Journal of Shandong University (Health Sciences) ›› 2019, Vol. 57 ›› Issue (2): 88-92.doi: 10.6040/j.issn.1671-7554.0.2018.998

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Hospitalization expenses and the influencing factors for scar uterine maternal subsequent delivery in a tertiary hospital of Shandong Province

SHAO Chunchun1, ZHANG Yuan1, HONG Fanzhen2, XIAO Juan1, LIU Huandi3, JIA Hongying1, ZHANG Yinghui4   

  1. 1. Center of Evidence-based Medicine;
    2. Department of Maternity;
    3. Center of Information;
    4. Medical Record Room, The Second Hospital of Shandong University, Jinan 250033, Shandong, China
  • Published:2022-09-27

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Abstract: Objective To analyze the influencing factors and structural changes of the hospitalization expenses for scar uterine maternal subsequent delivery in a tertiary hospital of Shandong Province. Methods A total of 3 495 cases of hospitalized scar uterine maternal subsequent delivery from January 2014 to December 2016 were collected. Descriptive analysis was conducted on hospitalization expenses and its composition. Univariate analysis and multiple linear regression were applied to analyze its influencing factors. Results The median of hospitalization costs in 2014, 2015 and 2016 were RMB 9 045.7 Yuan, 9 703.6 Yuan and 10 612.4 Yuan, respectively. The medical materials expense accounted for the largest constitution of hospitalization costs, followed by western medication and surgery. The total medicine proportion was 24.98%, and the proportion of medical materials was 25.84%. Gestational age, placenta previa, premature rupture of membranes, gestational diabetes, anemia, delivery mode, antibiotics and hospitalization days were the main influencing factors for hospitalization expenses. Conclusion Comprehensive interventions are needed to control the cost growth by encouraging scar uterine maternal to take vaginal delivery, regulating the use of antibiotics, strengthening prenatal care for elderly pregnancy, so as shortening hospitalization days. 山 东 大 学 学 报 (医 学 版)57卷2期 -邵纯纯,等.山东省某三甲医院瘢痕子宫产妇再次分娩住院费用及其影响因素 \=-

Key words: Scar uterus, Subsequent delivery, Hospitalization expenses, Multiple linear regression, Two-child policy, Tertiary hospital

CLC Number: 

  • R197
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