Mode of delivery and birth complications in fetal macrosomia: a simple cost-eff ectiveness analysis

Results: Th ere was no statistical diff erence between the 2 groups concerning birth complications, except dystocia and episiotomy hematoma. Th e rate of dystocia was found to be signifi cantly higher in Group II than in Group I (14.1% versus 3.8%, respectively; P = 0.040). Similarly, episiotomy hematoma was found to be signifi cantly higher in Group II than in Group I (18.8% versus 3.8%, respectively; P = 0.004). As opposed to similar rates of serious and permanent complications, mild or moderate temporary maternal and fetal complications were seen to be higher in vaginal births of infants weighing more than 4250 g (P = 0.001 and P = 0.024, respectively). In macrosomia, the total cost of a cesarean section (C/S) was almost 2 times higher than the cost of a vaginal delivery per patient (937 Turkish liras versus 491 Turkish liras, respectively).