{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,7]],"date-time":"2026-10-07T16:20:36Z","timestamp":1791390036826,"version":"4.3.3"},"reference-count":39,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2019,11,18]],"date-time":"2019-11-18T00:00:00Z","timestamp":1574035200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/501100000925","name":"National Health and Medical Research Council","doi-asserted-by":"publisher","award":["GNT1116640"],"award-info":[{"award-number":["GNT1116640"]}],"id":[{"id":"10.13039\/501100000925","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100000925","name":"National Health and Medical Research Council","doi-asserted-by":"publisher","award":["GNT1159536"],"award-info":[{"award-number":["GNT1159536"]}],"id":[{"id":"10.13039\/501100000925","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Birth"],"published-print":{"date-parts":[[2020,6]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Reducing stillbirth rates is an international priority; however, little is known about the cost of stillbirth. This analysis sought to quantify the costs of stillbirth in Australia.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Mothers and costs were identified by linking a state\u2010based registry of all births between 2012 and 2015 to other administrative data sets. Costs from time of birth to 2\u00a0years postbirth were included. Propensity score matching was used to account for differences between women who had a stillbirth and those that did not. Macroeconomic costs were estimated using value of lost output analysis and value of lost welfare analysis.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Cost to government was on average $3774 more per mother who had a stillbirth compared with mothers who had a live birth. After accounting for gestation at birth, the cost of a stillbirth was 42% more than a live birth (<jats:italic>P\u00a0<\/jats:italic>&lt;\u00a0.001). Costs for inpatient services, emergency department services, services covered under Medicare (such as primary and specialist care, diagnostic tests and imaging), and prescription pharmaceuticals were all significantly higher for mothers who had a stillbirth. Mothers who had a stillbirth paid on average $1479 out of pocket, which was 52% more than mothers who had a live birth after accounting for gestation at birth (<jats:italic>P\u00a0<\/jats:italic>&lt;\u00a0.001). The value of lost output was estimated to be $73.8 million (95% CI: 44.0 million\u2010103.9 million). The estimated value of lost social welfare was estimated to be $18 billion.<\/jats:p><\/jats:sec><jats:sec><jats:title>Discussion<\/jats:title><jats:p>Stillbirth has a sustained economic impact on society and families, which demonstrates the potential resource savings that could be generated from stillbirth prevention.<\/jats:p><\/jats:sec>","DOI":"10.1111\/birt.12469","type":"journal-article","created":{"date-parts":[[2019,11,18]],"date-time":"2019-11-18T11:43:25Z","timestamp":1574077405000},"page":"183-190","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":23,"title":["What are the costs of stillbirth? Capturing the direct health care and macroeconomic costs in Australia"],"prefix":"10.1111","volume":"47","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7233-6804","authenticated-orcid":false,"given":"Emily J.","family":"Callander","sequence":"first","affiliation":[{"name":"School of Medicine Griffith University Gold Coast Qld Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joseph","family":"Thomas","sequence":"additional","affiliation":[{"name":"Australian Institute of Tropical Health and Medicine James Cook University Townsville Qld Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Haylee","family":"Fox","sequence":"additional","affiliation":[{"name":"School of Medicine Griffith University Gold Coast Qld Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David","family":"Ellwood","sequence":"additional","affiliation":[{"name":"Mater Research Institute University of Queensland Brisbane Qld Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vicki","family":"Flenady","sequence":"additional","affiliation":[{"name":"School of Medicine Griffith University Gold Coast Qld Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2019,11,18]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(15)00818-1"},{"key":"e_1_2_6_3_1","volume-title":"Health in 2015: from MDGs, Millennium Development Goals to SDGs","author":"World Health Organization","year":"2015"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(10)62232-5"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(10)62187-3"},{"key":"e_1_2_6_6_1","unstructured":"Welfare AIoHa.Perinatal deaths in Australia: 2013\u20132014. 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