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Table 2 Univariate and multivariate interval regression models for the association between maternal pre-pregnancy Body Mass Index and hospital costs of childbirth (N = 7564)

From: Overweight and obese pre-pregnancy BMI is associated with higher hospital costs of childbirth in England

 

Total cost of child birth

Model I Coefficient (95%CI)

Model II Coefficient (95%CI)

Model III Coefficient (95%CI)

Model IV Coefficient (95%CI)

Pre-pregnancy BMI

 Underweight

−14.84 (−48.04; 18.34)

0.78 (−32.64; 34.19)

−7.85 (− 34.32; 18.61)

− 4.09 (− 17.15; 8.97)

 Normal weight

Ref.

Ref.

Ref.

Ref.

 Overweight

21.88 (4.46; 39.29)**

23.62 (5.68; 41.57)**

9.79 (−5.11; 25.00)

−2.92 (−10.55; 4.70)

 Obese (class I)

81.59 (48.37; 114.80)**

86.01 (53.64; 118.37)**

43.29 (14.39; 72.19)**

−0.37 (−12.25; 11.51)

 Obese (class II and III)

126.41 (63.51; 189.31)**

134.13 (72.78; 195.47)**

55.22 (−2.02; 112.46)*

−1.64 (− 25.03; 21.74)

Education

 None of these

Ref.

Ref.

Ref.

 GCSE/A level

19.76 (−0.34; 39.87)*

12.94 (−4.37; 30.26)

−3.36 (−12.29; 5.57)

 Higher education

41.53 (15.18; 67.89)**

25.55 (3.62; 47.49)**

−0.82 (−11.02; 9.38)

Marital Status

 Single

24.89 (7.53; 42.23)**

20.81 (5.28; 36.34)**

1.49 (−6.06; 1.11)

 Couple

Ref.

Ref.

Ref.

Maternal Age

1.32 (−0.28; 2.92)

−0.72 (−2.09; 0.65)

0.52 (− 0.08; 1.11)

OECD equivalised income quintile

 1st (lowest)

Ref.

Ref.

Ref.

 2nd

0.81 (−21.95; 23.58)

−2.76 (− 23.18; 17.66)

−1.71 (−10.85; 7.42)

 3rd

9.48 (−19.06; 38.030

7.90 (−17.77; 33.56)

2.70 (− 5.88; 11.28)

 4th

34.55 (9.24; 59.86)**

19.55 (−1.30; 40.40)*

−6.17 (− 17.37; 5.02)

 5th (highest)

56.73 (24.26; 89.21)**

33.96 (4.45; 63.46)**

2.19 (−9.49; 13.87)

Ethnicityb

 White

Ref.

Ref.

Ref.

 Mixed/Other

68.75 (13.33; 124.17)**

45.54 (−3.59; 94.67)

3.17 (−13.35; 19.69)

 Asian

64.51 (31.11; 97.90)**

57.11 (30.49; 83.73)**

−0.25 (−18.38; 17.87)

 Black Caribbean or Black African

93.14 (41.99; 144.30)**

69.75 (30.85; 108.65)**

16.68 (1.90; 31.46)**

Government Office Regiona

 North

Ref.

Ref.

Ref.

 Midlands & East

9.33 (−40.88; 59.54)

10.62 (−33.71; 54.96)

8.36 (−9.24; 25.96)

 London

 

−68.82 (−108.87; −28.77)**

−52.61 (−88.24; − 16.97)**

−19.16 (− 49.10; 10.79)

 South

− 14.49 (− 45.19; 16.22)

− 8.76 (− 37.40; 19.88)

−0.92 (− 21.41; 19.67)

Premature

 No

Ref.

Ref.

 Yes

  

308.40 (268.12; 348.67)**

−3.53 (−22.06; 15.01)

Type of delivery

 Spontaneous

Ref.

Ref.

 Forceps

  

129.42 (102.86; 155.98)**

5.40 (−5.33; 16.14)

 Caesarean

  

330.00 (309.58; 350.42)**

10.66 (−1.97; 23.30)*

 Other

  

156.63 (64.70; 248.57)**

34.12 (21.93; 46.31)**

Parity

 Primiparae

Ref.

Ref.

 Multiparae

  

0.01 (−42; 03; 42.04)

9.88 (−1.71; 21.48)

Length of Stay (days)

116 (112.02; 120.22)**

Constant

732.79 (716.10; 749.48)

641.21 (588.35; 694.07)

619.98 (574.80; 665.17)

407.12 (383.82; 430.39)

  1. The coefficients are also marginal effects
  2. Model I: unadjusted
  3. Model II: adjusted for maternal age, education, marital status, ethnicity, equivalised income, and government region
  4. Model III: Model II + number of previous children, number of babies delivered, pre-term birth, and type of delivery
  5. Model IV: Model III + Length of stay
  6. Abbreviations: CI Confidence interval, BMI Body mass index, OECD Organisation for economic co-operation and development
  7. ** p ≤ 0.05; * 0.1 ≥ p > 0.05
  8. aNorth includes: North East, North West, Yorkshire & the Humber, Northern Ireland, and Wales; South Includes: South East and South West; Midland and East include: East Midlands, West Midlands, and East of England
  9. bAsian includes: Indian, Pakistani, and Bangladeshi