Antenatal magnesium sulphate for preventing cerebral palsy: An economic evaluation of the impact of a quality improvement program

Date

2022

Authors

Keir, A.
Rumbold, A.
Shepherd, E.
Mcintyre, S.
Groves, C.
Cavallaro, A.
Crowther, C.
Callander, E.

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Journal article

Citation

Australian and New Zealand Journal of Obstetrics and Gynaecology, 2022; 62(1):168-171

Statement of Responsibility

Amy Keir, Alice Rumbold, Emily Shepherd, Sarah Mcintyre, Charlotte Groves, Angela Cavallaro, Caroline Crowther, and Emily Callander

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Abstract

Previous work demonstrated that implementing a quality improvement (QI) program improves the uptake of guideline-recommended antenatal magnesium sulphate, a critical intervention known to reduce cerebral palsy risk. Here we estimate potential cost savings attributable to the improved uptake. By expanding coverage from 63 to 83% of eligible women, we estimated that five children potentially would not have received a diagnosis of cerebral palsy, a potential cost saving of $AU4.8 million in lifetime healthcare costs. Our findings strengthen the case for embedding QI approaches in perinatal care to reduce the incidence of cerebral palsy.

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First published: 29 November 2021

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© 2021 The Royal Australian and New Zealand College of Obstetricians and Gynaecologists

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