Objective.-To assess the effect of cesarean delivery on neonatal and maternal morbidity and mortality and their associated costs for two populations of women presenting with genital herpes lesions at delivery: those with and those without a history of genital herpes.
Data Sources.-MEDLINE (search for herpes simplex virus and neonatal, cesarean, and mortality) and recognized experts.
Data Extraction.-The quality of the overall data used for baseline values was graded using a predetermined scale.
Results.-The practice of cesarean delivery for women with a history of genital herpes lesions that recur at delivery results in more than 1580 excess cesarean deliveries performed for every poor neonatal outcome prevented, a cost per neonatal herpes case averted of $2.5 million and a cost per quality-adjusted life-year gained of $203 000.
Mots-clés Pascal : Appareil génital pathologie, Appareil génital femelle pathologie, Economie santé, Facteur risque, Homme, Gestation, Gestation pathologie, Herpès, Virose, Infection, Accouchement, Césarienne, Efficacité, Coût
Mots-clés Pascal anglais : Genital diseases, Female genital diseases, Health economy, Risk factor, Human, Pregnancy, Pregnancy disorders, Herpes, Viral disease, Infection, Delivery, Cesarean section, Efficiency, Costs
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 93-0563462
Code Inist : 002B20G03. Création : 199406.