General Obstetrics and Gynecology: ObstetricsEconomic implications of method of delivery
Section snippets
Materials and methods
We conducted a population-based, cohort analysis using data from the Nova Scotia Atlee Perinatal Database from 1985 to 2002 (18 years). The Nova Scotia Atlee Perinatal Database is a provincial, population-based, clinically oriented computerized database, which codes information on pregnancy outcomes. It was used to collect data on variables that included spontaneous or induced labor, maternal length of stay in labor and delivery, epidural use, method of delivery, and maternal and neonatal
Results
A total of 27,613 pregnancies satisfied inclusion and exclusion criteria, 5233 of which were induced labors. There were no maternal deaths, transfers for intensive care, or maternal re-admissions. The number of blood transfusions in all groups was low (<1%) and was not considered in the assessment of costs. Table I summarizes maternal and neonatal characteristics for women undergoing induction of labor, women having spontaneous onset of labor, and women undergoing cesarean delivery without
Comment
This study considered the costs of health service resources by using a population-based database for deliveries to nulliparous women undergoing induction of labor, entering labor spontaneously, and having no labor, as well as the costs for nulliparous women by method of delivery, including delivery by cesarean in labor, cesarean without labor, and assisted vaginal and spontaneous vaginal delivery. When type of labor was considered, deliveries to women in the group undergoing induction of labor
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Supported by a Clinical Scholar award from the Dalhousie University Faculty of Medicine (S.A.F.).