Table F.17’Downstream’ outcome costs

VariableCostSourceNotes
Admission to neonatal unit£1,676NHS Reference Costs 2004Assume 2 days of neonatal intensive care at £838 per day.
Induction of labour£20Davies and Drummond (1991)960 and (1993)993Updated to 2006 prices using Retail Price Index published by Office of National Statistics.
Neonatal death£2,568NHS Tariff 2006
NHS Reference Costs 2004
From NHS Reference Costs 2004 FCE (finished consultant episode) data assume that 25% of neonatal deaths are < 2 days (n = 974).
NHS Reference Costs for this is £527.
For remaining 75% assume 2 days of neonatal intensive care (£838 × 2) and neonate with one major diagnosis which has an NHS Tariff of £1,572.
£1,676 + £1,572 = £3,248
Shoulder dystocia£629NHS Tariff 2006Cost for neonate with one minor diagnosis (HRG N03)
Bone fracture£629NHS Tariff 2006Cost for neonate with one minor diagnosis (HRG N03)
Nerve palsy£629NHS Tariff 2006Cost for neonate with one minor diagnosis (HRG N03)
Phototherapy£629NHS Tariff 2006Cost for neonate with one minor diagnosis (HRG N03)
Emergency caesarean section£1,205NHS Reference Costs 2004Incremental cost over and above that of a normal vaginal birth
Elective caesarean section£822NHS Reference costs 2004Incremental cost over and above that of a normal vaginal birth

HRG = Health Resource Group.

From: Appendix F, Economic model: screening and treatment of gestational diabetes

Cover of Antenatal Care
Antenatal Care: Routine Care for the Healthy Pregnant Woman.
NICE Clinical Guidelines, No. 62.
National Collaborating Centre for Women's and Children's Health (UK).
London: RCOG Press; 2008 Mar.
Copyright © 2008, National Collaborating Centre for Women’s and Children’s Health.

No part of this publication may be reproduced, stored or transmitted in any form or by any means, without the prior written permission of the publisher or, in the case of reprographic reproduction, in accordance with the terms of licences issued by the Copyright Licensing Agency in the UK [www.cla.co.uk]. Enquiries concerning reproduction outside the terms stated here should be sent to the publisher at the UK address printed on this page.

The use of registered names, trademarks, etc. in this publication does not imply, even in the absence of a specific statement, that such names are exempt from the relevant laws and regulations and therefore for general use.

PubMed Health. A service of the National Library of Medicine, National Institutes of Health.