The Cost of Prenatal Care Services in the City of Aydın: A Cross-Sectional Study.

Abstract

To determine the cost of prenatal care services provided to pregnant women in the city of Aydın, Turkey. This cross-sectional study was conducted over the period of February-December 2016 at the Aydın Maternity and Children's Hospital. The convenience sampling method was used to recruit 403 women who were in weeks 36-42 of pregnancy into the study. Data for the study were collected with the Descriptive Information Form and the Prenatal Care Service Usage Form. Descriptive statistics, Mann-Whitney U and Kruskal-Wallis tests were used to analyse data. It was determined that the pregnant women were followed up an average total number of 10.94±4.30 times and 97.0% received care at the state hospital. It was found that for each pregnant woman, the mean total cost of prenatal care was $138.77±$93.44, the sum paid by general health insurance was $96.12±$46.38, individual contributions stood at $25.05±$10.43 and payments made to the private institutions was $110.32±$142.31. It was observed that the total prenatal care cost was not influenced by some of the characteristics of the pregnant women. It was revealed in the study that most pregnant women received prenatal care at the state hospitals and at family health centers and that they had approximately 11 prenatal care follow-ups amounting to a total mean cost of about $139. A contribution can be made to making prenatal care more cost-effective by organizing the number and scope of prenatal care sites on the basis of the individual characteristics of risk factors pregnant women.