Birth Tourism and Neonatal Intensive Care

A Children's Hospital Experience

Michel Mikhael, John P. Cleary, Vijay Dhar, Yanjun Chen, Danh V. Nguyen, Anthony C. Chang

Research output: Contribution to journalArticle

2 Citations (Scopus)

Abstract

Objective The aim of this article is to examine characteristics of birth tourism (BT) neonates admitted to a neonatal intensive care unit (NICU). Methods This was a retrospective review over 3 years; BT cases were identified, and relevant perinatal, medical, social, and financial data were collected and compared with 100 randomly selected non–birth tourism neonates. Results A total of 46 BT neonates were identified. They were more likely to be born to older women (34 vs. 29 years; p < 0.001), via cesarean delivery (72 vs. 48%; p = 0.007), and at a referral facility (80 vs. 32%; p < 0.001). BT group had longer hospital stay (15 vs. 7 days; p = 0.02), more surgical intervention (50 vs. 21%; p < 0.001), and higher hospital charges (median $287,501 vs. $103,105; p = 0.003). One-third of BT neonates were enrolled in public health insurance program and four BT neonates (10%) were placed for adoption. Conclusion Families of BT neonates admitted to the NICU face significant challenges. Larger studies are needed to better define impacts on families, health care system, and society.

Original languageEnglish (US)
JournalAmerican Journal of Perinatology
DOIs
StateAccepted/In press - Mar 24 2016

Fingerprint

Neonatal Intensive Care
Parturition
Newborn Infant
Neonatal Intensive Care Units
Hospital Charges
Family Health
Health Insurance
Length of Stay
Referral and Consultation
Public Health
Delivery of Health Care

Keywords

  • birth tourism
  • children's hospital
  • neonatal intensive care
  • neonate

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Obstetrics and Gynecology

Cite this

Mikhael, M., Cleary, J. P., Dhar, V., Chen, Y., Nguyen, D. V., & Chang, A. C. (Accepted/In press). Birth Tourism and Neonatal Intensive Care: A Children's Hospital Experience. American Journal of Perinatology. https://doi.org/10.1055/s-0036-1584139

Birth Tourism and Neonatal Intensive Care : A Children's Hospital Experience. / Mikhael, Michel; Cleary, John P.; Dhar, Vijay; Chen, Yanjun; Nguyen, Danh V.; Chang, Anthony C.

In: American Journal of Perinatology, 24.03.2016.

Research output: Contribution to journalArticle

Mikhael, Michel ; Cleary, John P. ; Dhar, Vijay ; Chen, Yanjun ; Nguyen, Danh V. ; Chang, Anthony C. / Birth Tourism and Neonatal Intensive Care : A Children's Hospital Experience. In: American Journal of Perinatology. 2016.
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