An economic evaluation alongside a randomised controlled trial on psycho-education counselling intervention offered by midwives to address women's fear of childbirth in Australia

Erika Turkstra, Gabor Mihala, Paul A. Scuffham, Debra K. Creedy, Jenny Gamble, Jocelyn Toohill, Jennifer Fenwick

Research output: Contribution to journalArticlepeer-review

14 Citations (Scopus)

Abstract

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.

Original languageEnglish
Pages (from-to)1-6
Number of pages6
JournalSexual and Reproductive Healthcare
Volume11
Early online date29 Aug 2016
DOIs
Publication statusPublished - 1 Mar 2017
Externally publishedYes

Funder

This study was funded by the National Health and Medical Research Council (Grant number: APP1025099 ).

Keywords

  • Childbirth fear
  • Health services use
  • Health-related quality of life
  • Healthcare cost
  • Postpartum
  • Psycho-education

ASJC Scopus subject areas

  • Obstetrics and Gynaecology
  • Maternity and Midwifery

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