Cost‐Effectiveness Analysis of Recumbent Versus Upright Labor Positioning With a Low‐Dose Epidural: A Decision‐Analytic Model
Our results show that in a theoretical cohort of 756,000 patients, laboring in the recumbent position may save $157 million annually and improve maternal outcomes. These findings underscore the importance of incorporating evidence-based cost and outcome data into patient counseling about birthing positions to support informed, shared decision-making while accounting for individual patient preferences.
Authors
- Aaron B. Caughey (ORCID: https://orcid.org/0000-0002-1752-0972)
- Claire H. Packer (ORCID: https://orcid.org/0000-0002-3185-4696)
- Alyssa R. Hersh (ORCID: https://orcid.org/0000-0003-0601-9346)
- Sarina R. Chaiken (ORCID: https://orcid.org/0000-0001-5363-6115)
- Michael Phillipi (ORCID: https://orcid.org/0009-0007-2657-2989)
Institutions
- Brigham and Women's Hospital (US)
- Oregon Health & Science University (US)
- Brown University (US)
Publication Details
- Journal
- Birth
- Published
- 2025-12-01
- DOI
- https://doi.org/10.1111/birt.70045
- Primary Topic
- Maternal and Perinatal Health Interventions
- Type
- article
- Field-Weighted Citation Impact
- 0.00