costs—NICU Services . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 33 The Costs of Bringing New Life Into the World—Concl