期刊
SEXUAL & REPRODUCTIVE HEALTHCARE
卷 11, 期 -, 页码 1-6出版社
ELSEVIER IRELAND LTD
DOI: 10.1016/j.srhc.2016.08.003
关键词
Childbirth fear; Health-related quality of life; Health services use; Psycho-education; Healthcare cost; Postpartum
资金
- National Health and Medical Research Council [APP1025099]
Objective: The rate of caesarean section continues to increase, and there is evidence that childbirth fear is a contributing factor. Insufficient evidence is available on the impact of reducing childbirth fear on health-related quality of life and health service use. We undertook an economic evaluation of a psycho education counselling intervention offered by midwives to address women's fear of childbirth in Australia. Methods: Pregnant women (n = 339) with high childbirth fear were randomised to a midwife-led psycho education intervention for childbirth fear or to usual care. This paper presents the economic evaluation of the intervention based on health-related quality of life and health service use from recruitment to six weeks postpartum (n = 184). Results: The changes in health-related quality of life after birth (EQ-5D-3L: 0.016 vs. 0.010, p = 0.833, for usual care and intervention) and total health care use cost (AUS$10,110 vs. AUS$9980, p = 0.819) were similar between groups. The intervention did not increase costs; however, in a post hoc analysis, the interventions might be cost-effective for those women with very high childbirth fear. Conclusion: This brief psycho-education intervention by midwives did not improve the health-related quality of life of women, and had no impact on overall cost. (C) 2016 Elsevier B.V. All rights reserved.
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