Table 1.
Cost category | Mean (SE) cost (£) | P value* | Bootstrap mean difference (95% CI) | |||||
---|---|---|---|---|---|---|---|---|
Obstetric unit (OU) | Home | Free standing midwifery unit (FMU) | Alongside midwifery unit (AMU) | |||||
OU−home | OU−FMU | OU−AMU | ||||||
Overheads | 569 (2.9) | 93 (1.9) | 426 (3.1) | 451 (2.8) | <0.001 | −475.6 (−482.0 to −468.8) | −143.3 (−152.2 to −134.9) | −118.7 (−126.9 to −110.6) |
Midwifery staffing | 472 (2.4) | 581 (2.8) | 578 (3.8) | 611 (3.4) | <0.001 | 108.1 (100.2 to 116.4) | 105.2 (95.9 to 114.4) | 138.7 (130.4 to 147.2) |
Homebirth resources | 0 (0) | 112 (0.2) | 0 | 0 | <0.001 | 111.7 (111.2 to 112.1) | 0 | 0 |
Transfers | 0 (0) | 34 (0.7) | 49 (1.0) | <0.01 (0.0) | <0.001 | 33.7 (32.4 to 35.1) | 49.1 (46.9 to 51.2) | 0.0036 (0.0034 to 0.0037) |
Procedures after transfer | 0 (0) | 53 (0.9) | 36 (0.7) | 43 (0.6) | <0.001 | 53.0 (51.2 to 54.8) | 36.4 (34.9 to 37.8) | 42.9 (41.8 to 44.2) |
Birth | 207 (2.5) | 77 (1.5) | 94 (2.1) | 114 (1.9) | <0.001 | −130.1 (−135.8 to −124.7) | −113.4 (−119.9 to −107.2) | −92.9 (−99.2 to −86.6) |
Procedures during labour care | 174 (1.9) | 50 (1.3) | 65 (1.7) | 84 (1.5) | <0.001 | −122.8 (−127.1 to −118.2) | −109.3 (−114.2 to −104.4) | −89.9 (−94.9 to −85.1) |
Postnatal care | 122 (0.6) | 18 (0.4) | 127 (0.9) | 102 (0.6) | <0.001 | 104.3(−105.9 to −102.5) | 5.1 (2.7 to 7.6) | −20.1 (−22.1 to −18.3) |
Higher care-mother | 22 (0.9) | 8 (0.8) | 9 (0.9) | 11.8 (0.6) | <0.001 | −13.2 (−15.5 to −10.8) | −11.9 (−14.3 to −9.8) | −9.6 (−11.8 to −7.6) |
Admission to higher care-baby | 64 (5.2) | 42 (4.3) | 50 (7.5) | 45 (6.2) | 0.037 | −21.9 (−36.6 to −9.4) | −15.0 (−32.8to −3.7) | −19.6 (−35.6 to −1.9) |
Total cost | 1631 (10.1) | 1067 (8.9) | 1435 (13.5) | 1461 (11.1) | <0.001 | −564.6 (−591.7 to −533.9) | −195.4 (129.1 to −157.4) | −169.5 (−199.7 to −137.4) |
*Estimated though analysis of variance.