NHS Costs of Maternal Obesity for Maternity Services in Scotland

Clinical and short-term NHS costs of maternal obesity for maternity services in Scotland

Scotland has one of the highest rates of obesity in Europe, and the rising prevalence is particularly marked in women of reproductive age, reaching 20.6% in Scotland by 2003. This is of concern as maternal obesity is associated with increased morbidity and mortality for both mother and offspring. Obese women are more likely to experience gestational diabetes, hypertensive disorders, induction of labour, operative delivery and post-partum haemorrhage, whilst the offspring of obese mothers are at higher risk of late foetal death, congenital anomaly and admission to the neonatal unit. In order to plan for the future delivery of maternal health services in Scotland, this study estimated the impact that increasing obesity rates will have on NHS resource use and costs.

Outcome and Translation

Results of this study will help clinicians involved in pre-pregnancy and antenatal care to assess risk and counsel women about the effect of obesity on their health and that of their babies. In addition, output from this research may help inform the planning and delivery of maternity services.

HERU researchers involved in this research project: Graham Scotland, Patrícia Norwood.

External collaborators: F Denison, J Norman (University of Edinburgh); C Morris (Information Services Division); T Mahmood (Forth Park Hospital); S Bhattacharya and A Lee (Other Applied Health Sciences, University of Aberdeen)

Publications

Denison, F. C., Lee, A., Norman, J., Bhattacharya, S., Scotland, G., Morris, C. and Mahmood, T. (2011) The clinical and short-term NHS costs of maternal obesity for maternity services in Scotland. Final report submitted to the Chief Scientist Office (CZG/2/471), Edinburgh:CSO.

Norwood, P., Scotland, G., Denison, F., Bhattacharya, S., Duffy, A., Mahmood, T., Morris, C., Raja, E., Norman, J. and Lee, A. (2014) 'Maternal obesity is independently associated with increased antenatal admissions and health service costs: a population based study', HERU Briefing Paper, University of Aberdeen, February 2014.

Denison, F.C., Norwood, P., Bhattacharya, S., Duffy, A., Mahmood, T., Morris, C., Raja, E.A., Norman, J.E., Lee, A.J. and Scotland, G. (2014) 'Association between maternal body mass index during pregnancy, short-term morbidity, and increased health service costs: a population-based study', BJOG: An International Journal of Obstetrics & Gynaecology, 121(1), 72-82.

Presentations

Denison, FC., Raja,A., Scotland, G, Bhattacharya, S., Mahmood, T., Morris, C., Norman, JE. and Lee A. (2012) 'Maternal obesity is associated with increased maternal and offspring morbidity in both primiparous and multiparous women', Poster presentation, 59th Annual Scientific Meeting of the Society for Gynecologic Investigation, San Diego, March 2012.

Denison, FC., Norwood, P., Bhattacharya, S., Mahmood. T., Morris, C., Norman, JE., Lee, A. and Scotland, G. (2012) 'Maternal obesity is independently associated with increased antenatal admissions and health service costs', Poster presentation, 59th Annual Scientific Meeting of the Society for Gynecologic Investigation, San Diego, March 2012.

Denison, F.C., Norwood, P. , Bhattacharya, S., Mahmood. T., Morris, C., Norman, J.E., Lee, A. and Scotland, G. (2012) 'Maternal obesity is independently associated with increased antenatal admissions and health service costs', Poster presentation, British Maternal and Fetal Medicine Society’s 15th Annual Conference, Dublin, April 2012.

Denison, F.C., Raja, A., Scotland, G., Bhattacharya, S., Mahmood, T., Morris, C., Norman, JE. and Lee A. (2012) 'Maternal obesity is associated with increased maternal and offspring morbidity in both primiparous and multiparous women', Poster presentation, British Maternal and Fetal Medicine Society 15th Annual Conference, Dublin, April 2012.