A Case Study on the Economic Impact of Optimal Breastfeeding

Abstract

To develop a framework, using Louisiana as a case study, for estimating the potential cost savings to individual states if families were able to meet current recommendations for breastfeeding. Using cost-analyses methods, cost savings, as well as, case and death reductions of infant illnesses and deaths on four selected infant diseases (respiratory tract infections, gastroenteritis, necrotizing enterocolitis, and Sudden Infant Death Syndrome) were calculated utilizing the most recent data of breastfeeding and low/very low birth weight rates in Louisiana. To estimate the incidence of a disease in exclusive breastfed infants and formula fed infants respectively, we used the following formula: x = s/br + 1 − b. Here “x” is the incidence rate of one disease in formula fed infants, “s” is the overall incidence of the disease, “b” is current breastfeeding rate and “r” is the odds ratios in favor of breastfeeding. A total of $216,103,368 could be saved and 18 infant deaths prevented, by these four conditions alone, if 90% of newborns in Louisiana were exclusive breastfed for the first 6 months of life ($186,371,125 in savings and 16 infant deaths prevented with 80% compliance). Increased rates of breastfeeding to the level of Healthy People 2020 goals and beyond would yield significant cost savings to Louisiana. Other US states can use the presented framework to demonstrate cost savings associated with breastfeeding promotion and support interventions in their respective states.

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References

  1. 1.

    World Health Organization. (2002). The optimal duration of exclusive breastfeeding a systematic review. Available at: http//http://www.who.int/child-adolescenthealth/publications/NUTRITION/WHO_FCH_CAH_01.23.htm. Accessed July 27, 2011.

  2. 2.

    Ip, S., Chung, M., Raman, et al. (2007). Breastfeeding and maternal and infant health outcomes in developed countries: Evidence report/technology assessment no. 153. Rockville, MD: Agency for Healthcare Research and Quality. AHRQ Publication No. 07-E007.

  3. 3.

    Riordan, J. M. (1997). The cost of not breastfeeding: A commentary. Journal of Human Lactation, 13(2), 93–97.

    PubMed  Article  CAS  Google Scholar 

  4. 4.

    Ball, T., Wright, A., et al. (1999). Health care costs of formula-feeding in the first year of life. Pediatrics, 103(4 pt 2), 870–876.

    PubMed  CAS  Google Scholar 

  5. 5.

    Ball, T. M., Bennett, D. M., et al. (2001). The economic impact of breastfeeding. Pediatrics Clinic of North America, 48(1), 253–262.

    Article  CAS  Google Scholar 

  6. 6.

    Labbok, M. (2001). Cost benefit analysis for breastfeeding in the United States: Is supporting exclusive breastfeeding worth the costs? In D. Michaels (Ed.), Breastfeeding annual international 2001 (pp. 187–194). Washington, DC: Platypus Media.

    Google Scholar 

  7. 7.

    Weimer, J. (2001). The economic benefits of breastfeeding: A review and analysis. Washington, DC: Food and Rural Economics Division Economic Research Service, US Department of Agriculture.

    Google Scholar 

  8. 8.

    Bartick, M., Reinhold, A., et al. (2010). The burden of suboptimal breastfeeding in the United States: A pediatric cost analysis. Pediatrics, 125, e1048–e1056.

    PubMed  Article  Google Scholar 

  9. 9.

    Shay, D. K., Holman, R. C., Newman, R. D., et al. (1992). Bronchiolitis-associated hospitalizations among US children, 1980–1996. JAMA, 282(15), 1440–1446.

    Article  Google Scholar 

  10. 10.

    Imhoff, B., Morse, D., Shiferaw, B., et al. (2004). Burden of self-reported acute diarrheal illness in FoodNet surveillance areas, 1998–1999. Clinical Infectious Diseases, 38(Suppl 3), S219–S226.

    PubMed  Article  Google Scholar 

  11. 11.

    Sudden, Unexplained Infant Death Initiative (SUIDI): Overview. (2006). Department for Health and Human Services-Centers for Disease Control and Prevention. Available at: http://www.cdc.gov/sids/index.htm. Accessed December 1, 2011.

  12. 12.

    Louisiana Health Report Card. (2008). A publication of the department of health and hospitals office of public health state center for health statistics. Available at: http://www.dhh.louisiana.gov/offices/miscdocs/docs-275/recordsstatistics/statistics/vitalstatistics/docs/reportcards/2008-LAHRC-full.pdf. Accessed July 8, 2011.

  13. 13.

    Health People (2020) Available at: http://www.healthypeople.gov/2020/topicsobjectives2020/objectiveslist.aspx?topicid=26. Accessed July 29, 2011.

  14. 14.

    Centers for Disease Control and Prevention (CDC). (2010). Racial and ethnic differences in breastfeeding initiation and duration, by state—National Immunization Survey, United States, 2004–2008. MMWR Morbidity and Mortality Weekly Report, 59(11), 327–334.

    Google Scholar 

  15. 15.

    Howie, P., Frosyth, J., Ogston, S., et al. (1990). Protective effect of breast feeding against infection. British Medical Journal, 300, 11–16.

    PubMed  Article  CAS  Google Scholar 

  16. 16.

    Dewey, K., Heinig, M., Nommsen-Rivers, L., et al. (1995). Differences in morbidity between breast-fed and formula-fed infants. Journal of Pediatrics, 126, 696–702.

    PubMed  Article  CAS  Google Scholar 

  17. 17.

    Zimmerman, C. M., Bresee, J. S., Parashar, U. D., et al. (2001). Cost of diarrhea-associated hospitalizations and outpatient visits in an insured population of young children in the United States. The Pediatric Infectious Disease Journal, 20(1), 14–19.

    PubMed  Article  CAS  Google Scholar 

  18. 18.

    Avendano, P., Matson, D. O., Long, J., et al. (1993). Costs associated with office visits for diarrhea in infants and toddlers. The Pediatric Infectious Disease Journal, 12(11), 897–902.

    PubMed  Article  CAS  Google Scholar 

  19. 19.

    Bisquera, J. A., Ooper, T. R., Berseth, C. L., et al. (2002). Impact of necrotizing enterocolitis on length of stay and hospital charges in very low birth weight infants. Pediatrics, 109(3), 423–428.

    PubMed  Article  Google Scholar 

  20. 20.

    Rumbaut, R., Komaie, G., Morgan, C., et al. (2007). Demographic Snapshort of young adults aged 18–34 in the United States. Irvine, CA: University of California.

    Google Scholar 

  21. 21.

    Yorita, K. L., Holman, R. C., Steiner, C. A., et al. (2007). Severe bronchiolitis and respiratory syncytial virus among young children in Hawaii. The Pediatric Infectious Disease Journal, 26(12), 1081–1088.

    PubMed  Article  Google Scholar 

  22. 22.

    Ehlken, B., Ihorst, G., Lippert, B., et al. (2005). Economic impact of community-acquired and nosocomial lower respiratory tract infections in young children in German. European Journal of Pediatrics, 164(10), 607–615.

    PubMed  Article  Google Scholar 

  23. 23.

    Bureau of Labor Statistics. (2009). Inflation calculator. Available at: www.bls.gov/data/inflation_cdalculator.htm. Accessed July 12, 2011.

  24. 24.

    US Department of Health and Human Services. (2011). The surgeon general’s call to action to support breastfeeding. Washington, DC: US Department of Health and Human Services, Office of the Surgeon General. Available at: http://www.surgeongeneral.gov/topics/breastfeeding/. Accessed November 28, 2011.

  25. 25.

    Institute of Medicine of the National Academies. (2011). Clinical preventive services for women—closing the gap. Available at: http://www.iom.edu/Reports/2011/Clinical-Preventive-Services-for-Women-Closing-the-Gaps.aspx. Accessed July 29, 2011.

  26. 26.

    Department of Health and Human Services. (2011). Affordable care act rules on expanding access to preventive services for women. Available at: http://www.healthcare.gov/news/factsheets/womensprevention08012011a.html Accessed August 2, 2011.

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Correspondence to Jeanette H. Magnus.

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Ma, P., Brewer-Asling, M. & Magnus, J.H. A Case Study on the Economic Impact of Optimal Breastfeeding. Matern Child Health J 17, 9–13 (2013). https://doi.org/10.1007/s10995-011-0942-2

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Keywords

  • Exclusive breastfeeding
  • Cost-savings
  • Mortality and morbidity prevention