Abstract
This paper describes a cost-effectiveness evaluation based on a randomized controlled trial comparing two policies for surgical repair of perineal trauma. Data were collected for 1780 women who were randomly allocated to either a two-stage postpartum perineal repair policy leaving the skin unsutured (n=890) or a three-stage postpartum perineal repair policy that required suturing of the skin (n=890). The two-stage postpartum perineal repair policy was found to reduce the risk of adverse outcomes at 10days and at 3months, without leading to a significant increase in health-care costs. A widespread adoption of a two-stage postpartum perineal repair policy leaving the skin unsutured following perineal trauma is likely to represent a cost-effective use of health-care resources.
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