| Higher multiple births: socio-economic implications in a developing nation. | |
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MedLine Citation:
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PMID: 1678369 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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A case of successful quadruplet pregnancy followed from date of diagnosis, through delivery, and to the third year of life is presented. The emotional, social, and economic problems encountered by the parents and hospital personnel are examined with a detailed analysis of the financial burden placed on all parties. Individual, voluntary donations made at the time of delivery have proved insufficient to cover the care involved before, during, and after the birth of multiples. A more concrete commitment on the part of government in the form of legislation or subvention is suggested in order to ease some of the stress on the parents of multiples. A case of a quadruplet pregnancy in a 22-year old primigravida who required hospitalization for premature labor and a cesarean section, and whose premature infants needed special care, in a small mission hospital in Nnewi, Nigeria, is presented. The women had been treated with Clomid after 2 years of infertility. She presented to the antenatal clinic at 31 weeks' gestation in distress because of a large, pendulous abdomen and preterm labor. She was treated with iv salbutamol and bedrest. 24 hours later the developed pre-eclampsia managed with sedation, alpha-methyldopa and bedrest. At 35 weeks a cesarean delivery produced a male and 3 females weighing 1.35 to 2.4 kg. The infants stayed in the premature unit for 7 weeks. After discharge the family was followed monthly. The economics of the situation are described in detail. For the hospital 124 visits by the obstetric house officer were required, and an extra nurse was added full time to care for the infants, with extra visits by a pediatrician. The family incurred expenses of $771 for the hospitalization, and will need $420 monthly for daily expenses. Average hospital deliveries here cost $25, and the average monthly household income is $22, although this family is a relatively well off urban couple with an income of $150 monthly. Some of the expenses were defrayed by donations. It is suggested that in the absence of health insurance here, wealthy individuals and organizations should start trust funds for use in catastrophic medical cases. The government should subsidize such infants' care. |
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Authors:
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J I Adinma |
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Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: International journal of fertility Volume: 36 ISSN: 0020-725X ISO Abbreviation: Int. J. Fertil. Publication Date: 1991 May-Jun |
Date Detail:
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Created Date: 1991-09-13 Completed Date: 1991-09-13 Revised Date: 2004-11-17 |
Medline Journal Info:
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Nlm Unique ID: 0374717 Medline TA: Int J Fertil Country: UNITED STATES |
Other Details:
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Languages: eng Pagination: 153-6 Citation Subset: IM; J |
Affiliation:
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Department of Obstetrics and Gynecology, College of Health Sciences, Anambra State University of Technology (ASUTECH) Nnewi, Nigeria. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Adult Costs and Cost Analysis Developing Countries* Female Follow-Up Studies Hospitalization / economics* Humans Infant Infant Care / economics* Infant, Newborn Insurance, Health Nigeria Pregnancy Pregnancy, Multiple* Quadruplets / psychology Salaries and Fringe Benefits Socioeconomic Factors |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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