title: [Possibilities and limitations of obstetric intensive medicine: a cost-savings analysis (author's transl)].
abstract: With the increasing use of obstetrics intensive supervision methods, perinatal mortality could be decreased from greater than 2.5% to less than 1.0% between 1965-1975. Cases of clinically relevant acidosis in the umbilical artery (pH less than 7.10) declined from 2.41% to 0.51% between 1973-1975. On the basis of these results and the statistical data from Hagberg (14), it can be concluded that 1 child out of every 1.000 births can be preserved from a severe infantile cerebral paresis and 1 child from severe mental retardation via obstetric intensive supervision. The cost for obstetric intensive medicine per 1.000 births was 370.000 Swiss francs in 1975. As a result of the decline in cerebrally damaged and mentally retarded children, expenditures of between 1.3 to 1.9 million Swiss francs were avoided. This means a savings of 1 to 1.5 million Swiss francs.
mesh_terms: D001774:Blood Chemical Analysis; D001925:Brain Damage, Chronic / Q000517:prevention & control; D003365:Costs and Cost Analysis; D004562:Electrocardiography / Q000379:methods; D005260:Female; D005318:Fetal Heart; D005332:Fetoscopy; D006801:Humans; D007231:Infant, Newborn; D008607:Intellectual Disability / Q000517:prevention & control; D007362:Intensive Care Units; D007744:Obstetric Labor Complications / Q000517:prevention & control; D011247:Pregnancy; D011295:Prenatal Care; D011296:Prenatal Diagnosis; D014463:Ultrasonography
vernacular_title: Möglichkeiten und Grenzen der geburtshilflichen Intensivmedizin. Ein Aufwand-Nutzen-Analyse.