Document Detail


Expectant management of placenta previa: cost-benefit analysis of outpatient treatment.
MedLine Citation:
PMID:  8178847     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: In this study outpatient and inpatient expectant management for complete placenta previa were compared in terms of maternal and neonatal outcome and overall cost. STUDY DESIGN: We reviewed the outcomes and hospital costs of 72 mother-infant pairs where the pregnancy was complicated by second- or third-trimester placenta previa and was managed expectantly either with hospitalization or outpatient bed rest. The data were analyzed with the two-sided unpaired t test, chi 2, and simple correlation analysis. RESULTS: There were no differences in maternal morbidity as measured by estimated total blood loss, number of blood transfusions, nadir hematocrit, or need for emergency delivery. Fetal mortality was comparable in both groups, and there were no significant differences in neonatal morbidity as measured by gestational age, birth weight, 5-minute Apgar score, or occurrence of fetal distress. Among outpatients the number of maternal hospital days was reduced by 50% (p < 0.01). Outpatient management achieved a hospital cost reduction of 48.5% for mothers (p < 0.001) and 39.4% for mother-infant pairs (p < 0.05). CONCLUSION: In selected patients outpatient management of complete placenta previa can be cost-effective and safe.
Authors:
S Droste; K Keil
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Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  American journal of obstetrics and gynecology     Volume:  170     ISSN:  0002-9378     ISO Abbreviation:  Am. J. Obstet. Gynecol.     Publication Date:  1994 May 
Date Detail:
Created Date:  1994-06-09     Completed Date:  1994-06-09     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  0370476     Medline TA:  Am J Obstet Gynecol     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  1254-7     Citation Subset:  AIM; IM    
Affiliation:
Department of Obstetrics and Gynecology, University of Wisconsin-Madison.
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MeSH Terms
Descriptor/Qualifier:
Adult
Ambulatory Care / economics*
Cost-Benefit Analysis*
Female
Hospital Costs
Hospitalization / economics
Humans
Infant, Newborn
Placenta Previa / complications,  economics,  therapy*
Pregnancy
Pregnancy Outcome
Pregnancy Trimester, Second
Pregnancy Trimester, Third
Retrospective Studies

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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