Does elective caesarean section increase utilization of postpartum maternal medical care?

Tsai Ching Liu, Chin Shyan Chen, Herng Ching Lin

Research output: Contribution to journalArticle

18 Citations (Scopus)

Abstract

BACKGROUND:: There have been no studies that quantitatively assess postpartum maternal medical care utilization for elective caesarean section (CS) versus vaginal delivery procedures. METHODS:: This study used population-based data linked with birth file data to explore the association between delivery modes (elective CS vs. vaginal delivery) and the utilization of postpartum maternal medical care (outpatient visits and inpatient care) during the 6-month postdelivery period. The analysis was restricted to term deliveries to avoid biased estimation. RESULTS:: The average number of postpartum outpatient visits for elective CS (3.14) was slightly higher than the average number of visits for vaginal deliveries (2.87). Similarly, the total amount of postpartum maternal medical expenditures involved was slightly higher for elective CS than for vaginal deliveries [NT$2811 (US$73.6) vs. NT$2570 (US$71.4)]. The likelihood of postpartum outpatient visits taking place within the 6-month postdelivery period was also slightly higher for elective CS than for vaginal deliveries (77% vs. 70%). The regression results showed that elective CS was associated with significantly higher utilization of maternal medical care compared with vaginal deliveries. CONCLUSIONS:: Although the difference between elective CS and vaginal deliveries in terms of postpartum medical care utilization is statistically significant, the small magnitude of the difference in cost (NT$72; US$2.2) suggests that it may not be clinically significant, and may only be marginally important from a policy perspective.

Original languageEnglish
Pages (from-to)440-443
Number of pages4
JournalMedical Care
Volume46
Issue number4
DOIs
Publication statusPublished - Apr 2008

Fingerprint

Cesarean Section
Postpartum Period
medical care
utilization
Mothers
Outpatients
expenditures
Postnatal Care
Information Storage and Retrieval
regression
Ambulatory Care
Health Expenditures
costs
Inpatients
Parturition
Costs and Cost Analysis
Population

Keywords

  • Elective cesarean section
  • Postpartum maternal medical care utilization

ASJC Scopus subject areas

  • Nursing(all)
  • Public Health, Environmental and Occupational Health
  • Health(social science)
  • Health Professions(all)

Cite this

Does elective caesarean section increase utilization of postpartum maternal medical care? / Liu, Tsai Ching; Chen, Chin Shyan; Lin, Herng Ching.

In: Medical Care, Vol. 46, No. 4, 04.2008, p. 440-443.

Research output: Contribution to journalArticle

Liu, Tsai Ching ; Chen, Chin Shyan ; Lin, Herng Ching. / Does elective caesarean section increase utilization of postpartum maternal medical care?. In: Medical Care. 2008 ; Vol. 46, No. 4. pp. 440-443.
@article{7d7add196c614038b943419326a1fda2,
title = "Does elective caesarean section increase utilization of postpartum maternal medical care?",
abstract = "BACKGROUND:: There have been no studies that quantitatively assess postpartum maternal medical care utilization for elective caesarean section (CS) versus vaginal delivery procedures. METHODS:: This study used population-based data linked with birth file data to explore the association between delivery modes (elective CS vs. vaginal delivery) and the utilization of postpartum maternal medical care (outpatient visits and inpatient care) during the 6-month postdelivery period. The analysis was restricted to term deliveries to avoid biased estimation. RESULTS:: The average number of postpartum outpatient visits for elective CS (3.14) was slightly higher than the average number of visits for vaginal deliveries (2.87). Similarly, the total amount of postpartum maternal medical expenditures involved was slightly higher for elective CS than for vaginal deliveries [NT$2811 (US$73.6) vs. NT$2570 (US$71.4)]. The likelihood of postpartum outpatient visits taking place within the 6-month postdelivery period was also slightly higher for elective CS than for vaginal deliveries (77{\%} vs. 70{\%}). The regression results showed that elective CS was associated with significantly higher utilization of maternal medical care compared with vaginal deliveries. CONCLUSIONS:: Although the difference between elective CS and vaginal deliveries in terms of postpartum medical care utilization is statistically significant, the small magnitude of the difference in cost (NT$72; US$2.2) suggests that it may not be clinically significant, and may only be marginally important from a policy perspective.",
keywords = "Elective cesarean section, Postpartum maternal medical care utilization",
author = "Liu, {Tsai Ching} and Chen, {Chin Shyan} and Lin, {Herng Ching}",
year = "2008",
month = "4",
doi = "10.1097/MLR.0b013e31816493e9",
language = "English",
volume = "46",
pages = "440--443",
journal = "Medical Care",
issn = "0025-7079",
publisher = "Lippincott Williams and Wilkins",
number = "4",

}

TY - JOUR

T1 - Does elective caesarean section increase utilization of postpartum maternal medical care?

AU - Liu, Tsai Ching

AU - Chen, Chin Shyan

AU - Lin, Herng Ching

PY - 2008/4

Y1 - 2008/4

N2 - BACKGROUND:: There have been no studies that quantitatively assess postpartum maternal medical care utilization for elective caesarean section (CS) versus vaginal delivery procedures. METHODS:: This study used population-based data linked with birth file data to explore the association between delivery modes (elective CS vs. vaginal delivery) and the utilization of postpartum maternal medical care (outpatient visits and inpatient care) during the 6-month postdelivery period. The analysis was restricted to term deliveries to avoid biased estimation. RESULTS:: The average number of postpartum outpatient visits for elective CS (3.14) was slightly higher than the average number of visits for vaginal deliveries (2.87). Similarly, the total amount of postpartum maternal medical expenditures involved was slightly higher for elective CS than for vaginal deliveries [NT$2811 (US$73.6) vs. NT$2570 (US$71.4)]. The likelihood of postpartum outpatient visits taking place within the 6-month postdelivery period was also slightly higher for elective CS than for vaginal deliveries (77% vs. 70%). The regression results showed that elective CS was associated with significantly higher utilization of maternal medical care compared with vaginal deliveries. CONCLUSIONS:: Although the difference between elective CS and vaginal deliveries in terms of postpartum medical care utilization is statistically significant, the small magnitude of the difference in cost (NT$72; US$2.2) suggests that it may not be clinically significant, and may only be marginally important from a policy perspective.

AB - BACKGROUND:: There have been no studies that quantitatively assess postpartum maternal medical care utilization for elective caesarean section (CS) versus vaginal delivery procedures. METHODS:: This study used population-based data linked with birth file data to explore the association between delivery modes (elective CS vs. vaginal delivery) and the utilization of postpartum maternal medical care (outpatient visits and inpatient care) during the 6-month postdelivery period. The analysis was restricted to term deliveries to avoid biased estimation. RESULTS:: The average number of postpartum outpatient visits for elective CS (3.14) was slightly higher than the average number of visits for vaginal deliveries (2.87). Similarly, the total amount of postpartum maternal medical expenditures involved was slightly higher for elective CS than for vaginal deliveries [NT$2811 (US$73.6) vs. NT$2570 (US$71.4)]. The likelihood of postpartum outpatient visits taking place within the 6-month postdelivery period was also slightly higher for elective CS than for vaginal deliveries (77% vs. 70%). The regression results showed that elective CS was associated with significantly higher utilization of maternal medical care compared with vaginal deliveries. CONCLUSIONS:: Although the difference between elective CS and vaginal deliveries in terms of postpartum medical care utilization is statistically significant, the small magnitude of the difference in cost (NT$72; US$2.2) suggests that it may not be clinically significant, and may only be marginally important from a policy perspective.

KW - Elective cesarean section

KW - Postpartum maternal medical care utilization

UR - http://www.scopus.com/inward/record.url?scp=41149133759&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=41149133759&partnerID=8YFLogxK

U2 - 10.1097/MLR.0b013e31816493e9

DO - 10.1097/MLR.0b013e31816493e9

M3 - Article

C2 - 18362825

AN - SCOPUS:41149133759

VL - 46

SP - 440

EP - 443

JO - Medical Care

JF - Medical Care

SN - 0025-7079

IS - 4

ER -