Table 6. Cost estimates by mode of delivery.
Outcomes | Uterine Rupture | Failed TOLAC | Successful TOLAC | ERCD/Indicated Repeat* | ||||
---|---|---|---|---|---|---|---|---|
| ||||||||
Baseline | Range | Baseline | Range | Baseline | Range | Baseline | Range | |
| ||||||||
Maternal | ||||||||
Death | 27.9 | 0-1,000.0 | 27.9 | 0-1,000.0 | 24.1 | 0-1,000.0 | 27.41 | 0-1,000.0 |
Thromboembolism | 19.1 | 9.6-76.5 | 18.4 | 9.2-73.5 | 13.3 | 6.7-53.3 | 16.61 | 8.3-66.4 |
Hysterectomy | 20.4 | 10.2-81.5 | 19.6 | 9.8-78.6 | 14.6 | 7.3-58.4 | 17.9 | 8.9-71.5 |
Operative injury | 16.4 | 8.2-65.6 | 15.7 | 7.8-62.6 | 10.6 | 5.3-42.5 | 13.9 | 6.9-55.6 |
Wound complication | 18.1 | 9.0-72.3 | 17.3 | 8.7-69.4 | 12.3 | 6.2-49.2 | 15.6 | 7.8-62.3 |
Endometritis | 18.2 | 9.1-73.0 | 17.5 | 8.8-70.0 | 12.5 | 6.2-49.9 | 15.7 | 7.9-63.0 |
Well (no adverse outcome) | 13.9 | 6.9-20.8 | 13.1 | 6.6-19.7 | 8.1 | 4.0-12.1 | 11.4 | 5.7-17.0 |
Infant | ||||||||
Death | 52.2 | 0-1,000.0 | 52.2 | 0-1,000.0 | 52.2 | 0-1,000.0 | 52.2 | 0-1,000.0 |
CP, acute care at birth | 82.4 | 41.2-329.7 | 82.4 | 41.2-329.7 | 82.4 | 41.2-329.7 | n/a | n/a |
CP, ongoing care per yr | 23.8 | 11.9-95.1 | 23.8 | 11.9-95.1 | 23.8 | 11.9-95.1 | n/a | n/a |
HIE | 40.9 | 20.4-163.5 | 40.9 | 20.4-163.5 | 40.9 | 20.4-163.5 | 40.9 | 20.4-163.5 |
Sepsis | 8.6 | 4.3-34.2 | 8.6 | 4.3-34.2 | 8.6 | 4.3-34.2 | 8.6 | 4.3-34.2 |
RDS | 25.9 | 12.9-103.5 | 25.5 | 12.7-101.9 | 25.5 | 12.7-101.9 | 25.5 | 12.7-101.9 |
TTN | 9.1 | 4.5-36.3 | 8.7 | 4.3-34.6 | 8.7 | 4.3-34.6 | 8.7 | 4.3-34.6 |
Acidemia | 7.7 | 3.9-30.9 | 7.3 | 3.7-29.3 | 7.3 | 3.7-29.3 | 7.3 | 3.7-29.3 |
Well (no adverse outcome) | 0.9 | 0.5-1.4 | 0.9 | 0.4-1.3 | 0.9 | 0.4-1.3 | 0.9 | 0.5-1.3 |
Currency in dollars ($thousands); ERCD, elective repeat cesarean delivery; TOLAC, trial of labor after a previous cesarean;
CP, cerebral palsy; HIE, hypoxic ischemic encephalopathy; RDS, respiratory distress syndrome; TTN, transient tachypnea of the newborn
For maternal outcomes placenta previa and accreta in the indicated repeat groups, $5064 and $8561 in additional costs applied, respectively