Skip to main content
. Author manuscript; available in PMC: 2014 Sep 1.
Published in final edited form as: Value Health. 2013 Sep-Oct;16(6):953–964. doi: 10.1016/j.jval.2013.06.014

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.