ST-analysis in electronic foetal monitoring is cost-effective from both the maternal and neonatal perspective

The Journal of Maternal-fetal & Neonatal Medicine : the Official Journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians
Janneke van 't HooftBen Willem J Mol

Abstract

Electronic foetal monitoring (EFM) together with non-invasive ST-analysis (STAN) has been suggested as a superior technique to EFM alone for foetal surveillance to prevent metabolic acidosis. This study aims to compare the cost-effectiveness of these two techniques from both maternal (short term) as neonatal (long term) perspective to guide clinical decision-making. We created two models: a maternal model, focused on the difference in mode of delivery as most important outcome, and a neonatal Markov model focused on the differences in metabolic acidosis - and its relationship to cerebral palsy (CP) - as the most relevant outcome to estimate the long-term cost-effectiveness. The cost to prevent one instrumental delivery was estimated in the maternal model. The costs to prevent one metabolic acidosis and the costs per quality adjusted life years were calculated in the neonatal model. The average costs of STAN are only €34 higher when compared to EFM alone. From maternal perspective the cost of preventing one instrumental delivery was estimated at €2602. From neonatal perspective the cost to prevent one case of metabolic acidosis was €14 509. Over the long term, STAN becomes a dominant (cost saving) strategy if >1% of the patients...Continue Reading

References

Mar 23, 2001·American Journal of Obstetrics and Gynecology·J A WestgateA J Gunn
Feb 2, 2002·Quality of Life Research : an International Journal of Quality of Life Aspects of Treatment, Care and Rehabilitation·K BurströmF Diderichsen
Jan 27, 2007·Developmental Medicine and Child Neurology·David StraussSteven Day
Jun 27, 2007·Developmental Medicine and Child Neurology·Peter L RosenbaumDianne J Russell
May 7, 2009·Developmental Medicine and Child Neurology·Marie KrusePeter Uldall
Jan 28, 2010·Archives of Physical Medicine and Rehabilitation·Nancy L YoungDarcy Fehlings
Mar 31, 2011·Acta Obstetricia Et Gynecologica Scandinavica·Sylvia M C VijgenAnneke Kwee
Nov 6, 2012·Developmental Medicine and Child Neurology·Jonas H Ellenberg, Karin B Nelson
Nov 6, 2012·American Journal of Obstetrics and Gynecology·C Andrew Combs
Jan 26, 2013·Developmental Medicine and Child Neurology·Maryam OskouiTamara Pringsheim
Mar 26, 2013·The European Journal of Health Economics : HEPAC : Health Economics in Prevention and Care·Don HusereauElizabeth Loder

❮ Previous
Next ❯

Related Concepts

Related Feeds

Birth Defects

Birth defects encompass structural and functional alterations that occur during embryonic or fetal development and are present since birth. The cause may be genetic, environmental or unknown and can result in physical and/or mental impairment. Here is the latest research on birth defects.