The cost-effectiveness of universal late-pregnancy screening for macrosomia in nulliparous women: a decision analysis.

ABSTRACT:

Objective

To identify the most cost-effective policy for detection and management of fetal macrosomia in late-stage pregnancy.

Design

Health economic simulation model.

Setting

All English NHS antenatal services.

Population

Nulliparous women in the third trimester treated within the UK NHS.

Methods

A health economic simulation model was used to compare long-term maternal-fetal health and cost outcomes for two detection strategies (universal ultrasound scanning at approximately 36 weeks of gestation versus selective ultrasound scanning), combined with three management strategies (planned caesarean section versus induction of labour versus expectant management) of suspected fetal macrosomia. Probabilities, costs and health outcomes were taken from literatur

SUBMITTER: Wastlund D 

PROVIDER: S-EPMC6771727 | biostudies-literature | 2019 Sep

REPOSITORIES: biostudies-literature