Table 2.
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 | 545 (3.1) | 81 (1.8) | 420 (3.2) | 442 (2.8) | <0.001 | −463.2 (−473.6 to −453.8) | −125.2 (−138.8 to −111.5) | −103.2 (−115.7 to −90.2) |
Midwifery staffing | 452 (2.6) | 574 (2.9) | 573 (3.9) | 603 (3.5) | <0.001 | 121.9.0 (109.8 to 133.3) | −120.9 (107.7 to 137.6) | 151.1 (136.9 to 165.2) |
Homebirth resources | 0 (0) | 112 (0.2) | 0 (0) | 0 (0) | <0.001 | 111.7 (111.2 to 112.1) | 0.0 (0.0 to 0.0) | 0.0 (0.0 to 0.0) |
Transfers | 0 (0) | 32 (0.7) | 46 (1.0) | <0.01 (0.0) | <0.001 | 31.6 (29.1 to 33.8) | 46.2 (42.2 to 49.2) | 0.0036 (0.0034 to 0.0037) |
Procedures after transfer | 0 (0) | 49 (0.9) | 34 (0.7) | 40 (0.6) | <0.001 | 49.4 (47.6 to 51.2) | 33.9 (32.5 to 35.4) | 40.2 (38.9 to 41.5) |
Birth | 175 (2.5) | 71 (1.5) | 89 (2.1) | 108 (1.9) | <0.001 | −104.4 (−113.3 to −95.8) | −86.2 (−95.9 to −76.2) | −67.4 (−76.1 to −56.1) |
Procedures during labour care | 152 (2.0) | 46 (1.2) | 62 (1.7) | 80 (1.5) | <0.001 | −105.3 (−112.7 to −96.1) | −90.1 (−98.2 to −82.4) | −71.8 (−78.9 to −63.3) |
Postnatal care | 114 (0.7) | 16 (0.4) | 126 (0.9) | 100 (0.6) | <0.001 | −98.8 (−101.3 to −96.1) | 11.5 (7.63 to 14.9) | −14.23 (−17.7 to −11.7) |
Admission to higher care-mother | 19 (0.9) | 7 (0.8) | 9 (0.9) | 11 (0.6) | <0.001 | −11.3 (−15.3 to −7.6) | −9.6 (−15.4 to −5.1) | −7.6 (−10.8 to −4.5) |
Admission to higher care-baby | 54 (5.8) | 38 (4.3) | 47 (7.8) | 43 (6.4) | 0.037 | −16.9 (−39.5 to 5.5) | −7.02 (−38.9 to −35.1) | −11.7 (−27.1 to 20.3) |
Total cost | 152 (10.1) | 1027 (8.8) | 1405 (13.7) | 1426 (11.3) | <0.001 | −483.8 (−537.5 to −435.6) | −105.1 (−165.4 to −45.6) | −84.0 (−114.4 to −55.2) |
*Estimated though analysis of variance.