The cost of vaginal birth at home, in a birth centre or in a hospital setting in New South Wales: A micro-costing study.

Birthing Centers / statistics & numerical data Data Collection Female Home Childbirth / statistics & numerical data Hospitals / statistics & numerical data Humans Midwifery / statistics & numerical data New South Wales Parturition Pregnancy
Birth centre Homebirth Micro-costing Vaginal birth

Journal

Women and birth : journal of the Australian College of Midwives
ISSN: 1878-1799
Titre abrégé: Women Birth
Pays: Netherlands
ID NLM: 101266131

Informations de publication

Date de publication:
May 2020
Historique:
received: 28 03 2019
revised: 04 06 2019
accepted: 04 06 2019
pubmed: 23 6 2019
medline: 9 9 2020
entrez: 23 6 2019
Statut: ppublish

Résumé

Women want greater choice of place of birth in New South Wales, Australia. It is perceived to be more costly to health services for women with a healthy pregnancy to give birth at home or in a birth centre. It is not known how much it costs the health service to provide care for women planning to give birth in these settings. The aim of this study was to determine the direct cost of giving birth vaginally at home, in a birth centre or in a hospital for women at low risk of complications, in New South Wales. A micro-costing design was used. Observational (time and motion) and resource use data collection was undertaken to identify the staff time and resources required to provide care in a public hospital, birth centre or at home for women with a healthy pregnancy. The median cost of providing care for women who plan to give birth at home, in a birth centre and in a hospital were similar (AUD $2150.07, $2100.59 and $2097.30 respectively). Midwifery time was the largest contributor to the cost of birth at home, and overhead costs accounted for over half of the total cost of BC and hospital birth. The cost of consumables was low in all three settings. In this study, we have found there is little difference in the cost to the health service when a woman has an uncomplicated vaginal birth at home, in a birth centre or in a hospital setting.

Sections du résumé

BACKGROUND BACKGROUND
Women want greater choice of place of birth in New South Wales, Australia. It is perceived to be more costly to health services for women with a healthy pregnancy to give birth at home or in a birth centre. It is not known how much it costs the health service to provide care for women planning to give birth in these settings.
AIM OBJECTIVE
The aim of this study was to determine the direct cost of giving birth vaginally at home, in a birth centre or in a hospital for women at low risk of complications, in New South Wales.
METHODS METHODS
A micro-costing design was used. Observational (time and motion) and resource use data collection was undertaken to identify the staff time and resources required to provide care in a public hospital, birth centre or at home for women with a healthy pregnancy.
FINDINGS RESULTS
The median cost of providing care for women who plan to give birth at home, in a birth centre and in a hospital were similar (AUD $2150.07, $2100.59 and $2097.30 respectively). Midwifery time was the largest contributor to the cost of birth at home, and overhead costs accounted for over half of the total cost of BC and hospital birth. The cost of consumables was low in all three settings.
CONCLUSION CONCLUSIONS
In this study, we have found there is little difference in the cost to the health service when a woman has an uncomplicated vaginal birth at home, in a birth centre or in a hospital setting.

Identifiants

DOI: 10.1016/j.wombi.2019.06.003 PMID: 31227444
pubmed: 31227444
pii: S1871-5192(19)30214-8
doi: 10.1016/j.wombi.2019.06.003
pii:
doi:

Types de publication

Comparative Study Journal Article

Langues

eng

Pagination

286-293

Informations de copyright

Copyright © 2019 Australian College of Midwives. Published by Elsevier Ltd. All rights reserved.

Auteurs

Vanessa L Scarf (VL)

Centre for Midwifery, Child and Family Health, Faculty of Health, University of Technology Sydney, PO Box 123, Broadway NSW 2007, Australia. Electronic address: vanessa.scarf@uts.edu.au.

Serena Yu (S)

Centre for Health Economics Research and Evaluation, University of Technology Sydney, Australia. Electronic address: Serena.yu@chere.uts.edu.au.

Rosalie Viney (R)

Centre for Health Economics Research and Evaluation, University of Technology Sydney, Australia. Electronic address: Rosalie.viney@chere.uts.edu.au.

Laura Lavis (L)

Centre for Midwifery, Child and Family Health, Faculty of Health, University of Technology Sydney, PO Box 123, Broadway NSW 2007, Australia. Electronic address: Laura.Lavis@uon.edu.au.

Hannah Dahlen (H)

School of Nursing and Midwifery, Western Sydney University, Sydney, Australia. Electronic address: H.Dahlen@westernsydney.edu.au.

Maralyn Foureur (M)

Centre for Midwifery, Child and Family Health, Faculty of Health, University of Technology Sydney, PO Box 123, Broadway NSW 2007, Australia; School of Nursing and Midwifery, Faculty of Health and Medicine, University of Newcastle, Australia. Electronic address: Maralyn.foureur@newcastle.edu.au.

Caroline Homer (C)

Centre for Midwifery, Child and Family Health, Faculty of Health, University of Technology Sydney, PO Box 123, Broadway NSW 2007, Australia; Burnet Institute, Melbourne, Australia. Electronic address: Caroline.homer@burnet.edu.au.

Articles similaires

[Redispensing of expensive oral anticancer medicines: a practical application].

Lisanne N van Merendonk, Kübra Akgöl, Bastiaan Nuijen
1.00
Humans Antineoplastic Agents Administration, Oral Drug Costs Counterfeit Drugs

Smoking Cessation and Incident Cardiovascular Disease.

Jun Hwan Cho, Seung Yong Shin, Hoseob Kim et al.
1.00
Humans Male Smoking Cessation Cardiovascular Diseases Female

Evaluation of Low-Value Services Across Major Medicare Advantage Insurers and Traditional Medicare.

Ciara Duggan, Adam L Beckman, Ishani Ganguli et al.
1.00
Humans United States Aged Cross-Sectional Studies Medicare Part C

Effectiveness of Virtual Yoga for Chronic Low Back Pain: A Randomized Clinical Trial.

Hallie Tankha, Devyn Gaskins, Amanda Shallcross et al.
1.00
Humans Yoga Low Back Pain Female Male

Classifications MeSH

questionsmedicales.fr › Établissements, main d'oeuvre et services de soins de santé › Établissements de santé › Centres de naissance › The cost of vaginal birth at home, in a birth...
questionsmedicales.fr › Environnement et santé publique › Santé publique › Méthodes épidémiologiques › Collecte de données › The cost of vaginal birth at home, in a birth...
questionsmedicales.fr › Phénomènes physiologiques des appareils urinaire et reproducteur › Phénomènes physiologiques de la reproduction › Reproduction › Grossesse › Parturition › Environnement de la naissance › Accouchement à domicile › The cost of vaginal birth at home, in a birth...
questionsmedicales.fr › Établissements, main d'oeuvre et services de soins de santé › Établissements de santé › Hôpitaux › The cost of vaginal birth at home, in a birth...
questionsmedicales.fr › Eucaryotes › Animaux › Chordés › Vertébrés › Mammifères › Eutheria › Primates › Haplorhini › Catarrhini › Hominidae › Humains › The cost of vaginal birth at home, in a birth...
questionsmedicales.fr › Professions de santé › Spécialités en soins infirmiers › Profession de sage-femme › The cost of vaginal birth at home, in a birth...
questionsmedicales.fr › Régions géographiques › Océanie › Australasie › Australie › Nouvelle-Galles du Sud › The cost of vaginal birth at home, in a birth...
questionsmedicales.fr › Phénomènes physiologiques des appareils urinaire et reproducteur › Phénomènes physiologiques de la reproduction › Reproduction › Grossesse › Parturition › The cost of vaginal birth at home, in a birth...
questionsmedicales.fr › Phénomènes physiologiques des appareils urinaire et reproducteur › Phénomènes physiologiques de la reproduction › Reproduction › Grossesse › The cost of vaginal birth at home, in a birth...