{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,4]],"date-time":"2026-10-04T03:24:37Z","timestamp":1791084277612,"version":"4.1.0"},"reference-count":16,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2015,7,14]],"date-time":"2015-07-14T00:00:00Z","timestamp":1436832000000},"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":["Aust NZ J Obst Gynaeco"],"published-print":{"date-parts":[[2015,10]]},"abstract":"Objective<\/jats:title>Evaluating cost\u2010effectiveness of induction of labour (IOL<\/jats:styled-content>) using outpatient mechanical cervical ripening using a Foley catheter (OFC<\/jats:styled-content>) compared to inpatient chemical ripening using prostin gel (IPG<\/jats:styled-content>).<\/jats:p><\/jats:sec>Study Design<\/jats:title>Cost\u2010effectiveness analysis from a hospital perspective alongside a RCT<\/jats:styled-content>. Women in a metropolitan Australian maternity hospital with an unfavourable cervix requiring IOL<\/jats:styled-content> at term were randomised to IPG<\/jats:styled-content> (n<\/jats:italic>\u00a0=\u00a051) or OFC<\/jats:styled-content> (n<\/jats:italic>\u00a0=\u00a050). Primary economic measures were mean patient costs, incremental cost per predelivery inpatient hour prevented, and incremental cost per vaginal delivery within 12\u00a0h of admission to the birthing unit. Bootstrapping estimates were used to construct 95% confidence intervals. Estimates of net monetary benefit were calculated to aid interpretation of the results.<\/jats:p><\/jats:sec>Results<\/jats:title>Mean hospital costs per woman were nonsignificantly higher ($6524 OFC<\/jats:styled-content> vs $5876 IPG<\/jats:styled-content>) and mean difference $643; 95% CI<\/jats:styled-content> \u2212$366 to $1652. OFC<\/jats:styled-content> group experienced fewer predelivery inpatient hours, resulting in an incremental cost per inpatient hour prevented of $57 (95% CI<\/jats:styled-content> \u2212$79.44 to $190.65). However, OFC<\/jats:styled-content> patients were less likely to deliver vaginally within 12\u00a0h of admission to birthing unit. Other cost influencing clinical outcomes, including caesarean section rates and total inpatient hours, were not statistically different. Results were not sensitive to changes in costs or the cost\u2010effectiveness thresholds.<\/jats:p><\/jats:sec>Conclusion<\/jats:title>OFC<\/jats:styled-content> had fewer inpatient hours and costs prior to birth. However, OFC<\/jats:styled-content> did not reduce overall inpatient hours and failed to achieve comparable rates of vaginal delivery within 12\u00a0h of birthing unit admission. Therefore, OFC<\/jats:styled-content> is unlikely to be considered cost\u2010effective compared to IPG<\/jats:styled-content> in current hospital settings.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ajo.12348","type":"journal-article","created":{"date-parts":[[2015,7,14]],"date-time":"2015-07-14T17:17:06Z","timestamp":1436894226000},"page":"440-445","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":24,"title":["Cost\u2010effectiveness of term induction of labour using inpatient prostaglandin gel versus outpatient Foley catheter"],"prefix":"10.1111","volume":"55","author":[{"given":"Kathryn","family":"Austin","sequence":"first","affiliation":[{"name":"Royal Hospital for Women Randwick New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Georgina M.","family":"Chambers","sequence":"additional","affiliation":[{"name":"National Perinatal Epidemiology and Statistics Unit School of Women's and Children's Health University of New South Wales (UNSW) Sydney New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Richard","family":"de Abreu Lourenco","sequence":"additional","affiliation":[{"name":"Centre for Health Economics Research and Evaluation University of Technology Ultimo New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Arushi","family":"Madan","sequence":"additional","affiliation":[{"name":"School of Women's and Children's Health UNSW Medicine University of New South Wales (UNSW) Randwick New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daniella","family":"Susic","sequence":"additional","affiliation":[{"name":"Royal Hospital for Women Randwick New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amanda","family":"Henry","sequence":"additional","affiliation":[{"name":"Royal Hospital for Women Randwick New South Wales Australia"},{"name":"School of Women's and Children's Health UNSW Medicine University of New South Wales (UNSW) Randwick New South Wales Australia"},{"name":"Women's and Children's Health St George Hospital Kogarah New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2015,7,14]]},"reference":[{"key":"e_1_2_6_2_1","unstructured":"LiZ ZekiR HilderL SullivanEA.Australia's mothers and babies 2010. Perinatal statistics series no. 27. Cat. no. PER 57.Canberra:AIHW National Perinatal Epidemiology and Statistics Unit 2012."},{"key":"e_1_2_6_3_1","unstructured":"National Institute for Health and Clinical Excellence (NICE).Induction of Labour. Clinical Guideline 70.2012. [Accessed 3 November 2013.] Available from URL:http:\/\/guidance.nice.org.uk\/CG70\/NICEGuidance\/pdf\/English."},{"key":"e_1_2_6_4_1","volume-title":"WHO Recommendations for Induction of Labour","author":"World Health Organization (WHO)","year":"2011"},{"key":"e_1_2_6_5_1","unstructured":"Delivered with Care: A National Survey of Women's Experience of Maternity Care 2010.Oxford:National Perinatal Epidemiology Unit 2010. [Accessed 8 November 2013.] Available from URL:https:\/\/www.npeu.ox.ac.uk\/delivered-with-care"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0029-7844(97)00259-7"},{"key":"e_1_2_6_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejogrb.2013.06.017"},{"key":"e_1_2_6_8_1","doi-asserted-by":"publisher","DOI":"10.1111\/1471-0528.12221"},{"issue":"1","key":"e_1_2_6_9_1","first-page":"28","article-title":"Effectiveness and infectious morbidity of outpatient cervical ripening with a Foley catheter","volume":"49","author":"McKenna DS","year":"2004","journal-title":"J Reprod Med"},{"key":"e_1_2_6_10_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1471-0528.2009.02216.x"},{"key":"e_1_2_6_11_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1471-0528.2009.02236.x"},{"issue":"2","key":"e_1_2_6_12_1","first-page":"CD007372","article-title":"Outpatient versus inpatient induction of labour for improving birth outcomes","author":"Kelly AJ","year":"2009","journal-title":"Cochrane Database Syst Rev"},{"issue":"4","key":"e_1_2_6_13_1","first-page":"CD003101","article-title":"Vaginal prostaglandin (PGE2 and PGF2a) for induction of labour at term","author":"Kelly AJ","year":"2009","journal-title":"Cochrane Database Syst Rev"},{"key":"e_1_2_6_14_1","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2393-13-25"},{"key":"e_1_2_6_15_1","unstructured":"NSW Health.Cost of Care Standards. Inter\u2010government and funding strategies. Edition GL2011\u2010007. [Accessed 12 December 2011]."},{"key":"e_1_2_6_16_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1471-0528.2011.02902.x"},{"key":"e_1_2_6_17_1","unstructured":"ChenK.Costing & Benchmarking Coordinator \u00a6 Business Intelligence & Efficiency Unit South Eastern Sydney Local Health District Finance MRD Sutherland Hospital. Pers comm.2012."}],"container-title":["Australian and New Zealand Journal of Obstetrics and Gynaecology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fajo.12348","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/ajo.12348","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,10,5]],"date-time":"2023-10-05T17:12:16Z","timestamp":1696525936000},"score":1,"resource":{"primary":{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/10.1111\/ajo.12348"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2015,7,14]]},"references-count":16,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2015,10]]}},"alternative-id":["10.1111\/ajo.12348"],"URL":"https:\/\/doi.org\/10.1111\/ajo.12348","archive":["Portico"],"relation":{},"ISSN":["0004-8666","1479-828X"],"issn-type":[{"value":"0004-8666","type":"print"},{"value":"1479-828X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2015,7,14]]},"assertion":[{"value":"2014-11-24","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2015-04-10","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2015-07-14","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}