title: An economic model of the benefits of professional doula labor support in Wisconsin births.
abstract: BACKGROUND
  The purpose of this study is to estimate the immediate cost savings per delivery with in-hospital professional doula labor support in Wisconsin. This is the first study that calculates the estimated cost savings of professional doula labor support specific to Wisconsin.
  
  
  METHODS
  This analysis used results presented in and derived from the Cochrane Review of continuous labor support to estimate procedure reduction and cost savings in Wisconsin using birth statistics from 2010. The delivery outcomes included were cesarean deliveries, instrumental deliveries, and regional analgesia use. To accurately reflect published studies on labor support, only low-risk deliveries were used for intervention reduction calculations.
  
  
  RESULTS
  For 2010 data, estimated savings of 28,997,754.80 dollars could have been achieved if every low-risk birth were attended in-hospital by a professional doula. A professional doula providing only in-hospital labor support would yield an estimated cost savings of 424.14 dollars per delivery or 530.89 dollars per low-risk delivery.
  
  
  CONCLUSIONS
  A system-based change in how laboring mothers are supported would be an innovative step that would put Wisconsin at the forefront of cost-effective health care, reducing interventions while improving outcomes. It is recommended that Wisconsin insurers consider reimbursing for professional doula labor support. It is also recommended that pilot programs be implemented in Wisconsin that can better assess the implementation of professional doula labor support services.
authors.affiliation: University of Wisconsin School of Medicine and Public Health, Health Sciences Learning Center, Student Services Office, 750 Highland Ave, Madison, WI 53705-2266, USA. chapple@wisc.edu
authors.forename: Will
authors.initials: W
authors.lastname: Chapple
authors.forename: Amy
authors.initials: A
authors.lastname: Gilliland
authors.forename: Dongmei
authors.initials: D
authors.lastname: Li
authors.forename: Emily
authors.initials: E
authors.lastname: Shier
authors.forename: Emily
authors.initials: E
authors.lastname: Wright
mesh_terms: D017046:Cost Savings; D036861:Delivery, Obstetric / Q000191:economics* / Q000379:methods*; D059037:Doulas; D005260:Female; D006801:Humans; D018803:Models, Economic; D011247:Pregnancy; D011256:Pregnancy Outcome; D012307:Risk Factors; D014922:Wisconsin