dc.contributor.author | Turkstra, Erika | |
dc.contributor.author | Mihala, Gabor | |
dc.contributor.author | Scuffham, Paul A | |
dc.contributor.author | Creedy, Debra K | |
dc.contributor.author | Gamble, Jenny | |
dc.contributor.author | Toohill, Jocelyn | |
dc.contributor.author | Fenwick, Jennifer | |
dc.date.accessioned | 2017-06-20T03:06:06Z | |
dc.date.available | 2017-06-20T03:06:06Z | |
dc.date.issued | 2017 | |
dc.identifier.issn | 1877-5756 | |
dc.identifier.doi | 10.1016/j.srhc.2016.08.003 | |
dc.identifier.uri | http://hdl.handle.net/10072/340422 | |
dc.description.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 psychoeducation
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 psychoeducation
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. | |
dc.description.peerreviewed | Yes | |
dc.language | English | |
dc.language.iso | eng | |
dc.publisher | Elsevier | |
dc.relation.ispartofpagefrom | 1 | |
dc.relation.ispartofpageto | 6 | |
dc.relation.ispartofjournal | Sexual & Reproductive Healthcare | |
dc.relation.ispartofvolume | 11 | |
dc.subject.fieldofresearch | Reproductive medicine not elsewhere classified | |
dc.subject.fieldofresearch | Reproductive medicine | |
dc.subject.fieldofresearch | Midwifery | |
dc.subject.fieldofresearchcode | 321599 | |
dc.subject.fieldofresearchcode | 3215 | |
dc.subject.fieldofresearchcode | 4204 | |
dc.title | 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 | |
dc.type | Journal article | |
dc.type.description | C1 - Articles | |
dc.type.code | C - Journal Articles | |
gro.faculty | Griffith Health, School of Medicine | |
gro.hasfulltext | No Full Text | |
gro.griffith.author | Gamble, Jenny A. | |
gro.griffith.author | Creedy, Debra K. | |
gro.griffith.author | Scuffham, Paul A. | |