as well as epidural pain relief, Low-risk pregnant LOS; Antenatal visits; Analgesia women. There has been Episiotomy disability weight equivalent to maternal episiotomy, postpartum length of women = 63% administration; Spontaneous labour; substantial growth in caseload haemorrhage disability weight. stay. For infants, caseload Breastfeeding on hospital midwifery since the trial. midwifery leads to reduced discharge. admission to special care N = 189,621 nurseries, and fewer low birth weight babies, without any adverse impact. Outcome Difference in N if Health Economic Impact QALY Economic impact on Total Economic Impact risk between implemented service cost on health service impact per QALYS if implemented control and at 65% per person costs if person treatment or day implemented Primary Caesarean section -22% -9,078 -$5,014 -$46m - - -$46m (planned and unplanned) Secondary Episiotomy -21% -3,030 -$1,797 -$5m -$2,002 -$6m -$11m SCN or NICU -37% -2,933 -$20,500 -$60m - - -$60m admission Change in -$70m intervention costs Totals -$111m -$6m -$187m Columns may not sum due to rounding. Negative values are savings in the calculations. NICU = neonatal intensive care unit. SCN = special care nursery. Health Health Service service/outcome Explanation and costing assumptions Reference or Outcome cost per person or day
as well as epidural pain relief, episiotomy, postpartum length of stay. For infants, caseload midwifery leads to reduced admission to special care nurseries, and fewer low birth weight babies, without any adverse impact. LOS; Antenatal visits; Analgesia administration; Spontaneous labour; Breastfeeding on hospital discharge. women. There has been substantial growth in caseload midwifery since the trial. Episiotomy disability weight equivalent to maternal haemorrhage disability weight. Low-risk pregnant women = 63% N = 189,621 Outcome Difference in risk between control and treatment N if implemented at 65% Health service cost per person or day Economic Impact on health service costs if implemented QALY impact per person Economic impact on QALYS if implemented Total Economic Impact Primary Caesarean section (planned and unplanned) -22% -9,078 -$5,014 -$46m - - -$46m Secondary Episiotomy -21% -3,030 -$1,797 -$5m -$2,002 -$6m -$11m SCN or NICU admission -37% -2,933 -$20,500 -$60m - - -$60m Change in intervention costs Totals -$70m -$111m -$6m -$187m Columns may not sum due to rounding. Negative values are savings in the calculations. NICU = neonatal intensive care unit. SCN = special care nursery. Health Service or Outcome Health service/outcome cost per person or day Explanation and costing assumptions Reference