The direct health services costs of providing assisted reproduction services in overweight or obese women

a retrospective cross-sectional analysis

Research output: Contribution to journalArticle

24 Citations (Scopus)

Abstract

Prevalence of overweight and obesity is rising. Hence, it is likely that a higher proportion of women undergoing assisted reproduction treatment are overweight or obese.

In a retrospective cross-sectional analysis using routinely collected data of an IVF Unit and maternity hospital in a tertiary care setting in the UK, direct costs were assessed for all weight classes. Costs for underweight, overweight and obese were compared with those for women with normal body mass index (BMI).

Of 1756 women, who underwent their first cycle of IVF between 1997 and 2006, 43 (2.4%) were underweight; 988 (56.3%) had normal BMI; 491 (28.0%) were overweight; 148 (8.4%) were obese (class I) and 86 (4.9%) were obese (class II). The mean (95% CI) cost of each live birth resulting from IVF was 18 pound 747 (13 864-27 361) in underweight group; 16 pound 497 (15 374-17 817) in women with normal BMI; 18 pound 575 (16 648-21 081) in overweight women; 18 pound 805 (15 397-23 554) in obese class I; 20 pound 282 (15 288-28 424) in obese class II or over.

The cost of a live birth resulting from IVF is not different in underweight, overweight and obese class I when compared with women with normal BMI. However, due to increased obstetric complications weight loss should still be recommended prior to commencing IVF even in overweight or obese (class I) women.

Original languageEnglish
Pages (from-to)633-639
Number of pages7
JournalHuman Reproduction
Volume24
Issue number3
Early online date5 Dec 2008
DOIs
Publication statusPublished - 2009

Keywords

  • obesity
  • overweight
  • art
  • IVF
  • cost
  • in-vitro fertilization
  • body-mass index
  • adversely affect
  • infertile women
  • embryo-transfer
  • weight-loss
  • pregnancy
  • improvement
  • technology
  • extremes

Cite this

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title = "The direct health services costs of providing assisted reproduction services in overweight or obese women: a retrospective cross-sectional analysis",
abstract = "Prevalence of overweight and obesity is rising. Hence, it is likely that a higher proportion of women undergoing assisted reproduction treatment are overweight or obese.In a retrospective cross-sectional analysis using routinely collected data of an IVF Unit and maternity hospital in a tertiary care setting in the UK, direct costs were assessed for all weight classes. Costs for underweight, overweight and obese were compared with those for women with normal body mass index (BMI).Of 1756 women, who underwent their first cycle of IVF between 1997 and 2006, 43 (2.4{\%}) were underweight; 988 (56.3{\%}) had normal BMI; 491 (28.0{\%}) were overweight; 148 (8.4{\%}) were obese (class I) and 86 (4.9{\%}) were obese (class II). The mean (95{\%} CI) cost of each live birth resulting from IVF was 18 pound 747 (13 864-27 361) in underweight group; 16 pound 497 (15 374-17 817) in women with normal BMI; 18 pound 575 (16 648-21 081) in overweight women; 18 pound 805 (15 397-23 554) in obese class I; 20 pound 282 (15 288-28 424) in obese class II or over.The cost of a live birth resulting from IVF is not different in underweight, overweight and obese class I when compared with women with normal BMI. However, due to increased obstetric complications weight loss should still be recommended prior to commencing IVF even in overweight or obese (class I) women.",
keywords = "obesity, overweight, art, IVF, cost, in-vitro fertilization, body-mass index, adversely affect, infertile women, embryo-transfer, weight-loss, pregnancy, improvement, technology, extremes",
author = "Abha Maheshwari and Scotland, {Graham Stewart} and J.s. Bell and Alison McTavish and M Hamilton and Siladitya Bhattacharya",
year = "2009",
doi = "10.1093/humrep/den424",
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journal = "Human Reproduction",
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T1 - The direct health services costs of providing assisted reproduction services in overweight or obese women

T2 - a retrospective cross-sectional analysis

AU - Maheshwari, Abha

AU - Scotland, Graham Stewart

AU - Bell, J.s.

AU - McTavish, Alison

AU - Hamilton, M

AU - Bhattacharya, Siladitya

PY - 2009

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N2 - Prevalence of overweight and obesity is rising. Hence, it is likely that a higher proportion of women undergoing assisted reproduction treatment are overweight or obese.In a retrospective cross-sectional analysis using routinely collected data of an IVF Unit and maternity hospital in a tertiary care setting in the UK, direct costs were assessed for all weight classes. Costs for underweight, overweight and obese were compared with those for women with normal body mass index (BMI).Of 1756 women, who underwent their first cycle of IVF between 1997 and 2006, 43 (2.4%) were underweight; 988 (56.3%) had normal BMI; 491 (28.0%) were overweight; 148 (8.4%) were obese (class I) and 86 (4.9%) were obese (class II). The mean (95% CI) cost of each live birth resulting from IVF was 18 pound 747 (13 864-27 361) in underweight group; 16 pound 497 (15 374-17 817) in women with normal BMI; 18 pound 575 (16 648-21 081) in overweight women; 18 pound 805 (15 397-23 554) in obese class I; 20 pound 282 (15 288-28 424) in obese class II or over.The cost of a live birth resulting from IVF is not different in underweight, overweight and obese class I when compared with women with normal BMI. However, due to increased obstetric complications weight loss should still be recommended prior to commencing IVF even in overweight or obese (class I) women.

AB - Prevalence of overweight and obesity is rising. Hence, it is likely that a higher proportion of women undergoing assisted reproduction treatment are overweight or obese.In a retrospective cross-sectional analysis using routinely collected data of an IVF Unit and maternity hospital in a tertiary care setting in the UK, direct costs were assessed for all weight classes. Costs for underweight, overweight and obese were compared with those for women with normal body mass index (BMI).Of 1756 women, who underwent their first cycle of IVF between 1997 and 2006, 43 (2.4%) were underweight; 988 (56.3%) had normal BMI; 491 (28.0%) were overweight; 148 (8.4%) were obese (class I) and 86 (4.9%) were obese (class II). The mean (95% CI) cost of each live birth resulting from IVF was 18 pound 747 (13 864-27 361) in underweight group; 16 pound 497 (15 374-17 817) in women with normal BMI; 18 pound 575 (16 648-21 081) in overweight women; 18 pound 805 (15 397-23 554) in obese class I; 20 pound 282 (15 288-28 424) in obese class II or over.The cost of a live birth resulting from IVF is not different in underweight, overweight and obese class I when compared with women with normal BMI. However, due to increased obstetric complications weight loss should still be recommended prior to commencing IVF even in overweight or obese (class I) women.

KW - obesity

KW - overweight

KW - art

KW - IVF

KW - cost

KW - in-vitro fertilization

KW - body-mass index

KW - adversely affect

KW - infertile women

KW - embryo-transfer

KW - weight-loss

KW - pregnancy

KW - improvement

KW - technology

KW - extremes

U2 - 10.1093/humrep/den424

DO - 10.1093/humrep/den424

M3 - Article

VL - 24

SP - 633

EP - 639

JO - Human Reproduction

JF - Human Reproduction

SN - 0268-1161

IS - 3

ER -