Health care services for new mothers and children — from labor and delivery to childhood immunizations — account for $1 out of every $5 that large employers spend on health care.¹ And with most women working until late in a pregnancy and returning soon after giving birth, much of their prenatal and postpartum time is spent in the workplace. That’s why high-quality maternity care not only keeps your employees at their best — it helps you get the most out of your health care investment.
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Uncovering the unpredictable costs of maternity carePosted: March 18, 2019 by Kari Carlson, MD
Why are maternity care costs so unpredictable?
Overall, maternity claims are one of the most common and expensive health care costs for businesses.² But on top of medical costs, there are indirect costs to consider — like unexpected time away from work and short- and long-term disability — that can come up during or after pregnancy. Then there’s the unpredictability of costs. According to Business Insider, the average cost to have a baby in the U.S. is $30,000 when factoring in care provided before and after pregnancy.³ But when complications arise — such as pre-eclampsia or a premature birth — costs can quickly spiral into the hundreds of thousands of dollars.⁴
Understanding the major factors impacting cost
1. Early prenatal care
Women who receive early, comprehensive, and continuous prenatal care and preventive screenings are more likely to have healthy pregnancies. They also incur $1,000 less in hospital costs than women who don’t get prenatal care. Prenatal care is instrumental in managing complications. This is important because maternal hospital stays for women with complicating conditions cost about 3 times as much as those for women without complications.6
2. C-section rates
Cesarean births are abdominal surgeries — they increase recovery time, extend hospital stays, and cost approximately 50% more than vaginal births.7 Since all surgeries carry risks, the least invasive option is preferred — but there has been a significant increase in C-section deliveries over the past few decades.
Taking steps to lower C-section rates has become an important global health initiative. Researchers at Harvard Medical School and the Stanford University School of Medicine estimate that the ideal rate for births by C-section is around 19% — but the U.S. national average is still 32%.8,9
3. Postpartum depression screenings and treatment
Maternity care also remains important after babies are born. Postpartum depression is a serious problem that affects 1 in 7 new mothers.10 It can begin shortly before or any time
after childbirth and affect every aspect of a woman’s life — including her ability to be present and engaged at work. Without treatment, postpartum depression can last for months, even years. It can also have compounding effects on other health issues. And new moms aren’t the only ones who can suffer from postpartum depression. Studies show that 1 in 10 men experiences paternal postpartum depression (PPPD), and that the incidence of PPPD is relatively higher in the 3 to 6 months after birth.11
The benefits go beyond cost savings
The more that businesses understand the unpredictable costs of maternity care — and the factors driving those costs — the more they can serve as advocates for their employees during such an important life event. Ultimately, quality maternity care translates to business benefits beyond just savings on health care costs.¹² Your employees feel valued when they receive quality care, and your business will benefit from increased engagement, lower turnover, and a healthier, happier workforce.Footer navigation
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Services covered under your health plan are provided and/or arranged by Kaiser Permanente health plans: Kaiser Foundation Health Plan, Inc., in Northern and Southern California and Hawaii • Kaiser Foundation Health Plan of Colorado • Kaiser Foundation Health Plan of Georgia, Inc., Nine Piedmont Center, 3495 Piedmont Road NE, Atlanta, GA 30305, 404-364-7000 • Kaiser Foundation Health Plan of the Mid-Atlantic States, Inc., in Maryland, Virginia, and Washington, D.C., 2101 E. Jefferson St., Rockville, MD 20852 • Kaiser Foundation Health Plan of the Northwest, 500 NE Multnomah St., Suite 100, Portland, OR 97232 • Kaiser Foundation Health Plan of Washington or Kaiser Foundation Health Plan of Washington Options, Inc., 320 Westlake Ave. N, Suite 100, Seattle, WA 98109 • Self-insured plans are administered by Kaiser Permanente Insurance Company, One Kaiser Plaza, Oakland, CA 94612© 2018 Kaiser Permanente Other Languages
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