A Case Study on the Economic Impact of Optimal Breastfeeding

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.