Table 7. Disutility estimates by mode of delivery or outcome.
Disutility | Disutility Days | ||||
---|---|---|---|---|---|
| |||||
Mode of Delivery/Outcome | Baseline | Range | Baseline | Range | Reference |
Maternal | 0 | 0-0.5 | All | All | Assumed |
ERCD/indicated repeat | 0.45 | 0.25-0.65 | 21 | 14-180 | 4 |
Uterine rupture | 0.49 | 0.29-0.69 | 21 | 14-180 | 4 |
Failed TOLAC* | 0.47 | 0.27-0.67 | 21 | 14-180 | 4 |
Successful TOLAC | 0.35 | 0.15-0.55 | 7 | 2-42 | 4 |
Hysterectomy† | 0.49 | 0.29-0.69 | 21 | 14-180 | 4, 32 |
Urinary stress incontinence | 0.19 | 0-0.29 | All | All | 33 |
Cerebral palsy | 0.44 | 0.26-0.61 | All | All | 34 |
HIE | 0.75 | 0.35-0.95 | 42 | 14-180 | Assumed |
Infant | 0 | 0-0.75 | All | All | Assumed |
ERCD, elective repeat cesarean delivery; TOLAC, trial of labor after a previous cesarean; n/a; not applicable;
HIE, hypoxic ischemic encephalopathy
Extrapolated from Chung et al., midway between ERCD and rupture.4
Blend of Harris et al. and Chung et al. at 55% and 45% respectively to represent the proportion of women with a hysterectomy that would and would not have desired another pregnancy.4, 32 For Chung et al. assumed the disutility and disutility days in the Table and from Harris et al. disutilities of 0.31 (0.14-0.48) until age 50. Results in a disutility and range for first two years of 0.35 (0.15-0.55) and subsequently 0.17 (0.08-0.26) until age 50.