Robert Bryce

Randomized controlled trial of antenatal social support to prevent preterm birth

Objective— To test the effect of a programme of additional antenatal social support on the occurrence of preterm birth (a birth from 20 to 36 weeks gestation) in women at risk of preterm birth.

A randomised controlled trial of outpatient compared with inpatient cervical ripening with prostaglandin E2 (OPRA study)

To compare clinical outcomes from outpatient with inpatient cervical prostaglandin E2 ripening for low risk labour induction.

A cost analysis of inpatient compared with outpatient prostaglandin E2 cervical priming for induction of labour: results from the OPRA trial

OBJECTIVE To compare the costs of inpatient (usual care) with outpatient (intervention) care for cervical priming for induction of labour in women with healthy, low-risk pregnancies who are being induced for prolonged pregnancies or for social reasons. METHODS Data from a randomised controlled trial at two hospitals in South Australia were matched with hospital financial data. A cost analysis comparing women randomised to inpatient care with those randomised to outpatient care was performed, with an additional analysis focusing on those who received the intervention. RESULTS Overall, 48% of women randomised into the trial did not receive the intervention. Women randomised to outpatient care had an overall cost saving of

The association between increasing maternal age at first birth and decreased rates of spontaneous vaginal birth in South Australia from 1991 to 2009

319 per woman (95% CI -

Support in Pregnancy

104 to

A randomized controlled trial to assess the clinical and cost effectiveness of a nurse-led Antenatal Asthma Management Service in South Australia (AAMS study)

742) as compared with women randomised to usual care. When restricted to women who actually received the intervention, in-hospital cost savings of

E-cigarettes and pregnancy. Is a closer look appropriate?

433 (95% CI -

Authors' reply: How safe is safe for outpatient cervical ripening?

282 to

Puerperal Cerebral Venous Thrombosis

1148) were demonstrated in the outpatient group. However, these savings were partially offset by the cost of an outpatient priming clinic, reducing the overall cost savings to

Calcium Supplementation In Nulliparous Women For The Prevention Of Pregnancy-Induced Hypertension, Preeclampsia And Preterm Birth: An Australian Randomized Irial

156 per woman. CONCLUSIONS Overall cost savings were not statistically significant in women who were randomised to or received the intervention. However, the trend in cost savings favoured outpatient priming.