{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,4]],"date-time":"2026-10-04T03:24:57Z","timestamp":1791084297201,"version":"4.1.0"},"reference-count":25,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2013,3,26]],"date-time":"2013-03-26T00:00:00Z","timestamp":1364256000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["BJOG"],"published-print":{"date-parts":[[2013,7]]},"abstract":"<jats:sec><jats:title>Objective<\/jats:title><jats:p>To assess the economic consequences of labour induction with<jats:styled-content style=\"fixed-case\">F<\/jats:styled-content>oley catheter compared to prostaglandin E<jats:sub>2<\/jats:sub>gel.<\/jats:p><\/jats:sec><jats:sec><jats:title>Design<\/jats:title><jats:p>Economic evaluation alongside a randomised controlled trial.<\/jats:p><\/jats:sec><jats:sec><jats:title>Setting<\/jats:title><jats:p>Obstetric departments of one university and 11 teaching hospitals in the<jats:styled-content style=\"fixed-case\">N<\/jats:styled-content>etherlands.<\/jats:p><\/jats:sec><jats:sec><jats:title>Population<\/jats:title><jats:p>Women scheduled for labour induction with a singleton pregnancy in cephalic presentation at term, intact membranes and an unfavourable cervix; and without previous caesarean section.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Cost\u2010effectiveness analysis from a hospital perspective.<\/jats:p><\/jats:sec><jats:sec><jats:title>Main outcome measures<\/jats:title><jats:p>We estimated direct medical costs associated with healthcare utilisation from randomisation to 6\u00a0weeks postpartum. For caesarean section rate, and maternal and neonatal morbidity we calculated the incremental cost\u2010effectiveness ratios, which represent the costs to prevent one of these adverse outcomes.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Mean costs per woman in the<jats:styled-content style=\"fixed-case\">F<\/jats:styled-content>oley catheter group (<jats:italic>n<\/jats:italic>\u00a0=\u00a0411) and in the prostaglandin E<jats:sub>2<\/jats:sub>gel group (<jats:italic>n<\/jats:italic>\u00a0=\u00a0408), were \u20ac3297 versus \u20ac3075, respectively, with an average difference of \u20ac222 (95% confidence interval \u2212\u20ac157 to \u20ac633). In the<jats:styled-content style=\"fixed-case\">F<\/jats:styled-content>oley catheter group we observed higher costs due to longer labour ward occupation and less cost related to induction material and neonatal admissions.<jats:styled-content style=\"fixed-case\">F<\/jats:styled-content>oley catheter induction showed a comparable caesarean section rate compared with prostaglandin induction, therefore the incremental cost\u2010effectiveness ratio was not informative.<jats:styled-content style=\"fixed-case\">F<\/jats:styled-content>oley induction resulted in fewer neonatal admissions (incremental cost\u2010effectiveness ratio \u20ac2708) and asphyxia\/postpartum haemorrhage (incremental cost\u2010effectiveness ratios \u20ac5257) compared with prostaglandin induction.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Foley catheter and prostaglandin E<jats:sub>2<\/jats:sub>labour induction generate comparable costs.<\/jats:p><\/jats:sec>","DOI":"10.1111\/1471-0528.12221","type":"journal-article","created":{"date-parts":[[2013,3,26]],"date-time":"2013-03-26T15:25:46Z","timestamp":1364311546000},"page":"987-995","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":29,"title":["Cost\u2010effectiveness of induction of labour at term with a<scp>F<\/scp>oley catheter compared to vaginal prostaglandin E<sub>2<\/sub>gel (<scp>PROBAAT<\/scp>trial)"],"prefix":"10.1111","volume":"120","author":[{"given":"GJ","family":"van Baaren","sequence":"first","affiliation":[{"name":"Academic Medical Centre Amsterdam the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M","family":"Jozwiak","sequence":"additional","affiliation":[{"name":"Leiden University Medical Centre Leiden the 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