The burden of unintended pregnancies in Brazil: a social and public health system cost analysis

Figures & data

Figure 1 Unintended pregnancy decision model depicting the three main pregnancy outcomes.

Table 1 Cost variables included in the economic model

Outcomes	Costsa	Reference
Abortion	R$0
Miscarriage	R$206.81	^Citation34
Birth
Vaginal delivery
Antenatal care	R$152.74	^Citation31
Labor and delivery	R$562.82	^Citation32
Cesarean delivery
Antenatal care	R$152.74	^Citation31
Labor and delivery	R$784.90	^Citation32
Infant complications
Neonatal care	R$2,793.92	^Citation33
Infant hospitalization during first year	R$2,793.92	^Citation33
Cerebral palsy	R$19,853.94	^Citation33

Note:

a Exchange rate: US$1= almost R$2.

Table 2 Annual unintended pregnancy outcomes in Brazil

Pregnancy outcomes	Number of cases
Unintended pregnancies	1,788,212
Live births	1,580,292
Miscarriages	159,151
Induced abortions	48,769
Planned pregnancies	1,463,083
Live births	1,332,868
Miscarriages	130,214
Delivery type
Vaginal births	935,059
Cesarean births	588,627
Infant complications
Preterm deliveries	122,523
Neonatal care admission	224,631
Hospital readmissions within year after birth	769,477
Cerebral palsy cases	3,448
Total maternal deaths	351
Unsafe abortion	49
Miscarriage	32
Birth	270
Infant deaths within the first year (includes neonatal period)	32,864

Table 3 Annual costs of unintended pregnancy in Brazil based on different pregnancy outcomes

Pregnancy outcomes	Annual costa	Percentage of annual costs
Miscarriage costs	R$32,913,992	0.8% (of total)
Birth costs	R$4,066,926,567	99.2% (of total)
Birth delivery-related costs	R$1,221,010,848	30.0%b
Antenatal care	R$232,727,755	5.7%
Labor and delivery	R$988,283,092	24.3%
Infant complications	R$2,845,915,719	70.0%b
Neonatal care admission	R$627,601,523	15.4%
Hospital readmission in 1st year	R$2,149,858,847	52.9%
Cerebral palsy	R$68,455,349	1.7%
Sum all costs annual unintended pregnancies	R$4,099,840,559	100%

Notes:

a Exchange rate: US$1= almost R$2;

b percentage of subcategory for abortion, miscarriage, and birth costs.

Miscarriage rate: Unique health system hospital information system (SIH/SUS)Ministry of Health of BrazilLabor and delivery costs Available from: http://www2.datasus.gov.br/DATASUS/index.php?area=0202Accessed February 12, 2013 Portuguese

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