Trial of labour versus elective repeat caesarean section: a cost-effectiveness analysis
| Autor: | Donald E. Lewis, Brett Shorten, Allison Shorten |
|---|---|
| Rok vydání: | 1997 |
| Předmět: |
medicine.medical_specialty
medicine.medical_treatment Cost-Benefit Analysis Population health Pregnancy Health care medicine Humans Caesarean section Hospital Costs reproductive and urinary physiology Diagnosis-Related Groups Retrospective Studies High rate Medical Audit Health economics Vaginal delivery Obstetrics business.industry Cesarean Section Health Policy Trial of labour Australia Pregnancy Outcome Cost-effectiveness analysis Trial of Labor Female business |
| Zdroj: | Scopus-Elsevier |
| ISSN: | 0156-5788 |
| Popis: | For subsequent births, women who have experienced previous caesarean section facea choice between elective caesarean section and trial of labour. The study reported inthis paper utilises Australian hospital data to compare birth outcomes and healthsystem costs of these two options. Although trial of labour is more expensive if the resultis 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 caesareansection. It is estimated that trial of labour remains the most cost-effective option aslong as less than 68- per cent of women require emergency caesarean section. This studyhighlights the potential importance of more accurate information about a broaderrange of costs and outcomes in order for stronger conclusions to be drawn. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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