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https://ciane.net/id=1694

Created on : 01 Feb 2006
Modified on : 01 Dec 2007

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Bibliographical entry (without author) :

Is VBAC less expensive than repeat CS?. AJOG, 182, p.599

Author(s) :

Clark

Year of publication :

2000

URL(s) :

Résumé (français)  :

Abstract (English)  :

Compared total medical costs of VBAC with those of ERCS with both short and long term neonatal costs assoc. with such procedures taken into account. Assumed a 70% successful VBAC rate and delivery in a tertiary center with a mean UR to delivery time of 13 minutes, the net cost differential ranged from a saving of $149 to a loss ot $217, depending on morbidity assumptions. For VBAC success <70%, TOL with 2 prev. CS, and institutional factors increasing the perinatal morbidity rate by just 4%, TOL resulted in a net financial loss to the health care system regardless of all other assumptions made. Conclusion: when costs as opposed to charges are considered and the cost of long-term care for neurologically injured infants is taken into account, TOL is unlikely to be assoc. with a significant cost saving for the health care system. Factors other than cost must govern decisions regarding TOL or ERCS.

Sumário (português)  :

Resumen (español)  :

Comments :

Fiche importée de http://www.worldserver.com/turk/birthing/rrvbac2000-4.html avec l’aide de Ken Turkowski, septembre 2005

Argument (français) :

Argument (English):

Argumento (português):

Argumento (español):

Keywords :

➡ vaginal birth after caesarean ; c-section/caesarean

Author of this record :

Ken Turkowski — 01 Feb 2006