Table 3.
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.