Vaginal birth after caesarean versus elective repeat caesarean delivery after one previous caesarean section: a cost-effectiveness analysis in four European countries

Table 1 Cost estimates, €^a

	Belgium	Germany	Ireland	Italy
Antenatal care
Intention: vaginal birth after caesarean	535	791	1656	1017
Intention: elective repeat caesarean delivery	563	826	1844	1095
Mode of birth
Unassisted vaginal birth
Without complications	2948	1745	2337	1315
With complications	3363	2394	4065	1674
Instrumental vaginal birth
Without complications	3363	2049	3063	2956
With complications	4790	2394	4065	2956
Elective repeat caesarean delivery
Without complications	4083	2659	4805	2163
With complications	5105	3180	6242	2876
Emergency caesarean section
Without complications	5105	3661	4805	2163
With complications	8261	3903	6242	2876
Uterine Rupture
Without complications	5105	3903	4805	2876
With complications	8261	3903	6242	2876
Neonatal HIE/CP (six-week time horizon)	12,347	7587	10,275	4052
Neonatal HIE (first 2 years)	16,926	16,423	17,093	15,250
Neonatal CP (lifetime)	846,309	821,171	854,688	762,516
Neonatal Sepsis	7266	19,413	15,408	4052
Neonatal respiratory conditions
Transient tachypnoea	3007	788	1485	579
Respiratory distress syndrome	11,392	19,413	15,408	13,478
Neonatal mortality	4712	7198	7036	5579
Postnatal care
Without complications	182	622	135	308
With complications	329	782	885	643
Productivity loss (per year)	48,511	46,373	46,607	35,272

HIE hypoxic ischemic encephalopathy, CP cerebral palsy
^aCurrency in 2016 euros (€) [49]
Total costs, travel costs included. More detailed costs and their sources are described in Additional file 1: Table S1 and S2

ISSN: 1471-2393