Trial of labour versus elective repeat caesarean section: a cost-effectiveness analysis.
نویسندگان
چکیده
For subsequent births, women who have experienced previous caesarean section face a choice between elective caesarean section and trial of labour. The study reported in this paper utilises Australian hospital data to compare birth outcome and health system costs of these two options. Although trial of labour is more expensive if the result is an emergency caesarean section, high rates of successful vaginal delivery mean that, overall, trial of labour is found to be 30 per cent less expensive than elective caesarean section. It is estimated that trial of labour remains the most cost-effective option as long as less than 68 per cent of women require emergency caesarean section. This study highlights the potential importance of more accurate information about a broader range of costs and outcomes in order for stronger conclusions to be drawn.
منابع مشابه
At What Price? A Cost-Effectiveness Analysis Comparing Trial of Labour after Previous Caesarean versus Elective Repeat Caesarean Delivery
BACKGROUND Elective repeat caesarean delivery (ERCD) rates have been increasing worldwide, thus prompting obstetric discourse on the risks and benefits for the mother and infant. Yet, these increasing rates also have major economic implications for the health care system. Given the dearth of information on the cost-effectiveness related to mode of delivery, the aim of this paper was to perform ...
متن کاملComparison between the Outcome of Trial of Labour and Elective Repeat Caesarean Section in Kiambu District Hospital
متن کامل
Delivery after caesarean section: review of 2176 consecutive cases.
A total of 2176 consecutive patients who had had one previous caesarean section were studied retrospectively. A repeat elective caesarean section was performed in 395 (18.2%). Labour started spontaneously in 1363 patients, 301 of whom were given oxytocin to accelerate inert labour, and was induced by amniotomy and infusion of oxytocin in 418 women; 1618 of these 1781 patients (90.8%) delivered ...
متن کاملOptimal Timing of Delivery among Low-Risk Women with Prior Caesarean Section: A Secondary Analysis of the WHO Multicountry Survey on Maternal and Newborn Health
OBJECTIVE To investigate optimal timing of elective repeat caesarean section among low-risk pregnant women with prior caesarean section in a multicountry sample from largely low- and middle-income countries. DESIGN Secondary analysis of a cross-sectional study. SETTING Twenty-nine countries from the World Health Organization Multicountry Survey on Maternal and Newborn Health. POPULATION 2...
متن کاملPlanned elective repeat caesarean section versus planned vaginal birth for women with a previous caesarean birth.
BACKGROUND When a woman has had a previous caesarean birth, there are two options for her care in a subsequent pregnancy: planned elective repeat caesarean or planned vaginal birth. While there are risks and benefits for both planned elective repeat caesarean birth and planned vaginal birth after caesarean, current sources of information are limited to non-randomised cohort studies. Studies des...
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ورودعنوان ژورنال:
- Australian health review : a publication of the Australian Hospital Association
دوره 21 1 شماره
صفحات -
تاریخ انتشار 1998