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. 2007 Sep 11;335(7621):655. doi: 10.1136/bmj.39325.681806.AD

Table 3.

 Interventions in each maternal risk group with a probability of being cost effective of at least 1%*

Maternal risk groups in hierarchical order % of total population Intervention Probability of being cost effective Expected value of information per year in UK
Preterm deliveries (<37 weeks)
1. Planned caesarean section 0.80 IV antibiotic 0.5870 £5 281 333
Oral antibiotic 0.4120
2. Previous baby with GBS 0.01 IV antibiotic 0.8590 £7 820
Oral antibiotic 0.1370
3. Positive urine or vaginal swab for GBS in current pregnancy 0.44 IV antibiotic 0.9730 £81 600
Oral antibiotic 0.0178
4. Fever ≥38.0°C in labour 0.25 IV antibiotic 0.7800 £539 467
Oral antibiotic 0.2160
5. Rupture of membranes before onset of labour 2.41 IV antibiotic 0.5800 £12 806 667
Oral antibiotic 0.4190
6. Spontaneous labour (membrane rupture <2 hours before or after onset of labour) 3.43 IV antibiotic 0.8590 £4 193 333
Oral antibiotic 0.1370
Term deliveries (≥37 weeks)
7. Planned caesarean section 7.99 Oral antibiotic 0.6720 £1 586 667
IV antibiotic 0.3270
8. Previous baby with GBS 0.08 IV antibiotic 0.6060 £30 600
Oral antibiotic 0.3930
9. Positive urine or vaginal swab for GBS in current pregnancy 3.51 IV antibiotic 0.9730 £68 000
Oral antibiotic 0.0242
10.Fever ≥38.0°C in labour 1.60 IV antibiotic 0.7170 £581 400
Oral antibiotic 0.2720
PCR testing, IV antibiotic 0.0102
11. Membrane rupture for ≥18 hours 8.37 PCR testing, IV antibiotic 0.5760 £4 533 333
Culture testing, IV antibiotic 0.2000
PCR testing, oral antibiotic 0.1820
Culture testing, oral antibiotic 0.0418
12. No risk factors 71.10 Culture testing, IV antibiotic 0.8390 £2 040 000
PCR testing, IV antibiotic 0.0952
Nothing 0.0640

*Culture testing not listed for risk groups 1-10 because of zero probability of being cost effective.

GBS=group B streptococcal infection. IV=intravenous. PCR=polymerase chain reaction.