Care pathways for reduced fetal movements: A cost-consequence analysis

This study aimed to evaluate the costs and consequences of a new midwife-navigator-facilitated care pathway for reduced fetal movements. This study was conducted at a tertiary obstetric centre in Queensland, Australia and modelling occurred for this and smaller services. Two months of data from pre...

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Bibliographic Details
Published in:Australian & New Zealand journal of obstetrics & gynaecology 2024-09
Main Authors: Mcknoulty, Matthew J, Martin, Elizabeth K
Format: Article
Language:English
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Summary:This study aimed to evaluate the costs and consequences of a new midwife-navigator-facilitated care pathway for reduced fetal movements. This study was conducted at a tertiary obstetric centre in Queensland, Australia and modelling occurred for this and smaller services. Two months of data from pre (n = 112 in 2019) and post (n = 141 in 2020) implementation of the care pathway were analysed with T-tests and logistic regression models to evaluate maternal and neonatal outcomes. A Markov model was built to estimate the costs and consequences of the intervention. Sensitivity analysis was conducted to test various scenarios including modelling for smaller centres. There were no statistically significant differences in clinical outcome between the intervention and usual care groups. Intervention patients spent one hour and eight minutes less time in hospital (P 
ISSN:0004-8666
1479-828X
1479-828X
DOI:10.1111/ajo.13883