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Related Experiment Videos

Consumer preference for dinoprostone vaginal gel using stated preference discrete choice modelling.

Susan Taylor1, Carol Armour

  • 1Faculty of Pharmacy, University of Sydney, Sydney, New South Wales, Australia. suet@pharm.usyd.edu.au

Pharmacoeconomics
|June 28, 2003
PubMed
Summary

Women prefer labor induction methods balancing invasiveness and speed. They value less invasive gel administration but prioritize shorter induction-to-delivery times with artificial rupture of membranes plus oxytocin.

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Area of Science:

  • Obstetrics and Gynecology
  • Health Economics
  • Consumer Behavior Research

Background:

  • Induction of labor is a common obstetric procedure.
  • Understanding patient preferences is crucial for optimizing labor induction methods.
  • Two common methods include artificial rupture of the membranes (ARM) plus oxytocin and dinoprostone (prostaglandin E2) vaginal gel.

Purpose of the Study:

  • To assess consumer preferences for two distinct labor induction methods.
  • To quantify women's willingness to pay for specific attributes of labor induction.

Main Methods:

  • Stated preference discrete choice modeling was employed.
  • Consumer preferences were measured by willingness to pay for attributes like administration method, place of care, induction-to-delivery time, need for epidural, delivery type, and cost.

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  • Pregnant women evaluated 18 different scenarios varying these attributes.

    • Main Results:

    • Women were willing to pay $55/hour for reduced induction-to-delivery time.
    • They valued a 1% reduction in needing epidural ($20) or Caesarean section ($90) highly.
    • A 1% reduction in needing oxytocin with gel was valued at $11.

    Conclusions:

    • Women prefer the less invasive dinoprostone gel method for greater mobility.
    • However, the shorter labor duration with ARM plus oxytocin is valued more highly.
    • A policy allowing up to two doses of dinoprostone gel could align with consumer preferences.