Cost effectiveness of ambulatory uterine activity monitoring.
Publication/Presentation Date
2-1-1989
Abstract
A cost analysis is presented comparing 34 patients who received uterine activity monitoring versus 33 patients who attempted to detect uterine activity by palpation. All patients were at high risk for preterm delivery and were given the same educational information and prenatal care regarding signs and symptoms of preterm labor. The results revealed an increase in newborn days (640) and cost to those patients who were in the self-palpation group ($13,364) compared to monitored parturients (268 days and $8,633). The difference was attributed to neonatal morbidity from an increased number of preterm deliveries greater than 26 weeks but less than 37 weeks (P = 0.04). The increase in NICU days was significant (P = 0.03). No difference in normal newborn costs for infants delivered after greater than 33 weeks could be detected between the two groups, but morbidity was increased among control infants delivering between 34 and 36 weeks. Uterine activity monitoring to prevent preterm birth appears to be medically effective and reduces cost.
Volume
28
Issue
2
First Page
127
Last Page
132
ISSN
0020-7292
Published In/Presented At
Morrison, J. C., Martin, J. N., Jr, Martin, R. W., Hess, L. W., Gookin, K. S., & Wiser, W. L. (1989). Cost effectiveness of ambulatory uterine activity monitoring. International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics, 28(2), 127–132. https://doi.org/10.1016/0020-7292(89)90471-2
Disciplines
Medicine and Health Sciences
PubMedID
2563698
Department(s)
Department of Obstetrics and Gynecology
Document Type
Article