Apologies for cross posting
The question of cost of modes of delivery was partially addressed in the
Health Select Committee 2003. Fourth Report Provision of Maternity
Services. House of Commons, London as follows:
13.The issue of women's choice in undergoing caesarean section when
there is no clinical need is a fraught one. The NHS does not generally
provide other major operations for patients when there is no clinical
need, nor does the NHS tend to offer choices of treatment to patients
when one costs on average £760 more per patient than the alternative,
since it is obliged to make the best use of NHS resources. It remains to
be seen whether the National Institute for Clinical Excellence will
allow choice for caesareans when in other areas of the NHS patients do
not have comparable freedom. We would like to see a distinct shift in
emphasis to ensure that elective caesareans as a 'lifestyle choice' are
not supported by the NHS and that caesarean section should be a
procedure undertaken only when medically or psychologically necessary
and after appropriate support and counselling.
Also interesting re the concept of choice
Regards
Declan
Declan Devane,
Doctoral Student / Midwifery Research Assistant,
School of Nursing and Midwifery Studies,
University of Dublin Trinity College,
Trinity Centre for Health Sciences Education,
St. James's Hospital,
Dublin 8.
Tel: 087 659 6923
Email: [log in to unmask]
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-----Original Message-----
From: seanatalbot [mailto:[log in to unmask]]
Sent: 21 July 2003 13:36
To: [log in to unmask]
Subject: [birthcentres] Re: A question of finance
> Can anyone give me any references on papers which have looked at
the savings of reducing the C/S rate, cost of midwifery led care v
obstetric care per birth etc.
> Sue Dennett
Sue,
On the National Perinatal Epidemiology Unit website you'll find their
2001 report (click on the picture of the baby!). On page 34 there's a
summary of a study carried out by Petrou & Glazener 2002 into costs
associated with mode of delivery. Page 35 has a table entitled 'mean
health service costs per woman by mode of delivery'. The bottom line
is: spontaneous vaginal delivery = £1698, instrumental vaginal
delivery =£2263, caesarean section =£3200. It includes separate
figures for 'hospitalisation' and 'post-discharge health care'. Does
this help? The website address is www.npeu.ox.ac.uk
Seána
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